Training Infrastructure Research Articles

Implementation of an evidence-based tobacco control intervention for school teachers in India: Evaluating the effects of a capacity-building strategy.

Tobacco-Free Teachers, Tobacco-Free Society (TFT-TFS) is an evidence-based intervention that promotes tobacco use cessation among teachers and tobacco control policies among schools in India. This study tested an implementation model to build Bihar Department of Education (DOE) capacity to support and deliver TFT-TFS within schools, leveraging DOE training infrastructure. We used a training-of-trainers (TOT) "cascade" implementation strategy to embed the TFT-TFS program into the Bihar DOE infrastructure. We trained 46 Cluster Coordinators to train and support Headmasters to implement TFT-TFS in their schools over one academic year. We selected three school districts, representing approximately 46 clusters and 219 schools. We used the RE-AIM framework to assess program adoption (Headmaster participation in at least one of six TFT-TFS trainings), implementation (of four core program components), and reach (teachers' participation in three or more group discussions). Using a non-inferiority design, we hypothesized that program adoption, implementation, and reach would not be inferior to the high standards demonstrated when TFT-TFS was originally tested in the Bihar School Teachers Study. We used self-reported checklists to measure outcomes and SPSS Version 25 to analyze data. For adoption, 94% of Headmasters attended the first training, although participation declined by the sixth training. Among the 112 schools out of 219 with complete Headmaster checklist data, all met our minimum criteria for implementing TFT-TFS. Over 99% of schools posted a school tobacco control policy and distributed quit booklets. However, only 69% of schools met our criteria for program reach. This study outlines the processes for taking a tobacco control intervention to scale and implementing it through the Bihar DOE infrastructure. These findings provide a foundation for other Indian states and low- and middle-income countries to implement tobacco control and other health programs for schoolteachers. NCT05346991. Each year in India, more than 1.2 million people die from tobacco-related causes, and India has the world's highest oral cancer burden. The world needs more evidence on how to bring cost-effective tobacco control interventions to scale, especially in low- and middle-income countries (LMICs). To address this gap, from 2017 to 2021, we examined the process of scaling up Tobacco-Free Teachers, Tobacco-Free Society (TFT-TFS), an evidence-based intervention promoting tobacco use cessation among teachers and tobacco control policies in schools. Our study tested an implementation model aimed at building the Bihar State Department of Education (DOE) capacity to support and deliver TFT-TFS. We used a training-of-trainers model to embed TFT-TFS into Bihar DOE infrastructure, training 46 Cluster Coordinators to in turn train and support Headmasters to implement TFT-TFS over one academic year. We hypothesized that program adoption, implementation, and reach would not be inferior to the high standards demonstrated when we originally tested TFT-TFS through the Bihar School Teachers Study (2013-2017). For adoption, 94% of Headmasters attended the first training, although participation declined by the sixth training. Of 112 schools (out of 219 with complete Headmaster checklist data), all met our minimum criteria for implementing TFT-TFS. Over 99% of schools posted a school tobacco control policy and distributed quit booklets. However, only 69% of schools met our criteria for program reach. Study findings offer other Indian states and LMICs lessons to implement tobacco control and other health programs for schoolteachers within educational systems.

Dr. Saba’s innovative contributions to nursing informatics

Dr. Virginia Saba, Ed.D., RN was known as a pioneer in nursing and nursing informatics. Yet, Dr. Saba was also a profound innovator seeking to drive change through her passion and knowledge about the science of informatics. Dr. Saba saw that her expertise needed to be shared with the nursing profession and healthcare industry. As a result, she was often one of the first to create new educational opportunities and pathways for nurses to become more educated, informed, and empowered for the betterment of patient care and visibility of the nursing profession. Her innovative leadership and solution development helped to collectively create an infrastructure of formal education, training, research, and entrepreneurial solutions necessary in today’s digital environment. The nursing profession is fortunate to have had such a dedicated individual who sought to bring forward positive change in ways that have sustained and grown over the last several decades of time.

Training Infrastructure as a Service.

