Abstract:

Objectives: To evaluate the consequences of individualized education and systematic social contract education through exploring education systems of various training institutes. Materials & Methods: Qualitative design was applied and data were collected through using interview guide/topic guide. Data was collected on emails, telephone, and face to face interviews, till saturation. Data was collected in the months of January and February 2017 with different types of participants. Participants were selected using purposive and networking sampling from various medical/nursing colleges. Finally, 4 patients, 4 students 4 faculty members 6 academic key informants, were selected for interview. Results: After analyzing and data interpretation, the challenges and issues are categorized in four main themes, including 1. Deficient Multidisciplinary /multi-setting teaching methodology, 2. Curriculum paradigm shift, 3. Curriculum misalignment and 4. Need for Professionalism. Each of these main themes comprises several subthemes and accordingly each subtheme encompasses several issues. Each issue is presented in form of verbatim. Recommendations: Curriculum revisions and retreat can help in facing the challenges and fixing up the issues. Research and program evaluation is mandatory for the curriculum paradigm shift.

Keywords: Multidisciplinary teaching, Multi-setting teaching methodology, Curriculum paradigm shift, Curriculum alignment, Curriculum misalignment.

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