Sanaz Monsef, Mohammad H Yarmohammadian, Shaghayegh H Javanmard, Elaheh Mazaheri, Mostafa Amini-Rarani
{"title":"Educational hackathon to develop the infrastructure of an innovation ecosystem in the healthcare field: The event summary.","authors":"Sanaz Monsef, Mohammad H Yarmohammadian, Shaghayegh H Javanmard, Elaheh Mazaheri, Mostafa Amini-Rarani","doi":"10.4103/jehp.jehp_656_23","DOIUrl":"10.4103/jehp.jehp_656_23","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"342"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of meditation, muscle relaxation exercises, dietary and lifestyle modification on depression, anxiety, stress and self-esteem among women undergoing infertility treatment: A randomized controlled trial: Pilot protocol.","authors":"Rajbir K Aulakh, Harjit K Uppal, Sangeeta Pahwa","doi":"10.4103/jehp.jehp_1990_23","DOIUrl":"10.4103/jehp.jehp_1990_23","url":null,"abstract":"<p><strong>Background: </strong>Infertility is not only a reproductive health problem; it's also emotionally painful. Currently, treatments for infertility are receiving more attention, but emotional support is equally important. The aim of this study was to assess the effect of meditation, exercises, dietary, and life-style modifications on depression, anxiety, stress, and self-esteem among infertile women.</p><p><strong>Material and methods: </strong>This randomized controlled trial was carried out on randomly assigned 60 infertile women (30 experimental and 30 control groups) with the above-mentioned distress at the Infertility Clinic of a tertiary-level hospital in India during the period from 01.07.2020 to 30.6.2021. Infertile women were enrolled using a systematic random sampling technique. The pretest was done with the Depression, Anxiety and Stress Scale (DASS) and the Rosenberg self-esteem scale. Interventions were operated on an experimental group for five subsequent visits for 60 minutes and the control group received routine care. A post-test was done on sixth visit.</p><p><strong>Results: </strong>The pretest mean score of infertile women was 16.13 ± 4.95 for depression, 18.93 ± 4.26 for anxiety, 29.27 ± 4.59 for stress and 10.47 ± 3.49 for self-esteem, respectively. The post-test mean score was 9.07 ± 3.14 for depression, 10.73 ± 3.17 for anxiety, 18.4 ± 3.77 for stress, and 17.5 ± 1.96 for self-esteem. The study results showed the post-test mean score was significantly different in the experimental and control groups at <i>P</i> < 0.001.</p><p><strong>Conclusion: </strong>These complementary therapies could potentially lessen the emotional distress experienced by infertile women and boost pregnancy rates. So, infertility management should be comprehensive instead of only using medical treatment to get a better outcome.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"369"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To study the knowledge, attitude, and practice about Pap smear among healthcare professionals.","authors":"Latika, Ridhi Suri, Pushpa Dahiya","doi":"10.4103/jehp.jehp_244_24","DOIUrl":"10.4103/jehp.jehp_244_24","url":null,"abstract":"<p><strong>Background: </strong>Papanicolaou (Pap) smear has been found to be an effective, safe, economical, and time-sensitive tool for screening cervical cancer in various studies. We studied existing levels of awareness, attitude, and practices related to the Pap smear among healthcare workers.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study undertaken in different departments of Pt B. D. Sharma PGIMS, Rohtak. The study's target group was all married female HCWs of varied experience levels posted in different departments. This study employed a meticulously crafted questionnaire in the English language. The survey included a total of 21 items covering different aspects related to the knowledge, attitudes, and practices of the study topic. Subgroup analysis was conducted using the ANOVA and Pearson Chi-square test.</p><p><strong>Results: </strong>A total of 424 participants were enrolled in the study. The majority of the participants were in the age group of 31-40 years (45%), followed by the age group of 20-30 years. On descriptive analysis, the mean knowledge score of the participants was 29.4575 (SD = 10.77661, minimum score = 0.00, maximum score = 55).</p><p><strong>Conclusion: </strong>The study highlights a moderate level of knowledge but a significant gap between the attitudes and actual practices related to Pap smear and cervical cancer screening among healthcare professionals.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"367"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raya Said Al-Mamari, Eilean Rathinasamy Lazarus, Maryam Al-Harrasi, Huda Al-Noumani, Omar Al Zaabi