Hands-on training, whether in bioinformatics or other domains, often requires significant technical resources and knowledge to set up and run. Instructors must have access to powerful compute infrastructure that can support resource-intensive jobs running efficiently. Often this is achieved using a private server where there is no contention for the queue. However, this places a significant prerequisite knowledge or labor barrier for instructors, who must spend time coordinating deployment and management of compute resources. Furthermore, with the increase of virtual and hybrid teaching, where learners are located in separate physical locations, it is difficult to track student progress as efficiently as during in-person courses. Originally developed by Galaxy Europe and the Gallantries project, together with the Galaxy community, we have created Training Infrastructure-as-a-Service (TIaaS), aimed at providing user-friendly training infrastructure to the global training community. TIaaS provides dedicated training resources for Galaxy-based courses and events. Event organizers register their course, after which trainees are transparently placed in a private queue on the compute infrastructure, which ensures jobs complete quickly, even when the main queue is experiencing high wait times. A built-in dashboard allows instructors to monitor student progress. TIaaS provides a significant improvement for instructors and learners, as well as infrastructure administrators. The instructor dashboard makes remote events not only possible but also easy. Students experience continuity of learning, as all training happens on Galaxy, which they can continue to use after the event. In the past 60 months, 504 training events with over 24,000 learners have used this infrastructure for Galaxy training.

PENGARUH KELENGKAPAN SARANA PRASARANA BULUTANGKIS DALAM MOTIVASI UNTUK BERPRESTASI PADA ATLET PB. TUGU MUDA SEMARANG

Badminton is an achievement sport. Sports achievement is influenced by several factors, including endogenous factors (factors that exist within a person) and exogenous factors (environmental factors that affect a person). The background of this research is seen from the achievements that have been achieved by the PB club. Tugu Muda Semarang with several athletes managed to get achievements from the mabar championships between clubs and the Semarang regency/city level championships. This is influenced by one of the external factors, namely infrastructure. The purpose of this study was to determine the condition of PB's badminton infrastructure. Tugu Muda Semarang and the influence of the completeness of facilities and infrastructure on the motivation of athletes to excel. The research method used is a qualitative method. Data collection techniques were carried out by means of observation, interviews, and documentation. The results of this study indicate that 1). The condition of the PB club's facilities and infrastructure. Tugu Muda Semarang is good and adequate for the implementation of coaching and training, 2). The infrastructure has an effect on the training program and the athlete's motivation to practice and excel. if the athlete is not equipped with infrastructure for training, the athlete can only fantasize and it is impossible to achieve an achievement, but if the badminton infrastructure is supported, the athletes will be enthusiastic about training and motivated to achieve an achievement.

Partnering to prepare: An academic/workforce collaboration to develop disaster shelter training for nurses.

In California, more frequent, intense, and destructive wildfires have prompted public health departments to enhance disaster response plans as evacuations and shelter needs increase. In addition, individuals utilizing shelters have increasingly complex medical and behavioral health needs and are accessing shelters for longer periods of time. Public health nurses (PHNs) are often called to staff disaster shelters but may have less recent experience in, or comfort with, direct patient care. Many health departments are experiencing challenges developing sustainable training infrastructure that prepares PHNs to deliver direct patient care in disaster shelters. Partnering with academic institutions can address this challenge. This article describes a partnership between a regional collaborative of health jurisdictions and a public university to train public health nurses to work in disaster shelters. The training demonstrates a sustainable way to instruct public health nurses while also highlighting the potential of partnerships between academic institutions and local health departments to address disaster preparedness and response needs in a community. Public health nurses are essential to public health preparedness and providing additional training can augment their ability to respond to disasters.

DETERMINING THE FACTORS AFFECTING THE EXTENT OF COMPLIANCE WITH RESIDENTIAL PLANNING STANDARDS: CASE STUDY OF BENGHAZI, AL-FATAH DISTRICT, LIBYA

This study aims to determine the factors that influence the extent of compliance with residential planning standards and regulations in an authorised urban area of Benghazi, in Al-Fatah district, Libya. Combined quantitative and qualitative methods are used in this study. Based on survey results of 359 heads of households, the statistical software PLS-SEM via Warp PLS 6.0 is used to determine the significant factors affecting compliance level, supported by semistructured interviews with five officials from planning authorities. Compliance level with residential planning standards is relatively low in Benghazi. Nine factors include the monitoring system, staff training, corruption, bureaucracy, financial facilities, housing provision, and social and physical infrastructure all have significant effects on the extent of compliance with residential planning standards. However, only the enforcement system has no noticeable effect on the compliance level. The study found that the primary driver for low compliance is economic in nature, followed by administrative considerations. With the continued availability of authorised housing and housing schemes, even without infrastructure, it is possible to achieve a high level of compliance in the future.

