Dr. khoshgoftar | Shahid Beheshti University of Medical Sciences (original) (raw)

Papers by Dr. khoshgoftar

Advances in Science, Technology & Innovation/Advances in science, technology & innovation, 2024

Traditional and integrative medicine, Mar 10, 2024

Journal of medical education/Journal of medical education., Dec 26, 2023

WORLD JOURNAL OF PLASTIC SURGERY, Apr 30, 2023

BMC Medical Education, Oct 26, 2023

Background Examining the reflective capacity in medical students is a principal step for the deve... more Background Examining the reflective capacity in medical students is a principal step for the development of effective educational strategies to improve it. Reflection scales available in Iran are inadequate due to the lack of focus on students' willingness and tendency to participate in reflection. This study aimed at translation and psychometric evaluation of "Reflective Capacity Scale" in Iranian medical education. Methods This methodological research was completed in two parts: translation and psychometric evaluation. After getting permission from the main developer of the tool, the translation process was done based on Polit and Yang model in Persian language. Then, face validity and content validity of the tool were established using a qualitative method. Construct validity was surveyed with exploratory and confirmatory factor analysis via completing the questionnaire by 320 medical students, who were selected using convenience sampling. The reliability of the tool was also checked with two methods of internal consistency and stability. The gleaned data were analyzed with SPSS20 and AMOS. Results "Reflective Capacity Scale" includes 16 items that were retained after cross-cultural translation. Face validity and content validity were acceptable. By performing exploratory factor analysis, four factors were identified that accounted for 63.79% of the total variance. In the confirmatory factor analysis, the values of the fit indices confirmed the appropriate fit of the model. The internal consistency reliability of the whole tool was equal to 0.83 and the intraclass correlation coefficient was equal to 0.98. Conclusion The translated and validated "Reflective Capacity Scale" provides a robust tool for assessing reflective capacity among Iranian medical students. Its validity and reliability underscore its potential for measuring the reflective capacity of medical students.

Journal of multidisciplinary healthcare, 2016

The use of simulation in health professional education has increased rapidly over the past 2 deca... more The use of simulation in health professional education has increased rapidly over the past 2 decades. While simulation has predominantly been used to train health professionals and students for a variety of clinically related situations, there is an increasing trend to use simulation as an assessment tool, especially for the development of technical-based skills required during clinical practice. However, there is a lack of evidence about the effectiveness of using simulation for the assessment of competency. Therefore, the aim of this systematic review was to examine simulation as an assessment tool of technical skills across health professional education. A systematic review of Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), Medical Literature Analysis and Retrieval System Online (Medline), and Web of Science databases was used to identify research studies published in English between 2000 and 2015 reporting on meas...

Journal of Education and Health Promotion

Strides in development of medical education, 2014

Background & Objective: Educational environment, with many components and interactions between in... more Background & Objective: Educational environment, with many components and interactions between inputs, processes and outcomes, has been considered as an integral part of the educational program. To assess these environments, several instruments have been used around the world. Due to differences in medical environments, using appropriate tools for specific environment, is essential and applying wrong tools may lead to confusion in the interpretation of results. The purpose of this paper was to introduce medical environments measurement tools and scope of these applications. Methods: We searched databases for qualitative and quantitative instruments used to measure medical education environments in the medical and clinical settings. Results: 8 instruments for measuring medical education environment at undergraduate and 11 instruments at postgraduate in five scopes identified and introduced. Conclusion: Knowing about measuring instruments and their proper use in assessment of medical education environments are of the key aspects in various stages of evaluation, modification, improvement, and development of educational programs.

Anesthesiology and Pain Medicine, Jul 21, 2023

Background: One of the prominent indicators of academic success in postgraduate medical education... more Background: One of the prominent indicators of academic success in postgraduate medical education is the "Residents' Pass Rate" in the "National Board Exam." Objectives: This study was designed and implemented to assess the attitudes of the anesthesiology residents toward factors affecting their success in the National Board Exam. Methods: After the Institutional Review Board (IRB) approval, in an attitude assessment study, 20 of the 21 recently graduated anesthesiology residents were asked about the factors affecting their success quantitatively and qualitatively. A self-administered questionnaire with 19 closed questions and a personal virtual WhatsApp Messenger ® interview were used for the study. Results: The respondents' viewpoints demonstrated that a step-by-step multifaceted integrative program in combination with psychological support (both from the family and the department) and individual motivation positively affected their success and their endurance to overcome the high load of the mandatory texts. In contrast, unplanned stressors leading to program shifts (mainly due to COVID-19) had adverse effects on their success. Conclusions: Anesthesiology residents believed that a well-designed and appropriately implemented study plan with psychological support and personal motivating factors could facilitate passing the National Board Exam, and unplanned external stressors could hinder it.

