Evaluation of ambulatory education program based on the participant-oriented evaluation model

Abstract

Introduction:Physicians' profession activities are mainly centered on clinics and the focus of medical education is on improving the quality of ambulatory education. Improving ambulatory education helps develop students' communication skills, professional attitudes, and empathy in addition to enhancing clinical skills. This study was performed to evaluate the ambulatory education program based on the participant-oriented evaluation model in 2018. Methods and Materials:This cross-sectional study was performed with the participation of 111 residents, interns, faculty and non-faculty physicians at the Kashan Shahid Beheshti Hospital. Participants 'viewpoints were collected using the ambulatory education quality assessment questionnaire including three domains of quality of educational services, physical area and environment of the clinic, and learners' feedback on the status of the clinic, whose reliability was calculated using the internal consistency index (r = 0.95). Descriptive and inferential statistics were used for data analysis. Results:The majority of interns (84.5%) and assistants (45.4%) were negative about the quality of ambulatory education, while the majority of the faculty members (66.7%) and physicians' views (38.5%) were positive. Most of the participants' view was aligned that the environmental situation was inappropriate. In general, there were differences in the views of the participants in terms of quality in the three areas of the ambulatory education program. Conclusion:Participants' general view of the current status of ambulatory education was particularly negative for learners, which could be due to the lack of independent activity, active supervision of teachers, prescription training and differential diagnostics, and poor environmental area.

Outpatient education, a momentous in clinical education: a qualitative study of medical students’, faculty members’, and residents’ perspectives

“…This highlights the significance of clinical education in ambulatory care settings. What occurs in a clinic is comparable to what a physician would encounter in his or her office [ 6 , 8 ]. In ambulatory clinics, students can experience various disorders under common conditions [ 1 , 8 , 9 ].…”

“…What occurs in a clinic is comparable to what a physician would encounter in his or her office [ 6 , 8 ]. In ambulatory clinics, students can experience various disorders under common conditions [ 1 , 8 , 9 ]. Furthermore, ambulatory care clinics are crucial for acquiring and developing students’ clinical skills, such as history-taking, clinical reasoning, physical examination, chronic disease management, and interprofessional collaboration [ 1 , 2 , 6 , 8 , 10 , 11 ].…”

“…Many scholars have recently focused on outpatient education due to its increased prominence and subsequent curiosity about its achievements, failures, and obstacles. These studies have primarily been carried out in the context of program evaluation via assessing learning [ 9 ] or from the viewpoint of one of the stakeholders, students [ 6 , 8 , 14 ], or directors [ 12 ]. Although some researchers have studied the challenges confronting this education [ 1 , 2 ], and others have tried to develop models for enhancing the quality of education [ 5 , 15 ], a comprehensive study does not appear to exist based on our search.…”