DIGITAL TRANSFORMATION OF ENTERPRISES. PROBLEMS AND CRITERIA OF DIGITALIZATION

Working on the examples of large companies, leaders in their market niches, and the ability of technologies, namely automation and the transition to modern software, to positively influence the efficiency, effectiveness, cost, and quality indicators of the company both among its competitors and within the organization and communications of its departments. Attention is focused on the preparatory process and planning of the transformation stage itself. General goals are singled out, which must be formed in advance. Errors that may occur in the process of digital business transformation at its various levels and stages are identified and analyzed. Examples are given of how it is possible, if not to get rid of, to reduce the negative effect of the transition to a new stage of development. The main categories of approaches to digitization, their pros, cons, and compromises that the management will have to make when choosing one or another option are analyzed. An analysis of the correlation of the concepts of digitalization and economy, software, and personnel management at the level of teams and departments is carried out. The issue of building an infrastructure for personnel training for a smoother transition and adaptation of all internal interactions is raised. A universal generalized basis of the construction plan with prescribed stages and expected results of the implementation of digital technologies is derived, which does not depend on the level of development of the company or individual team. Examples of correct metrics for retrospective analysis of achieved results are given.

Predictors of Supervisor’s Support for Students Writing their Undergraduate Dissertations in Moroccan Open-Access Higher Education Institutions

With Higher Education (HE) rapidly changing, Moroccan supervisors of undergraduate dissertations adopted online technologies in technology-impoverished open-access institutions. Online supervision, however, is hardly studied in educational settings facing technological adversities in terms of infrastructure and training, nor is the topic researched for what it tells about the supervisor’s role and the level of support students receive in such contexts. Using a regression model from questionnaire data (N = 90), the present work seeks to understand how supervisors’ role links to the support they receive from their institutions, the number of supervisees, their technological pedagogical competence, and their perception of the academic skills of students. Technological-pedagogical competence, the number of supervisees, and supervisors’ perceptions of students’ academic skills largely determine how supervisors fulfil their roles. In contrast, institutional support in terms of training and technology infrastructure seems unrelated to the process. The present work suggests a few ways UD supervision can be more effective and calls for a more in-depth understanding of all the factors that affect supervision and teaching practices in general before making decisions that will affect higher education in the future. The issue is of paramount importance as the country is poised to reform undergraduate programs and institutionalize distance learning in post-pandemic Higher Education.

Validation of a Lateral Flow Assay for Rapid Diagnosis of Histoplasmosis in Advanced HIV Disease, Buenos Aires, Argentina.

Histoplasmosis is a major cause of mortality in individuals with advanced human immunodeficiency virus (HIV) disease (AHD). We evaluated in patients with AHD a lateral flow assay (LFA) developed by MiraVista® Diagnostics (MVD LFA). Histoplasmosis was defined based on the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) case definitions. We also compared the results of this LFA with those obtained using a commercial enzyme immunoassay (EIA) developed by IMMY, Clarus Histoplasma GM EIA, IMMY (HGM EIA). A retrospective observational study was conducted at Hospital Juan A. Fernández, located in Buenos Aires, Argentina. The study included 48 urine specimens from patients aged >18 years with AHD. Urine specimens included 17 patients with disseminated histoplasmosis and 31 specimens from patients without evidence of histoplasmosis. Specimens were tested using the MVD LFA and the HGM EIA. The MVD LFA and the HGM EIA had similar analytical performance, with a sensitivity of 94%, specificity of 100%, positive predictive value of 100%, negative predictive value of 97%, and an accuracy of 98%. Comparison of the MVD LFA with the HGM EIA demonstrated a Kappa agreement index of 0.906. The LFA evaluated in this study had high analytical performance; it provided rapid diagnosis of histoplasmosis with minimal requirements for laboratory training, equipment, and laboratory infrastructure.

