title: Current state of professional and core competency in pediatric residency program at Shiraz University of Medical Sciences: A local survey.
abstract: BACKGROUND
  Accreditation assesses performance, or capacity to perform, against predetermined standards. It typically combines external quality assurance, through a process of peers review, with elements of self-regulation through internal and self-directed assessment. This study is an attempt to identify the quality of pediatrics residency educational programs regarding predetermined standards.
  
  
  METHODS
  This descriptive-analytical evaluation study of applied type was conducted during 2010 and 2011 in the pediatrics department of Shiraz Medical School, Iran. The assessment process occurred in several phases; at first an assessment model for a residency educational development and a series of educational criteria and indices were created based on WFME Standards. Multiple methods including a self-assessment questionnaire and several checklists were used to collect data, whereas systematic site visit, peer review and document reviewing were conducted with survey team. Due to limitation of the statistical society, all faculty members (n=34) and residents (n=41) of the pediatric department were asked to complete the survey. At last, descriptive and deductive statistics data analysis was performed using SPSS version 14.
  
  
  RESULTS
  According to the records available in assessing program quality, it seems that the input criteria were desirable for the program based on the residents' viewpoints (86.6 %).There were proper physical facilities for them to meet the residency program goals.  The study indicated that the learning environment needed to be revised for the educational needs (Likert scale: 2.96±1.05). The peer evaluation team demonstrated achievement of mission fulfillment in the context of the objectives and indicators by meeting the desired themes.  In spite of some weaknesses in the process criteria, the criteria for output indicators were good according to the report (more than desired level of 75-80%).
  
  
  CONCLUSIONS
  Accreditation is an important step towards strengthening the quality of educational programs. According to this study the current status of the pediatrics department of Shiraz University of Medical Sciences was desirable leading to a satisfactory level in general. However, additional educational development will be needed in order to achieve a widespread change and improvement.
authors.affiliation: Medical Ethics Department, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Sedigheh
authors.initials: S
authors.lastname: Ebrahimi
authors.affiliation: Quality Improvement in Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Rita
authors.initials: R
authors.lastname: Rezaee
keywords: Accreditation; Pediatric; Standard