BMC Medical Education, Mar 30, 2023

Background Developing reflective capacity and critical thinking is one of the prerequisites of ed... more Background Developing reflective capacity and critical thinking is one of the prerequisites of education in health professions, especially medicine. This study aimed to determine the reflective capacity of medical students and its role in their critical thinking disposition. Methods In this cross-sectional descriptive research, conducted in 2022, a total of 240 medical intern students were selected using the convenient sampling method. Data were collected using a reflective capacity questionnaire and critical thinking disposition questionnaire and analyzed with descriptive and inferential statistics using SPSS20. Results The mean reflective capacity was 4.53 ± 0.50, and mean critical thinking disposition was 127.52 ± 10.85. Among the dimensions of reflection, "active self-appraisal (SA)" and "reflective with others (RO)" had the highest and lowest means, respectively. The dimensions of critical thinking disposition with the highest and lowest means were related to innovation and intellectual maturity, respectively. Reflective capacity and its dimensions were found to have a direct and statistically significant relationship with critical thinking disposition and its dimensions. Regression analysis results showed that reflective capacity accounts for 28% of students' critical thinking disposition. Conclusion The relationship between students' reflective capacity and their critical thinking disposition has rendered reflection as one of the necessary components of medical education. Thus, determining the learning activities by considering the reflection process and models will be very effective in creating and strengthening critical thinking disposition.

International Journal of Cancer Management

Background: Cancer management has become increasingly challenging due to the emergence of a perso... more Background: Cancer management has become increasingly challenging due to the emergence of a personalized approach that requires careful assessment, multidisciplinary efforts, and experienced physicians. Objectives: Because of the COVID-19 pandemic’s effect on executing all medical meetings as well as multidisciplinary tumor boards (MTB), we decided to design, perform, and evaluate a teaching scholarship in virtual MTB for urologic cancer patients. Methods: In this prospective study from December 2020 to July 2022, the authors evaluated the designing, implementation, and learning efficacy of a virtual tumor board in the Urology Department of Shahid Beheshti University of Medical Sciences (SBMU). All the faculty members (N = 25) and urology residents (N = 35) were included in this investigation. To make the sessions multidisciplinary, other related departments including pathology, radio-oncology, medical oncology, radiology, and nuclear medicine were also included. Virtual tumor board...

BMC Medical Education

Journal of Medical Education

Context: Critical thinking (CT) has been recognized as a key learning outcome in health professio... more Context: Critical thinking (CT) has been recognized as a key learning outcome in health profession education (HPE). A holistic, well-defined process for initiating CT is essential to promote critical problem-solving in HPE students. Various perceptions of CT have emerged from different paradigms and disciplines. Integration of this variability into the CT process could be beneficial for medical educators to develop CT in learners. This study aimed to outline the CT process in view of the multiple conceptualizations of CT. Evidence Acquisition: In this narrative review, SID, Google Scholar, and PubMed databases were searched. After studying 35 selected articles, the CT process was formulated based on the multiple conceptualizations of CT. Results: Multiple perceptions of CT, emerged from disciplines and paradigms, should be incorporated into the CT process to achieve strong CT. In view of this multiplicity, not only the CT skills but also its dispositions are of key importance in the...

Journal of Educational Evaluation for Health Professions

Purpose: This review investigated medical students’ satisfaction level with e-learning during the... more Purpose: This review investigated medical students’ satisfaction level with e-learning during the coronavirus disease 2019 (COVID-19) pandemic and its related factors.Methods: A comprehensive systematic search was performed of international literature databases, including Scopus, PubMed, Web of Science, and Persian databases such as Iranmedex and Scientific Information Database using keywords extracted from Medical Subject Headings such as “Distance learning,” “Distance education,” “Online learning,” “Online education,” and “COVID-19” from the earliest date to July 10, 2022. The quality of the studies included in this review was evaluated using the appraisal tool for cross-sectional studies (AXIS tool).Results: A total of 15,473 medical science students were enrolled in 24 studies. The level of satisfaction with e-learning during the COVID-19 pandemic among medical science students was 51.8%. Factors such as age, gender, clinical year, experience with e-learning before COVID-19, lev...