{"title":"Prevalence, severity, and predictors of dysphagia among patients with acute stroke in Oman.","authors":"Raya Said Al-Mamari, Eilean Rathinasamy Lazarus, Maryam Al-Harrasi, Huda Al-Noumani, Omar Al Zaabi","doi":"10.4103/jehp.jehp_1704_23","DOIUrl":"10.4103/jehp.jehp_1704_23","url":null,"abstract":"<p><strong>Background: </strong>Up to 80% of stroke patients suffer from dysphagia. It is associated with increased morbidity, mortality, and healthcare costs due to aspiration, pneumonia, and malnutrition, which represent a significant burden to stroke survivors, their relatives, and the healthcare system. Early recognition and management of post-stroke dysphagia is key to reducing its complications and enhancing patients' quality of life. Despite the importance of dysphagia following a stroke and its adverse consequences, no study has investigated dysphagia after stroke in Oman. This study was conducted to estimate the prevalence of post-stroke dysphagia and its severity among acute stroke patients, assess the association between the selected factors and dysphagia, and identify dysphagia predictors.</p><p><strong>Materials and method: </strong>A cross-sectional descriptive study design was utilized to identify the prevalence and risk factors for post-stroke dysphagia among acute stroke patients (n = 274) admitted to two Omani tertiary hospitals over 6 months. Dysphagia was assessed using the Gugging swallowing screen. Descriptive analysis, correlations, and regression analysis were computed.</p><p><strong>Results: </strong>The prevalence of dysphagia following stroke was 70.1%. Among those who had dysphagia, 37.5% had severe, 31.25% moderate, and 31.25% mild dysphagia. Aging, obesity, having a medical co-morbidity, hypertension, stroke location, low Glasgow Coma Scale (GCS) score, and the use of thrombectomy or thrombolysis therapy were contributing factors and were found to be correlated with post-stroke dysphagia. This study revealed that old age [odds ratio (OR) = 0.961, 95% confidence interval (CI): 0.933-0.989, <i>P</i> = 0.007)], obesity (OR = 0.387, 95% CI: 0.157-0.952, <i>P</i> = 0.039), and low GCS score (OR = 0.027, 95% CI: 0.009-0.077, p=<0.001) were predictors of dysphagia after stroke.</p><p><strong>Conclusion: </strong>Post-stroke dysphagia is more common among acute stroke patients. There are various risk factors correlated with dysphagia following a stroke. Therefore, dysphagia predictors should be considered when designing dysphagia prevention strategies to reduce its adverse consequences. Recognition of such predictors may help with the early detection and treatment of dysphagic patients and the implementation of preventive approaches.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"351"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of selective and family-based prevention on addiction susceptibility, affiliation with deviant peers, risk-taking, and risk and protective factors of substance use in high-risk adolescents: A randomized clinical trial.","authors":"Jafar Sarani Yaztappeh, Maryam Bakhtiyari, Nour-Mohammad Bakhshani, Seyedeh Elnaz Mousavi, Abbas Masjedi-Arani, Mohsen Saberi Esfeedvajani","doi":"10.4103/jehp.jehp_270_24","DOIUrl":"10.4103/jehp.jehp_270_24","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with a background in families affected by substance use exhibit an increased susceptibility to developing individual substance-related or other mental disorders. Consequently, they represent a crucial demographic for targeted preventive interventions. The current study examined the impact of selective prevention (SP) and family-based prevention (F-BP) measures on addiction susceptibility, affiliation with deviant peers (ADP), risk-taking, and risk and protective factors (RPFs) related to substance use among high-risk adolescents.</p><p><strong>Materials and methods: </strong>The study employed an experimental design incorporating pretest, posttest, and 6-month follow-up. A sample of 60 adolescents, meeting the study criteria, was selected and assigned to two intervention groups and one control group using a simple randomization method (with 20 individuals in each group). Measures encompassed the Risk and Protective Factors Inventory (RAPI), Addiction Susceptibility Questionnaire-Adolescents Version (ASQ-AV), Adolescent Affiliation with Deviant Peers Scale (AADPS), and Iranian Adolescents Risk-taking Scale (IARS). The data were analyzed with repeated measures analysis of variance (ANOVA) using Statistical Package for the Social Sciences (SPSS) version 24 software.</p><p><strong>Results: </strong>The results revealed significant differences only between the SP and F-BP groups in the variables of adolescent risk-taking and addiction susceptibility. However, for the other study variables, no significant differences were observed between the SP and F-BP groups. Furthermore, notable differences were identified between the control group and F-BP, as well as between the control group and SP, across all study variables (<i>P</i> value < 0.05).</p><p><strong>Conclusions: </strong>The outcomes of our investigation reinforce the importance of adopting multifaceted approaches in substance abuse prevention, emphasizing the need to target various aspects of individuals' lives. Regarding data generalization, it is noteworthy that the sample comprised adolescents predominantly from middle- or low-income groups, suggesting caution in extending findings to the entire adolescent population. Finally, we recommend that future studies assess interventions that involve both adolescents and parents in sessions.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"361"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Explaining the framework of the pro-natalist policy implementation process in Iran: A study protocol.","authors":"Morteza Sahebi-Rizi, Mostafa Amini-Rarani, Nasrin Shaarbafchizadeh","doi":"10.4103/jehp.jehp_1640_23","DOIUrl":"10.4103/jehp.jehp_1640_23","url":null,"abstract":"<p><strong>Background: </strong>Population policies and programs around the world are considered as the basis for socio-economic' development. Demographic data in recent years show that Iran has faced a marked decrease in fertility, which makes it inevitable to take emergency measures and plan properly to increase childbearing. A significant point in this field is the basic role of the health system and universities of medical sciences. Therefore, it seems necessary to formulate and present the framework for the correct implementation of population increase policies.