title: Design of formative assessment model for professional behavior using stages of change theory.
abstract: Background:Professionalism is a core competency of physicians. This study was conducted to design a model for formative assessment of professional commitment in medical students according to stages of change theory.Methods:In this qualitative study, data were collected through literature review & focus group interviews in the Tehran University of Medical Sciences in 2013 and analyzed using content analysis approach.Results:Review of the literature and results of focus group interviews led to design a formative assessment model of professional commitment in three phases, including pre-contemplation, contemplation, and readiness for behavior change that each one has interventional and assessment components. In the second phase of the study, experts' opinion collected in two main categories: the educational environment (factors related to students, students' assessment and educational program); and administrative problems (factors related to subcultures, policymakers or managers and budget). Moreover, there was a section of recommendations for each category related to curriculum, professors, students, assessments, making culture, the staff and reinforcing administrative factors.Conclusion:This type of framework analysis made it possible to develop a conceptual model that could be effective on forming the professional commitment and behavioral change in medical students.
authors.affiliation: Assistant Professor, Research Center of Pediatric Infectious Diseases, Hazrat-e-Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. hashemi.a@iums.ac.ir.
authors.forename: Akram
authors.initials: A
authors.lastname: Hashemi
authors.affiliation: Associate Professor, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. mirzazad@tums.ac.ir.
authors.forename: Azim
authors.initials: A
authors.lastname: Mirzazadeh
authors.affiliation: Associate Professor, Tehran University of Medical Sciences, Educational Development Center, Tehran, Iran, & University of Medical Sciences, Departments of LIME and Clinical Science and Education, Södersjukhuset Karolinska Institutet. mandana.shirazi@ki.se.
authors.forename: Mandana
authors.initials: M
authors.lastname: Shirazi
authors.affiliation: Associate Professor, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran. fasghari@tums.ac.ir.
authors.forename: Fariba
authors.initials: F
authors.lastname: Asghari
keywords: Formative assessment; Professional Behavior; Professionalism; Remediation; Stage of change theory