Background and Aim: Physicians' knowledge and capabilities decrease over time; therefore, continuous medical education is important. Flipped class is a blended teaching method that inverts instructional cycle by delivering the educational content by innovative technology out-of-class. The aim of this study was to determine the effects of flipped class on satisfaction, active participation, and learning levels in general practitioners attending continuous medical education courses in the Kurdistan University of Medical Sciences in 2017. Material and Methods: This interventional study included 120 general practitioners in Sanandaj who were attending the continuous medical education courses. They were randomly assigned to intervention (flipped class) and control (traditional class) groups. Data were collected by a researcher-made questionnaire in order to evaluate participant satisfaction, and a researcher made checklist for evaluation of active participation and a set of post-test questions for assessment of knowledge. The validity and reliability of the questionnaire and the checklist were assessed by using expert panels and measurement of Cronbach's alpha respectively.Two weeks prior to the designated day, the intervention group started educational activities by finding answers to the questions. The control group did not receive any instruction until the designated day of the classes. On the designated day the control group listened to the lectures in traditional way. The educational content delivered to both groups was identical. Results:The results of the study showed that all the participants were satisfied with the continuous medical education classes. However, the mean satisfaction level of the re-training period was significantly higher in the intervention group (P = 0.001). The mean post-test score in the intervention group (15.50 ± 2.25) was significantly higher than that in the control group (12.85 ± 2.18) (P = 0.0001). Also, the mean score of participation in the intervention group (9.01 ± 1.71) was significantly higher compared to that in the control group (7.60 ± 2.02) (P = 0.0001). Conclusion:The results of this study showed that flipped classroom strategy was an effective way of continuous education programs for general practitioners. This approach not only improved the knowledge of physicians after continuous medical education programs, but also increased their satisfaction by increasing their active participation.

Background and Objective: Diabetes is one of the most common diseases caused by metabolic disorders. This disease is not definitive, but it can be controlled. Successful diabetes control depends largely on patient self-care because more than 95 percent of diabetes care is done by the patient himself. The purpose of this study was to determine the effect Blended training on comparison with inperson training on self-care behaviors in type 2 diabetes patients. Materials and Methods: This study was a quasi-experimental study with two groups of blended training and in-person training in which 60 patients with type 2 diabetes were randomly divided into blended training and in-person groups. Data were collected by standard questionnaires of SDSCA (Diabetes Self-Care Behavior Inventory). For the blended training group, blended training programs were implemented and the in-person training group received the training in person at the health center. The results were analyzed by SPSS 16 software. Results: Before the intervention, the mean and standard deviation of self-care score in the in-person training group was 3.3 ± 0.74 and three months after the intervention was 3.87 ± 0.99, In the blended training group before the intervention, the mean and standard deviation of self-care was 3.56 ± 0.64 and three months after the intervention was 4.6 ± 0.85, this difference was statistically significant in both groups. But this increase was in favor of blended training. Conclusion: The results of this study showed that the use of blended training method is more effective in increasing the self-care of patients with type 2 diabetes than the in-person training. Therefore, the use of this method in controlling and reducing the complications of the disease is recommended in patients with type 2 diabetes.

Background: The purpose of this study is to investigate on the factors have effects on ICT usage specially the professional usage of ICT during teaching and learning process. Methods: we have a surveyed research regarding Kharazmi's teacher's points of view to use ICT in University. Among 128 of the teachers from seven departments selected as convenience sampling method approximately 118 were answered to the researchermade Likert-type questionnaire. The questionnaire validity and reliability estimated in advance. Data were analyzed; by the SPSS software, version 20, Pearson Chi-Square and ANOVA formula Results: The results show that there is a relationship between the teacher's professional usage of ICT and the qualification of related instruments during teaching-learning process (P < 0.05, 0.01).The different levels of satisfaction and approach to professional usage of ICT referred to departments found have no meaningful significant (P < 0.05, 0.01). The teachers' age and teaching backup found not meaningful item to have effects on ICT usage (P < 0.05, 0.01). Conclusions: An improvement of functions in ICT usage needs having an approach to the teachers' abilities on ICT professional usage during teaching-learning process and preparing the qualified ICT facilities