摘要：Background and Objective: Horizontal integration means integration in a phase of curriculum.A new program in externship phase results in more satisfaction of medical students.But there is no objective evaluation of the new program.The aim of this study is the evaluation of this change on basis of some objective outcome.Materials and Methods: in this study 214 medical students consisting of 3 years before and 3 years after the new program implementation were compared.Primary outcomes were average score of externship phase,percentage of passing pre-internship exam,and national ranking of ZUMS in pre-internship exam.Quantitative variables were compared using a t-test and qualitative variables were compared using the Chi-square test.A significance of P less than 5percent considered for all statistical tests.Results: 214 of medical students were investigated (125 before and 89 after intervention).Average score of externship phase were 15.76 ± 1.15 vs 16.34 ± 1.09 (P< 0.001).The result showed 0.56 increments in average score.The rate of pre-internship passing exam increased from 92.8 to 100% after the intervention.National ranking improved from 19 to 11 among 45 medical universities.Conclusion: This study showed improvement in students' outcomes in both national and internal evaluation.
其他摘要：زمینه و هدف: ادغام افقی، ادغام در یک فاز از کوریکولوم آموزشی می‌باشد.تغییر برنامه در دانشگاه علوم پزشکی زنجان در مقطع کارآموزی رشته‌ی پزشکی علاوه بر افزایش رضایتمندی دانشجویان و اعضای هیئت علمی، دارای پیامدهایی بوده که تاکنون اثرات عینی آن ارزیابی نشده اس
关键词：Horizontal integration;Externalship;Medical students
