Attitudes of Medical Students and Teachers towards Education in Community- oriented Medical Education (COME) Centre, Zanjan University of Medical Sciences 2004


Abbasali Nourian 1 , * , Nouraddin Mousavinasab 1 , Mojgan Vahhabi 1

1 Iran

How to Cite: Nourian A, Mousavinasab N , Vahhabi M . Attitudes of Medical Students and Teachers towards Education in Community- oriented Medical Education (COME) Centre, Zanjan University of Medical Sciences 2004, Strides Dev Med Educ. 2007 ; 3(1):e57900.


Strides in Development of Medical Education: 3 (1); e57900
Published Online: July 01, 2006
Article Type: Research Article
Received: July 10, 2017
Accepted: May 17, 2006




Background: Practical training of medical students is not limited to only hospitals. Outpatient
departments and ambulatory care centers attending a greater number of patients can provide
students with more exposure to a variety of medical cases. Moreover, community-oriented
medical education centre, where more patients come for consultation is a suitable centre for
training medical students. Although awareness toward the importance of community-oriented
medical education is increasing, and medical faculties have already adopted this approach for
their training, this idea does not appear to be accepted fully in all of schools.
Objective: To find the attitude of Zanjan Medical students and teachers towards education and
facilities in COME centre in 2004-2005.
Methods: In this descriptive study two separate questionnaires for teachers and students were
designed to assess their attitudes towards the method of education, number of patients, situation
of centre and the quality of education in the Community-oriented Medical Education centers.
The questionnaires were filled out by 136 interns and externs' who had been trained in COME
centre and 14 teachers in Zanjan Medical University. Validity of questionnaires had been
confirmed and internal consistency reliability had been determined by Cronbach's alpha
coefficient (0.79).
Results: In whole, 66.9% of the students and 53.8% of the teachers were interested in attending
COME program and most of them believed that COME is necessary for medical education. The
percentage of interns who agreed with this center was more than externs. In regard to the
teachers’ educational method the highest satisfaction rate (83.2%) was obtained for teachers in
the pediatrics ward (p=0.0005). In regard to the number and variety of patients, pediatrics ward
(with respectively 71.7% and 65.6%) was the best and internal ward (with respectively 20.7%
and 21.5%) was the worst ward according to the students. The overall satisfaction rate was
51.9±12.5 in students and interns had a more positive attitude comparing to others.
Discussion: It seems that using more experienced teachers, continuous supervision and
evaluation of educational activities, establishing proper research facilities and financial support
of COME centers are necessary for improving community-oriented medical education.


Community-Oriented Medical Education (COME) Attitude Student Teacher

© 2007, Medical Education Development Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


Fulltext is available in pdf


  • 1.

    Reference is available in pdf