Football Sports Development Management (Case Study at the North Bolaang Mongondow Persibolmut Club)

This research was motivated by the decline in the performance of North Bolaang Mongondow Persibolmut in the Liga III competition in Indonesia. This study aims to determine the sports management of the North Bolaang Mongondow Persibolmut club, the coaching and training patterns carried out by the club, and to find out more about the achievements that have been achieved by North Bolaang Mongondow Persibolmut. This research is a qualitative research, with a descriptive qualitative model. The sources of this research are the management of the board, the coaching team, and the players of North Bolaang Mongondow Persibolmut. The instrument used is data search by interview, survey and documentation methods. The analysis technique used is descriptive qualitative. The results of the research carried out at the North Bolaang Mongondow Persibolmut football club can be concluded as follows: (1) The management of the Persibolmut club management, namely the District Football Association (Askab) PSSI Bolaang Mongondow Utara and the club management are not well and effectively run. (2) The coaching program for the North Bolaang Mongondow Persibolmut football club was not carried out properly and correctly in accordance with the development of football sports, namely massing, breeding and scouting talent. (3) The training program at the North Bolaang Mongondow Persibolmut club is not documented or unwritten and there is no information on the players. Players do not know the training program that must be carried out because training is carried out by the management only at certain times when facing matches and competitions. (4) Football facilities and infrastructure at the Persibolmut club are not yet complete, the facilities are limited to the field, Persibolmut does not yet have adequate facilities and infrastructure, especially secretariat facilities and infrastructure, player facilities and infrastructure, as well as training facilities and infrastructure. (5) The local government of North Bolaang Mongondow does not pay serious attention to improving the management of football sports coaching at the Persibolmut club.

Development of Problem Based Learning LKPD on Akiah Akhlak Lessons in Class VIII at Mts Al-Ma'arif Brudu Jombang

This research is a development research that aims to develop Student Worksheets (LKPD) based on Problem Based Learning on Akidah Akhlak subjects at MTs AL-Ma'arif Brudu. One of the functions of ADDIE is to be a guide in building training program tools and infrastructure that is effective, dynamic and supports the performance of the training itself. Data Analysis Techniques here are divided into 2, the first process is: Qualitative data which is data about the process of making PBL-based LKPD, such as suggestions and input for improving this LKPD product. The second process: Quantitative Data Analysis in the form of expert validation, learning test results and student response questionnaires about the assessment of the product developed. Analyzed using descriptive statistics. The results of the study of learning using student worksheets, the first conclusion is from the results of the assessment of the experts obtained a score for media experts 86.6% with a very decent category and 79.66% material experts with a decent category. The results of the second study were from student learning test scores, namely the pretest and posttest scores. With the average in the aspect of student acceptance of student worksheets is 82.5%, the average obtained from the LKPD design is 81.37% in the aspect of implementing problem-based learning LKPD learning facilities is 81.37%, the percentage on the Aspect The quality of learning through student worksheets (LKPD) is 80.19%. With the acquisition of the use of learning media in student worksheets is 80.88%, it is declared feasible and can be used in classroom learning. So with the acquisition of the percentage of each aspect will be taken the average of all aspects to make conclusions. The average percentage of all aspects is 82.40%, so this based learning-based LKPD media is suitable for use in learning the madrasa.

The Dutch Initiative for the Model-Based Selection of Patients for Proton Therapy – A Federated Learning IT Infrastructure

<h3>Purpose/Objective(s)</h3> Model-based selection for proton therapy (PT) patients has been implemented since 2018 in the Netherlands. Normal tissue complication probability (NTCP) models translate dose differences in Organs at Risk (OARs) (Δdose) into differences in NTCP (ΔNTCP). With these NTCP models, patients that will benefit most from PT are selected for proton therapy. These models are based on patients treated with modern photon techniques due to a lack of data for proton therapy to base them on, assuming that their performance is similar among patients treated with PT. Our primary objective was to test the accuracy of one of these NTCP models in a proof-of-concept study with the external validation of the grade 3+ dysphagia NTCP model (six months after the treatment). <h3>Materials/Methods</h3> We used data from 320 head and neck (HNC) patients who were treated between 2019-2021 with (chemo)radiotherapy in one of the Dutch PT centers. Semantic Web technologies and the Findable Accessible Interoperable Reusable (FAIR) principles were applied to the variables needed for the computation of the NTCP grade 3+ dysphagia model formula in order to be structured in a machine-readable format for the Personal Health Train (PHT) infrastructure implementation. The PHT enables the secure exchange of statistical algorithms (i.e., "trains") between different hospitals without the exchange of patient data. Implementing the closed testing procedure methodology, the statistical algorithm for the federated NTCP external validation was built in the RStudio software. This algorithm constitutes the statistical "train" that will be distributed among the different PT Dutch centers. <h3>Results</h3> We successfully completed and implemented the statistical analysis-"train" for the external validation procedure, establishing the end-to-end IT-infrastructure needed in our center according to the requirements of the federated learning ProTRAIT (PROton Therapy ReseArch regIsTry) IT-infrastructure. The performance of the original NTCP model for grade 3+ dysphagia (which was adopted as the updated selected model from the closed testing procedure) had reasonable discriminative power in the validation cohort (AUC=0.84, sensitivity=0.69, specificity=0.75). <h3>Conclusion</h3> With this work we externally validated the existing HNC grade 3+ dysphagia NTCP model in our PT center using the Personal Health Train infrastructure (PHT). The next steps will focus on expanding more applications of the different components of the model-based approach such as the model-based clinical evaluation in the PT centers, including NTCP-model development and validation in a privacy-preserving federated manner with data from the other PT centers.

