IntroductionClinical education is the central part of medical education. The importance of learning atmosphere in fostering professional development and role socialization have been well documented. The operating room (OR) is a complicated system, which coordinates the person, technology, and patient in a physical environment for achieving optimal outcomes. The purpose of this qualitative study is to investigate main concern.related to educational issues in the operating room Material & MethodsMethods this is a qualitative content analysis study performed in 2014-2016. The participants consisted of 35 beneficiaries in the operating room field, namely, students of different academic terms, matrons, educators (instructors), surgeons and operating room personnel in different academic centers in Khorasan Razavi province who were rich in information and had a tendency to comment on their experience. All interviewswere recorded and then handwritten and analyzed using continuous comparative method and qualitative .content analysisResults The profound and deep descriptions of the participants led to the emergence of 10 subcategories and 2 main categories of the Teamwork in the operating room , the operating room culture and, finally, one . main theme of the Mistrust of the student in the surgical team Data analysis shows that an educational environment of OR influences the teaching and learning process.Factors such as multi professional teamwork, lack of trainer control on the clinical environment, interdisciplinary collaboration, and concurrency of doing tasks stress, communication failure, different team members’ activity, different skills and attitudes limit the training opportunities of OR for students which can lead to increasing the chance of medical errors and delivering low quality patient care. Consequently, students’actions are only limited to surgery observation, as they feel have been driven out of the team. The lack of
trust can inhibit the learning with teamwork. Excessive expectations of surgical team from students can lead to dissatisfaction and negative feelings towards clinical environmentConclusion it seems that operation room students have negative and un-pleasure experiences during their clinical education. The interactive and dynamic nature of the OR have noticeably affect the clinical training of the students. However, the factors that affect the dynamic of OR have not been fully elucidated. Therefore, to develop learning strategies that improve quality education, the effect of emotional, social and functionalskills as well as professional interaction of surgical team on the OR students
clinical education warrant .further research