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Introduction: National Board exam is one of the important ways of assessment throughout a physician’s life span. This exam could be considered as the major director for acquiring knowledge during the residency educational program. This way, it should be in the way of social accountability and the medical problems which they would be faced with. This study evaluates the budgeting and quality of the National board exam in the adult cancer. Methods: In a descriptive study, the questions within the national board exams in adult cancer specialty in the academic years 1395 and 1396 as well as the same exams in hematology and oncology sub-specialty between the academic years 1392 and 1396 were analyzed. The sampling method was convenience sampling. Budgeting regarding the distribution and Bloom’s taxonomy was evaluated. We considered the questions in three Bloom’s level, namely, recall (first), application and analysis (second), and composition and evaluation (third). Frequencies and respective frequencies were calculated and reported. Results: Most of the questions in hematology and adult cancer board exams were in the first and second Bloom’s level. However, in endocrinology sub-category of questions, the third level was dominant. Palliative care and cancer complications had no place in the board examinations. Conclusion: Despite our expectation in terms of being at the higher levels, most of the questions were in the first and occasionally in the second level of Blume’s taxonomy. Therefore, it is highly recommended that questions are aimed at the higher levels, particularly in the area of diagnosis and treatment. It is also recommended that faculty members should be trained to develop questions at higher levels of cognition.

Introduction: Although it is obvious that nutrition has a clear impact on incidence, prevention, and treatment of many diseases, it has not been addressed properly in medical education. Therefore, physicians’ educational needs assessment is the first step of improving physicians’ skills in nutrition and diet therapy. Methods: It is a cross-sectional study. In this study, a focus group was hold. Then essential topics for training physicians was developed using the job analysis approach (Including determining the tasks sub tasks skills and items that can be corrected through training). Result: Five main tasks that must be learned were achieved. They were nutritional status assessment, patient’s data analysis, determining the diet suitable for patient’s condition, planning the diet therapy, its implementation, and evaluation. 19 sub tasks were defined for these main duties. Conclusion: There was a well consistency between our findings and earlier studies around the world. These results can be used to raise the nutritional knowledge of general practitioners whether through academic courses included in their curricula, or continuing education programs.

Introduction: Necessity for promotion of education quality in course of medicine forced the educational authorities including those of Isfahan school of Medicine to take actions towards promotion of education using an accreditation evaluation model in this course parallel to worldwide motion. This article emphasizes on a model by which this study was conducted and reported. Methods: This is a descriptive study conducted on seven domains of general medicine curriculum. In the model used in this study, in addition to the current condition, optimal condition was determined. If 70% of the indicators were appropriate in each domain, that domain was considered as appropriate, between 40-70% as semi appropriate and less than 40% was considered as inappropriate. The study was conducted in some steps including forming internal assessment committee, determining factors criteria and indicators, holding educational workshop, preparing data collection tool, data collection and analysis, report preparation and suggestions. Result: In domain of mission 70%, educational planning 80%, faculty members 74%, resources 54%, top and executive management 75%, student 34%, evaluation 61% and finally overall ratio 57% of the indicators were appropriate. Conclusion: Domains of student, resources and evaluation need continuous programming and working. Researchers have some suggestions including taking defined strategies for selecting education managers, using modern educational policies, reinforcing tests assessment system and increasing school authority in having clinical education resources.

Introduction: Curriculum assessment is part of educational systems. In the absence of an assessment of present situations, any intervention would be futile. This study was done to determine achievement rate of medical students in advanced clerkship (externship) courses through using logbooks. Methods: This retrospective cross-sectional descriptive study was done on medical students' logbooks between June and December 2010 in Isfahan University of Medical Sciences. The students were passing their externship courses. Random sampling was done and 30 logbooks from departments of orthopedics, ENT, neurology, anesthesiology and toxicology, infectious diseases, and internal medicine were analyzed descriptive statistics and SPSS were used for data analysis. Results: 180 logbook tables were analyzed. Average number of skill performances supervised once or more were found to be : 8 (out of 10) skills in anesthesiology and toxicology, 5(out of 11) skills in infectios diseases,7(out of 20)skills in internal medicine, 8 (out of 13) skills in orthopedics, 11 (out of 11) in ENT, and 10 (out of 10) in neurology. Conclusion: Findings showed that actual skills achievement is far from ideal in the studied departments. Therefore, interventional measures such as involving residents in instruction, more practical instructions in CSLC, using instructional films,arranging hospital shifts for interns ,applying OSCEs, etc. shoud be taken.