Evaluation of Factors Affecting the Quality of Virtual Education During the COVID-19 Pandemic

The prevalence of Corona virus Disease 2019 (COVID-19) has affected the university education system. Due to the development of technology in recent decades and the need for social distance to prevent the spread of the disease and to prevent interruptions in student education, education has changed to virtual. Considering the importance of education and its decisive role in improving the academic level of students, we tried to review the challenges of virtual education and the factors affecting its quality. This review study was performed by searching databases such: as Pubmed, Scopus, SID, and Magiran using keywords including virtual teaching, virtual learning, COVID-19, and Medical Sciences and limiting the search to the keywords in the title and abstract and also according to PRISMA guidelines. In the present study, the advantages and disadvantages of e-learning were investigated. Findings showed that the factors affecting the quality of e-learning are classified into four main sections, which include: the existence of appropriate infrastructure, Class control and administration, Necessary training for using software for professors and students, and the Proportion of the volume of taught content with its evaluation. One of the most important disadvantages of e-learning in the past year is the lack of proper infrastructure for training and exams, high internet interruption, the impossibility of student interaction, and the large volume of content. Due to the existence of barriers to the formation of classes in person, it is possible to help increase the educational quality of students and advance learning by using the necessary and appropriate measures in the correct use of virtual education and increasing the quality of the required infrastructure.

Academic program recommendations for graduate degrees in medical physics: AAPM Report No. 365 (Revision of Report No. 197).

Academic program recommendations for graduate degrees in medical physics: AAPM Report No. 365 (Revision of Report No. 197).

Development of an Undergraduate Dietetics and Preceptor Training Program: A Malawi-US partnership

Participants will be able to describe at least two barriers and opportunities in developing dietitian training infrastructure in an underserved country, like Malawi.

AAPM WGPDMP Report 373: The content, structure, and value of the Professional Doctorate in Medical Physics (DMP)

The Professional Doctorate in Medical Physics (DMP) was originally conceived as a solution to the shortage of medical physics residency training positions. While this shortage has now been largely satisfied through conventional residency training positions, the DMP has expanded to multiple institutions and grown into an educational pathway that provides specialized clinical training and extends well beyond the creation of additional training spots. As such, it is important to reevaluate the purpose and the value of the DMP. Additionally, it is important to outline the defining characteristics of the DMP to assure that all existing and future programs provide this anticipated value. Since the formation and subsequent accreditation of the first DMP program in 2009–2010, four additional programs have been created and accredited. However, no guidelines have yet been recommended by the American Association of Physicists in Medicine. CAMPEP accreditation of these programs has thus far been based only on the respective graduate and residency program standards. This allows the development and operation of DMP programs which contain only the requisite Master of Science (MS) coursework and a 2‐year clinical training program. Since the MS plus 2‐year residency pathway already exists, this form of DMP does not provide added value, and one may question why this existing pathway should be considered a doctorate. Not only do we, as a profession, need to outline the defining characteristics of the DMP, we need to carefully evaluate the potential advantages and disadvantages of this pathway within our education and training infrastructure. The aims of this report from the Working Group on the Professional Doctorate Degree for Medical Physicists (WGPDMP) are to (1) describe the current state of the DMP within the profession, (2) make recommendations on the structure and content of the DMP for existing and new DMP programs, and (3) evaluate the value of the DMP to the profession of medical physics.

