Objective: To determine the attitudes of the graduates working in the department of mediccal records toward the relationship between educational programs, and employment in the hospitals affiliated to Iran, Shahid Beheshti, and Tehran universities of medical sciences.

Methods: The research sample society includes the graduates of associate and bachlor's degrees, working in the department of medical records, Samples of comprised 131 individuals, of whom 53 were undergraduates, and 78 graduates. The data was compiled by questionnaires and personal visits made to the hospitals. 

Finding(s): 29% of the subjects were engaged in the filing unit, and 6.1 % in the administration. Approximately, half of the subjects had less than 2 years of work experience, and those with more experience were mostly working in the administration unit. These peaple considered factors such as "work experience" and "the combination of theoretical education and work experience" effective regarding the quality of conducting medical records. In addition to these, 76% of the subjects believed that their scientific and practical knowledge is not evaluated. In regards to the effectiveness of core courses of associate degree program, the priority was as follows: physiology and anatomy (52%), mecical terminology books I & II (51.9%), and disease coding (55.4%). The ratings for the basic and specialized courses of bachelor's degree were medical terminology III & IV (43.8%), and disease coding III and IV at 57.1 %.

 Conclusion(s): The results of the study indicated that the existing coursework for associate and bechelor's degrees need to be revised.