Evidence map›Paper›PMID 41372903›Full record

ArticleBMC medical education2025

Navigating supervisory and structural challenges in phD education: a qualitative study of Iranian phD candidates' perspectives.

Shahnaz Ghaseminangi, Fariba Jokar, Alireza Yousefy

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shahnaz GhaseminangiPhD Candidate in Medical Education Research Center, Department of medical education, Isfahan University of Medical Sciences, Isfahan, Iran. shahnaz.ghaseminangi@gmail.com.
Fariba JokarMedical Education Research Center, Department of medical education, Isfahan University of Medical Sciences, Isfahan, Iran. faribajowkar@gmail.com.
Alireza YousefyMedical Education Research Center, Department of medical education, Isfahan University of Medical Sciences, Isfahan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDoctoral education in transitional systems such as Iran faces multiple challenges, including inconsistent supervision, unclear institutional roles, and emotional strain. Although global interest in PhD students' experiences is growing, few studies have examined these issues through a multi-level theoretical lens in non-Western contexts. In Iranian medical universities, structural uncertainties and limited support systems strongly shape the doctoral journey. While reforms increasingly emphasize student needs, research that amplifies student voices in these settings remains scarce.

methodsThis qualitative descriptive study took place at Isfahan University of Medical Sciences. We recruited thirty-one PhD candidates in medical sciences through purposive sampling. To qualify, participants needed to have been enrolled for at least two years and be willing to share their experiences. We reached saturation after conducting 28 interviews. The semi-structured interviews were held face-to-face, transcribed word-for-word, and analyzed using conventional content analysis. Findings were organized according to Bronfenbrenner's ecological systems theory, covering microsystem, mesosystem, exosystem, and macrosystem levels.

resultsWe identified twelve categories and 45 subcategories. At the microsystem level, students shared feelings of emotional fatigue and difficulties in their supervisory relationships. Moving to the mesosystem, challenges included mismatched curricula and feelings of isolation among peers. In the exosystem, barriers were evident in the form of unclear procedures, unequal access to resources, and frustrating bureaucratic delays. At the macrosystem level, students dealt with pressures related to publication, disparities in funding, and uncertainty about their careers. Gender-related issues and a lack of structured support were also prevalent. Suggested reforms included training for supervisors, redesigning curricula, and realigning policies. IMPLICATIONS: The challenges that PhD students face in transitional contexts are interconnected across various ecological systems, highlighting the need for comprehensive reform. Institutions should focus on providing emotionally supportive supervision, ensuring that curricula are aligned, and promoting transparency in procedures. Policymakers must address funding disparities and career planning to foster sustainable environments for doctoral education. This study offers context-specific insights and a systems-based framework to guide reforms in doctoral education in Iran and similar settings.

Indexed as

Education, Medical, GraduateStudents, MedicalAdultCurriculumFemaleHumansInterviews as TopicIranMaleQualitative ResearchAcademic cultureBronfenbrennerDoctoral educationEducational reformEmotional burdenEmotional well-beingIranMedical sciencesPhD studentsQualitative researchSupervision

Identifiers

PMID41372903
PMCPMC12801686

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.