Volume 27, Issue 2 (11-2024)
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Jaafaripooyan E, Habibi F, Mehri M, Sajjadi-khasraghi J, Alizadeh N. Internship program for health services management students: challenges and solutions. jha 2024; 27 (2)
URL: http://jha.iums.ac.ir/article-1-4526-en.html
URL: http://jha.iums.ac.ir/article-1-4526-en.html
1- Health Management and Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran
2- Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran
3- Center for Academic and Health Policy )CAHP(, Tehran University of Medical Sciences, Tehran ,alizadeh.k1997@gmail.com
2- Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran
3- Center for Academic and Health Policy )CAHP(, Tehran University of Medical Sciences, Tehran ,
Abstract: (479 Views)
Introduction: Quality improvement in education seems essential for the enhancement of educational productivity, learning quality, and learners' capabilities. This study aimed to identify the challenges and solutions for improving the implementation of the internship program for students of health services management.
Methods: The study was conducted using a qualitative approach. This study applied a stakeholder perspective along with a review of studies. A total of 35 interviews were conducted with students, university faculty members, hospital administrators, hospital quality improvement experts, instructors or internship administrators, and university staff managers. Finally, for validation purposes, an expert panel was held with the presence of faculty members in the field of health services management, hospital quality improvement experts, and hospital managers.
Findings: Students spend their internships in hospitals and headquarter units under the supervision of the head of the unit. The evaluation methods were also completely different through written reports, project completion, direct supervisor evaluation, evaluation by the course instructor, or a combination of the mentioned methods. The challenges for improving the provision of internship units included educational system challenges, professors and trainers-related challenges, challenges related to students, and challenges related to internship objectives. The solutions were also divided into four categories: teacher and course instructor, course syllabus, hospital liaison, and educational field centers.
Conclusion: Experienced internship unit supervisors, simultaneous presence of a faculty member and a supervisor from the organization, developing detailed framework for each course, updating the course outlines, especially the practical units, and requiring internship and apprenticeship students to attend committees can be recommended for better implementation of this course.
Methods: The study was conducted using a qualitative approach. This study applied a stakeholder perspective along with a review of studies. A total of 35 interviews were conducted with students, university faculty members, hospital administrators, hospital quality improvement experts, instructors or internship administrators, and university staff managers. Finally, for validation purposes, an expert panel was held with the presence of faculty members in the field of health services management, hospital quality improvement experts, and hospital managers.
Findings: Students spend their internships in hospitals and headquarter units under the supervision of the head of the unit. The evaluation methods were also completely different through written reports, project completion, direct supervisor evaluation, evaluation by the course instructor, or a combination of the mentioned methods. The challenges for improving the provision of internship units included educational system challenges, professors and trainers-related challenges, challenges related to students, and challenges related to internship objectives. The solutions were also divided into four categories: teacher and course instructor, course syllabus, hospital liaison, and educational field centers.
Conclusion: Experienced internship unit supervisors, simultaneous presence of a faculty member and a supervisor from the organization, developing detailed framework for each course, updating the course outlines, especially the practical units, and requiring internship and apprenticeship students to attend committees can be recommended for better implementation of this course.