Frontiers in Public Health

IntroductionSeasonal influenza, a contagious viral disease affecting the upper respiratory tract,... more IntroductionSeasonal influenza, a contagious viral disease affecting the upper respiratory tract, circulates annually, causing considerable morbidity and mortality. The present study investigates the effectiveness of educational interventions to prevent influenza.MethodsWe searched PubMed/Medline, Embase, and Cochrane Controlled Register of Trials (CENTRAL) for relevant clinical studies up to March 1 2022. The following terms were used: “influenza,” “flu,” “respiratory infection,” “prevent,” “intervention,” and “education.”ResultsOut of 255 studies, 21 articles satisfied the inclusion criteria and were included in our study: 13 parallel randomized controlled trials (RCT) studies, two cross-over RCT studies, two cohort studies, and four quasi-experimental studies. A total of approximately 12,500 adults (18 years old or above) and 11,000 children were evaluated. Educational sessions and reminders were the most common interventions. The measured outcomes were vaccination rates, the inc...

The substantial issue of the discussions about the professional nursing ethics is care or in othe... more The substantial issue of the discussions about the professional nursing ethics is care or in other words, the ethics of care is the most considerable underpinning for nursing ethics. Meanwhile for nursing students, ethical issues around education are more important component of the codes of ethics. Like nursing schools in some of other countries, it seems that developing nursing students’ code of ethics in Iranian academic settings and educational fields is essential. So students would be evaluated based on those ethical codes of conduct. In fact such cods are guides for moral development of nursing students and their content and scope should not be limited only to academic or clinical environments and would be helpful for personal and social enhancement of the professional aspects of the nursing students’ life.

International journal of health sciences

Critical thinking (CT) has been recognized as an important student learning outcome in medical ed... more Critical thinking (CT) has been recognized as an important student learning outcome in medical education. Given multiple conceptualizations of CT in the literature, this study aimed to clarify the theoretical foundations of this multiplicity. Also, the incorporation of the multiple conceptions in the CT process was investigated. In this way, we conducted a critical review of published literature to explore the theoretical origin of various perceptions of CT, and its incorporation in the CT process. Based on the results of this study, different understandings of CT can be viewed through the lens of paradigmatic and disciplinary perspectives. In view of this variability, the CT process is not solely based on thinking skills, but also the key role of the context in which the CT takes place, one’s own creativity, reflection on her/his thinking process, socially construction of meaning, attitudes and dispositions toward CT, caring to others, and seeking problems through challenging the s...

Research Square (Research Square), Nov 14, 2022

Background Cancer management has become increasingly challenging due to the emergence of personal... more Background Cancer management has become increasingly challenging due to the emergence of personalized approach which requires careful assessment, multidisciplinary efforts, and experienced physicians. Because of the COVID-19 pandemic's effect on executing all medical meetings as well as multidisciplinary tumor boards (MTB) we decided to design, perform and evaluate a teaching scholarship in virtual MTB for urologic cancer patients. Methods In this prospective study from December 2020 to July 2022, the authors evaluated designing, implementation, and learning e cacy of a virtual tumor board in the urology department of Shahid Beheshti University of Medical Sciences (SBMU). All the faculty members (N=25) and urology residents (N=35) were included in this investigation. To make the sessions, multidisciplinary, other related departments including pathology, radio-oncology, medical oncology, radiology, and nuclear medicine were also included. Virtual tumor boards were implanted monthly in twenty sessions. Results A short interview was conducted for the needs assessment. The faculty members and residents' statements were divided of high, intermediate, and low importance. After implementation satisfaction questionnaire based on the rst level of Kirkpatrick model was recorded and the means were 76% and 71% in faculty members and residents respectively for virtual execution. Results of evaluating the intervention according to the second level of Kirkpatrick model and through the tests before and after tumor boards were recorded and the mean differences evaluated by paired t-test were statistically signi cant. In the last step for external evaluation, the satisfaction rate of 5 arbitrators was 75% for executing a proper virtual MTB. Conclusion A virtual board is an effective learning method for medical education of urology residents. It could help practitioner to coordinate and discuss with different specialties and leads to the best decision for urologic cancer patients.