Retrospective study of medical student scholarship and career trajectory following a mentored preclinical cardiovascular summer research fellowship

ObjectivesDeveloping a preclinical training infrastructure for cardiovascular clinician-scientists is an academic workforce priority. The Cardiovascular Research Institute of Vermont developed a cardiovascular summer research fellowship (SRF), wherein medical student awardees...

Stakeholders’ Experiences of Research Integrity Support in Universities: A Qualitative Study in Three European Countries

Fostering research integrity (RI) increasingly focuses on normative guidance and supportive measures within institutions. To be successful, the implementation of support should be informed by stakeholders’ experiences of RI support. This study aims to explore experiences of RI support in Dutch, Spanish and Croatian universities. In total, 59 stakeholders (Netherlands n = 25, Spain n = 17, Croatia n = 17) participated in 16 focus groups in three European countries. Global themes on RI support experiences were identified by thematic analysis. Themes identified were: ‘RI governance and institutional implementation’, ‘RI roles and structures’, ‘RI education and supervision’, and ‘Infrastructure, technology and tools supporting daily practice’. Experiences of support differed between countries in relation to: the efforts to translate norms into practice; the extent to which RI oversight was a responsibility of RE structures, or separate RI structures; and the availability of support close to research practice, such as training, responsible supervision, and adequate tools and infrastructure. The study reinforces the importance of a whole institutional approach to RI, embedded within local jurisdictions, rules, and practices. A whole institutional approach puts the emphasis of responsibility on institutions rather than individual researchers. When such an approach is lacking, some stakeholders look for intervention by authorities, such as funders, outside of the university.

PERAN PUSAT PELATIHAN PERTANIAN DAN PEDESAAN SWADAYA GRIYA VANILI DALAM PEBERDAYAAN PETANI VANILI DI SALATIGA

The vanilla commodity, which once triumphed in its era in the 1980s, has experienced a decline due to the decline in selling prices in the 1890s. It has resulted in many vanilla farmers switching to other commodities. One of the Independent Agricultural and Rural Training Centers that empowers vanilla farmers is Griya Vanili Salatiga, better known as P4S Griya Vanilla. The aims of this study were 1) to determine the condition of the assisted farmers in P4S Griya Vanili Salatiga; 2) to know the role of P4S Griya Vanili Salatiga towards its fostered farmers. This study involved the Head of P4S Griya Vanili Salatiga as Key Informants and two farmers assisted by P4S Griya Vanili Salatiga as participants. The data were analyzed using an interactive analysis model, including data reduction, presentation, and conclusion. The results showed that: 1) the condition of the farmers assisted by P4S Griya Vanili Salatiga experienced a change in the mindset of vanilla farming, namely from subsistence farmers to commercial farmers; 2) the role of P4S is as a source of increasing knowledge and changing the mindset of farmers through the provision of training materials and infrastructure needed by fostered farmers. P4S Griya Vanili Salatiga has broughtabout significant changes in the agricultural conditions of its fostered farmers, both from the economic and cognitive aspects.

Teacher’s view on current practices of ‘community based medical education’ related activities in undergraduate medical education of Bangladesh, 2021

‘Community-based medical education’ (CBME) consists of learning activities in the community settings where students, teachers and community members are actively engaged in the learning process of medical education relevant to community health needs. This cross sectional study was aimed to explore the current practices of CBME related activities in undergraduate medical education of Bangladesh. Data were collected from 108 teachers of eight medical colleges of Bangladesh from January to December of 2021 using a pretested self-administered questionnaire and analyzed by SPSS version 16. In this study, 61.1% were female teachers. Most of the teachers (69.4%) were agreed that CBME related activities motivate students to serve at community settings. About 74% teachers revealed that CBME develop student’s positive attitude towards community people. Maximum (51.9%) teachers were satisfied for infrastructure of residential field site training (RFST) sites. The accommodation, transport and security of RFST sites were satisfied to 38%, 45.4% and 47.2% teachers respectively. About 31.6% teachers mentioned that poor set up of service place for CBME activities and 23.7% teachers revealed that less participation of community people as important constraints for CBME related activities. Conduction of CBME related activities as per curriculum objectives and motivation of local health authority were most important suggestions to overcome the constraints of CBME related activities mentioned by 12.6% and 11.3% teachers respectively. This study recommended to motivate the stakeholders, increase duration for RFST, and ensure necessary infrastructures, adequate transport, security, resource and supervision for effective CBME related activities. Bangladesh Journal of Medical Education Vol.13(2) July 2022: 26-34