</p><p><strong>Materials and method: </strong>This study endeavors to provide a comprehensive analysis of executive policies related to population growth and to present a proposed framework in a qualitative manner using the General Implementation Framework method in three phases. Initially, a conceptual review study will be conducted to determine the current situation. Then, the process of implementing a population growth policy in Iran is identified in two stages. In the second phase, using semistructured interviews, the challenges of the population growth policy implementation for Iran will be identified. In the last phase, the initial framework of the population increase policy implementation process has been explained, and finally, this framework will be validated and finalized through the Delphi technique.</p><p><strong>Discussion: </strong>Due to the decrease in Iran's population growth rate and the concern of population aging, the complete stop of the population control policy, the growth of births, and the increase of childbearing have been put on the agenda. However, in Iran, despite the existence of different policies and directives at micro and macro levels regarding population and policies related to it, there is no unanimity in the implementation of policies on this subject.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"363"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the learning environment through an organizational theory lens: A case study from nursing education.","authors":"Rhoda Meyer, Elize Archer, Susan C van Schalkwyk","doi":"10.4103/jehp.jehp_1907_23","DOIUrl":"10.4103/jehp.jehp_1907_23","url":null,"abstract":"<p><strong>Background: </strong>The calls for curricula review to adequately prepare nursing graduates have increased over the last decade. In response, many nursing education institutions across the world have considered ways to review and renew their curricula. Part of these renewal processes seeks to prepare nursing graduates to function within highly dynamic and challenging environments. The aim of this study was to explore the private healthcare context as a learning environment using an organizational theory lens, with a view to informing and enhancing curriculum development and implementation in nursing education.</p><p><strong>Materials and methods: </strong>A qualitative case study methodology within an interpretivist paradigm was used, drawing on organizational theory. The population included educators who teach undergraduate nursing students at a private higher education institution in South Africa and managers at the clinical sites where these students undertake their clinical learning. Data collection, which was undertaken over the period 2018-2020, included observations, focus group discussions, and interviews. Thematic analysis was undertaken, and a three-tiered analytical approach was followed to analyze the data.</p><p><strong>Results: </strong>Four themes were identified: the learning environment as a site of tension, a site of cultural layering, a site of role complexity, and a site of hierarchy.</p><p><strong>Conclusion: </strong>Nursing education is dynamic, providing a range of learning experiences. An understanding of this environment from an organizational theory perspective provides some insights into potential challenges and opportunities for learning. Curriculum developers should consider ways of optimizing the opportunities so that students can be provided with learning experiences that enhance the development of the necessary competence.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"360"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gaurav Singh, Somdatta Patra, Madhu K Upadhyay, Shruti Srivastava
{"title":"Prevalence of common mental disorders and perspective toward mental health in an urban resettlement colony of Delhi, India: A mixed-method study.","authors":"Gaurav Singh, Somdatta Patra, Madhu K Upadhyay, Shruti Srivastava","doi":"10.4103/jehp.jehp_1545_23","DOIUrl":"10.4103/jehp.jehp_1545_23","url":null,"abstract":"<p><strong>Background: </strong>The paucity of community-based research and misunderstandings surrounding mental illness in low- and middle-income countries impede the provision of proper care in this domain. The objective of this research was to assess the prevalence of common mental disorders in an urban resettlement colony in Delhi, India, explore associated factors, and understand the community's perspective on mental health.</p><p><strong>Materials and methods: </strong>A community-based mixed-method study was conducted in which 130 participants were selected through multistage systematic random sampling and 12 key community members by purposive sampling. To assess the prevalence of common mental disorders, the 20-item Self-Reported Questionnaire (SRQ-20) was used, while the community's viewpoint on mental illness was explored using an in-depth interview guide. The odds ratio (OR) for risk factors was calculated using Pearson's Chi-square test, Fisher's exact test, and multiple logistic regression. For the qualitative component, themes were analyzed and presented.