Type of Study: Research |
Subject:
Health Services Management
Received: 2024/06/23 | Accepted: 2024/09/20 | Published: 2024/12/18
Received: 2024/06/23 | Accepted: 2024/09/20 | Published: 2024/12/18
References
1. World Health Organization. Working together for health: the world health report 2006: policy briefs. 2006. Available from: https://www.who.int/publications/i/item/9241563176
2. Mohammadzade G, Behnaz F, Dehlavi R, Meydaani A, Fallah A, Mohammadzade M. effect of educational workshop held by interns to introduce needed skills to new externs before entering externship in Shahid Sadoughi university of medical sciences. Journal of Medical Education and development. 2016;11([2):146-52. [In Persian] Available from: https://jmed.ssu.ac.ir/article-1-639-en.html
3. Adel Mehraban M, Moladoust A. Evaluation of nursing management internship: A mixed methods study. Iranian Journal of Medical Education. 2015;14(11):972-87. [In Persian] Available from: https://ijme.mui.ac.ir/browse.php?a_id=3503&sid=1&slc_lang=en&ppup=
4. Azizi S, Sarikhani L. A survey on the viewpoint of graduates of medical records bachelor degree about strengths and weaknesses of the internships program in Ahvaz Jundishapour University of Medical Sciences. Educational Development of Jundishapur. 2014;17(33):334. [In Persian] Available from: https://www.magiran.com/paper/1278823/a-survey-on-the-viewpoint-of-graduates-of-medical-records-bachelor-degree-about-strengths-and-weaknesses-of-the-internships-program-in-ahvaz-jundishapour-university-of-medical-sciences?lang=en
5. Chapman F, Clegg P. Bridging the theory practice gap: an innovative approach to praxis in professional education. Assessment, Teaching & Learning Journal. 2007;1(1). https://eprints.leedsbeckett.ac.uk/id/eprint/1040/
6. Wimmers PF, Schmidt HG, Splinter TA. Influence of clerkship experiences on clinical competence. Medical Education. 2006;40(5):450-8. doi: [DOI:10.1111/j.1365-2929.2006.02447.x]
7. Ahanchian M, Sharafi S, Vafaee M, Hajiabadi F. Evaluate the effectiveness of internship program in nursing student using Kirkpatrick's model. Research in Medical Education. 2017;9(1):17-9. Available from: https://rme.gums.ac.ir/browse.php?a_id=419&sid=1&slc_lang=en [DOI:10.18869/acadpub.rme.9.1.17]
8. Delaram M, Reisi Z, Alidusti M. Strengths and weaknesses of clinical education from the viewpoints of nursing and midwifery students in Shahrekord University of medical sciences, Shahrekord, Iran. Qom University of Medical Sciences Journal. 2012;6(221). [In Persian] Available from: https://www.cabidigitallibrary.org/doi/full/10.5555/20123239502
9. Nabilou B, Amirzadeh J, Mirzapour S, Salem Safi P, Yusefzadeh H. Evaluation of Clerkship quality of public health students in Urmia Medical Sciences University In 2017. Nursing and Midwifery Journal 2018; 6(4):218-24. [In Persian] Available from: http://unmf.umsu.ac.ir/article-1-3453-en.html
10. Tabrizi J, Azami-Aghdash S. Perspective of health service management master students about methods of holding clerkship and internship courses: a qualitative study. Research in Medical Education. 2015;7(3):1-10. [In Persian] doi: http://dx.doi.org/10.18869/acadpub.rme.7.3.1 [DOI:10.18869/acadpub.rme.7.3.1]
11. Tabrizi JS, Mardani L, Kalantari H, Hamzehei Z. Clerkship from the perspective of students of health services management and family health in Tabriz University of Medical Sciences. Iranian Journal of Medical Education. 2011;10(4):439-. Available from: https://openurl.ebsco.com/EPDB%3Agcd%3A5%3A11567013/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A65446041&crl=c&link_origin=scholar.google.com
12. Fereshteh F, Mohammad Reza E, Amir Hossein E, Shayan H. Assessment of training and internship programs in hospitals based on a survey on Tehran university of medical sciences students. Journal of Payavard Salamat. 2015;8(5):427-36. [In Persian]doi: http://payavard.tums.ac.ir/article-1-5596-en.html
13. Shakhi K, Hossinpour D, Maharloo HR, Zahiri M, Zadeh MHH. Student's views about the educational quality of health services management department in AJUMS. Educational Development of Jundishapur. 2013;4(6):83-9. [In Persian] Available from: https://edj.ajums.ac.ir/article_90449.html?lang=en
