tool for managerial decision making aligned with quality development

background and purpose: internal evaluation has been a growing trend as the first step improvement in higher education specially in medical unirenities of iran. howeve1; the results of this time consuming process  of  internal evaluation seems to be underused. we provide a description of anesthesiology department of shaheed beheshti university of medical sciences where the results lire used to impro1·e the processes and functions the department.methods: a tenstep  systematic  evaluation methods  were used to insure quality  improrement after the results were reached.results: the finding imbed the basis for attempts to improve the shortcomings the departments.conclusion: recommendations for removing the barriers at levels of the university management and ministry of health are presented.keywords: internal evaluation, quality, anesthesiology