</p><p><strong>Results: </strong>The study found an 18.5% prevalence of common mental disorders in the area. Socioeconomic status, hypertension, chronic health conditions, and the impact of the coronavirus disease 2019 (COVID-19) pandemic on personal life were significant predictors (<i>P</i> < 0.05). The qualitative study identified that community members have a negative perspective on mental illness. Women are a vulnerable group because of their susceptibility to violence and certain cultural factors.</p><p><strong>Conclusion: </strong>Insufficient knowledge and societal stigmatization act as barriers to accessing mental health services. Certain groups, such as people of lower socioeconomic strata, living with a chronic disease are more affected. Targeted interventions are required to address these effectively.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"370"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Himel Mondal, Rajesh De, Shaikat Mondal, Ayesha Juhi
{"title":"A large language model in solving primary healthcare issues: A potential implication for remote healthcare and medical education.","authors":"Himel Mondal, Rajesh De, Shaikat Mondal, Ayesha Juhi","doi":"10.4103/jehp.jehp_688_23","DOIUrl":"10.4103/jehp.jehp_688_23","url":null,"abstract":"<p><strong>Background and aim: </strong>Access to quality health care is essential, particularly in remote areas where the availability of healthcare professionals may be limited. The advancement of artificial intelligence (AI) and natural language processing (NLP) has led to the development of large language models (LLMs) that exhibit capabilities in understanding and generating human-like text. This study aimed to evaluate the performance of a LLM, ChatGPT, in addressing primary healthcare issues.</p><p><strong>Materials and methods: </strong>This study was conducted in May 2023 with ChatGPT May 12 version. A total of 30 multiple-choice questions (MCQs) related to primary health care were selected to test the proficiency of ChatGPT. These MCQs covered various topics commonly encountered in primary healthcare practice. ChatGPT answered the questions in two segments-one is choosing the single best answer of MCQ and another is supporting text for the answer. The answers to MCQs were compared with the predefined answer keys. The justifications of the answers were checked by two primary healthcare professionals on a 5-point Likert-type scale. The data were presented as number and percentage.</p><p><strong>Results: </strong>Among the 30 questions, ChatGPT provided correct responses for 28 yielding an accuracy of 93.33%. The mean score for explanation in supporting the answer was 4.58 ± 0.85. There was an inter-item correlation of 0.896, and the average measure intraclass correlation coefficient (ICC) was 0.94 (95% confidence interval 0.88-0.97) indicating a high level of interobserver agreement.</p><p><strong>Conclusion: </strong>LLMs, such as ChatGPT, show promising potential in addressing primary healthcare issues. The high accuracy rate achieved by ChatGPT in answering primary healthcare-related MCQs underscores the value of these models as resources for patients and healthcare providers in remote healthcare settings. This can also help in self-directed learning by medical students.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"362"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introducing professionalism and medical ethics in undergraduate integrative medical curriculum through a four-dimensional model.","authors":"Ihab S Atta","doi":"10.4103/jehp.jehp_1767_23","DOIUrl":"10.4103/jehp.jehp_1767_23","url":null,"abstract":"<p><strong>Background: </strong>To develop a method for designing the ethics and professionalism compatible with the integrative medical curriculum. So that the insertion of ethics and professionalism should start from the initial stages of the integrative program in an indirect manner through student-centered activities, passing through introducing some ethical topics that are appropriate for each module, developing a condensed module at the beginning of the clinical stage, and ended by developing a practical course in the internship period. In this way, a four-dimensional model to present ethics and professionalism has been introduced.</p><p><strong>Materials and methods: </strong>A questionnaire was conducted for students (230 students) and faculty (65 faculty members) to find out the current situation of ethics and professionalism and the extent of their aspiration and passion for developing it.</p><p><strong>Result: </strong>The result revealed low student and faculty satisfaction with the ethics presentation in the current situation. Educational objectives and outcomes have been developed, and the appropriate teaching model was selected, selecting the main topics, and mapped through a four-dimensional model and assigning the appropriate assessment tools and evaluation mechanisms.</p><p><strong>Conclusion: </strong>This model ensures that the student learns ethics and professionalism and breathes its rules from the beginning of his academic studies. In this way, the student will be able to practice those rules in an automatic and spontaneous manner without having any difficulty in practicing them. In addition, this model helps in breaking down the barriers between faculty members, the basic and clinical sciences, and medical departments which are one of the most important goals of integrative medical education.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"13 ","pages":"341"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}