14. Vahedian A, Azimi, Rahimi A. Concept of spirituality: a conventional content analysis print. Journal of Qualitative Research in Health Sciences. 2013;2(1):11-20. [In Persian] Available from: https://jqr1.kmu.ac.ir/article_90737_157497ee25958502bbf54353da51b8f8.pdf
15. Hosseini S H, Pirouzeh R, Zhianifard A, Eydi F, Sadeghi A. Clerkship from the perspective of medical students: a mixed methods study. North Khorasan University of Medical Sciences 2024; 15 (4) :67-77. [In Persian] doi:
https://doi.org/10.32592/nkums.15.4.67 [DOI:10.32592/nkums.15.4.67.doi: http://dx.doi.org/10.32592/nkums.15.4.67]
16. Heidari A, Khademi J, Khatirnamani Z, Rafiei N, Abbas Abadi M, Charkazi A, et al. Challenges of clerkship of public health in Golestan medical university; a qualitative study. Medical Education. 2022;10(1):70-85. [In Persian] doi: http://dx.doi.org/10.22088/mededj.10.1.70
17. Beigzadeh A, Okhovati M, Mehrolhasani MH, Shokoohi M, Bazrafshan A. Challenges of the bachelor program of health services management: a qualitative study. Journal of Health Administration. 2014;17(55):29-42. Available from: http://jha.iums.ac.ir/browse.php?a_id=1440&sid=1&slc_lang=en
18. Alharbi AR, Alhosis KF. The challenges and difficulties of the nursing interns during their clinical internship in Qassim Region, Saudi Arabia. Saudi Journal for Health Sciences. 2019;8(1):6-11. Available from: Saudi Journal for Health Sciences - Volume 8, Issue 1, January-April 2019 [DOI:10.4103/sjhs.sjhs_143_18]
19. Shaketange L, Kanyimba AT, Brown E. The challenges and measures for internship among fourth-year students in the department of lifelong learning and community education at the University of Namibia. Creative Education. 2017;8(14):2258-74.doi: [DOI:10.4236/ce.2017.814155]
20. Ahmadi S, Abdi A, Nazarianpirdosti M, Rajati F, Rahmati M, Abdi A. Challenges of clinical nursing training through internship approach: a qualitative study. Journal of Multidisciplinary Healthcare. 2020:891-900. [In Persian] Available from: https://www.tandfonline.com/doi/full/10.2147/JMDH.S258112 [DOI:10.2147/JMDH.S258112]
21. Jannati A, Milag F, Narimani M, Gholizadeh M, Kabiri N. Evaluation of the experiences of health service management students at the faculty of management and information in Tabriz, Iran regarding field internship: a qualitative research. Journal of Medical Education Development. 2018;11:44-53 . [In Persian] doi: http://dx.doi.org/10.29252/edcj.11.29.44 [DOI:10.29252/edcj.11.29.44]
22. Azami-Aghdash S, Ostad_ahmadi Z, SHahedifar N, Abhari z, Sajjadi-khasraghi j, Derakhshani N. Improving quality of 'health service management' clerkship course using action research. Journal of Medical Education and Development. 2019;14(2):110-22. [In Persian] doi:
https://doi.org/10.18502/jmed.v14i2.1346 [DOI:10.18502/jmed.v14i2.1346.]
23. Bordbar N, Bikineh P, Ghanbarzadegan A, Bastani P. Identification of the internship problems of health services management students from perspective of the faculty members and educators: a qualitative study. Health_Based Research. 2018;4(2):181-96. [In Persian] Available from: http://hbrj.kmu.ac.ir/article-1-285-en.html
24. Moradi R, Khorasgani MR, chelongar q, mirzaei h, shirvani m. Study of Entrepreneurship Spirits Among Health Care Management Students of Isfahan University of Medical Sciences. Journal of healthcare management. 2017;3[8]:65-72. [In Persian] Available from: https://www.sid.ir/paper/232500/en
25. Azizi P, Jalalpour AH, Jahangiri S, Shaygani F, Ahmadi Marzaleh M, Shojaadini H, et al. The challenges of medical students in their internship: a qualitative study from Iran. BMC Research Notes. 2024;17(1):241. doi: [DOI:10.1186/s13104-024-06883-9]
26. Abedini S, Khani K, Najafi Asl M, Morabbi H, Karmostaji A. Experiences of the clerkship challenges of laboratory sciences in the students and the faculty respective opinion: a qualitative research. Development Strategies in Medical Education. 2018;5(1):80-93 . [In Persian] Available from: http://dsme.hums.ac.ir/article-1-175-en.html
27. Abdalla ME, Shorbagi S. Challenges faced by medical students during their first clerkship training: A cross-sectional study from a medical school in the Middle East. Journal of Taibah University Medical Sciences. 2018;13(4):390-4. doi: [DOI:10.1016/j.jtumed.2018.03.008]
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