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Selection of Presidents of Medical Universities in Iran: Challenges and Policy Optimization Strategies
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Leila Doshmagir   , Hosein Ebrahimipour , Neda Kabiri , Mohammadhossein Somi , Amirhossein Takian , Sajad Lak , Omid Barati , Mohammadreza Amiresmaili , MohammadJavad Kabir , Mohammad Bazyar , Ali Akbari Sari |
| of Health Policy, Research Center for Evidence-based Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran |
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Abstract: (2 Views) |
Background: The role of presidents in medical universities is critical for effective governance of health higher education. In Iran, however, the selection and appointment process has long faced challenges, including centralized decision-making, political considerations, and a lack of transparency in competency criteria. This manuscript aims to provide evidence-informed policy options and recommendations to reform the process.
Methods: This study employed a mixed-methods approach. First, a scoping review and a review of official documents were conducted. Then, 38 semi-structured interviews were carried out with key stakeholders, including current and former university presidents, Ministry of Health managers, faculty members, and policymakers. The data were analyzed using a framework analysis approach based on university governance and leadership competency models. Finally, aexpert panel session was held to develop policy options and considerations.
Results: Based on the findings, four main policy options were identified: maintaining the current system with minor reforms; establishing independent selection committees within each university; creating a national competency evaluation system; and delegating appointment authority to university boards of trustees. These options reflect varying degrees of decentralization, stakeholder engagement, and transparency, providing a framework for evidence-based policy interventions.
Conclusion: Redesigning the selection process based on meritocracy, transparency, and accountability is essential to improve the efficiency of health higher education in Iran. Implementing a national competency evaluation system and strengthening the role of boards of trustees can promote university autonomy and enhance governance in the health sector. |
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| Keywords: Academic Medical Centers, GraduateEducation, Health Policy, Universities |
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Full-Text [PDF 734 kb]
(2 Downloads)
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Letter: Original Article |
Subject:
General
Received: 2025/11/12 | Accepted: 2026/05/25 | ePublished ahead of print: 2026/06/26
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