Evaluating the Impact of the Medical Education Partnership Initiative at the University of Zimbabwe College of Health Sciences Using the Most Significant Change Technique
| Autor: | Shemiah Nyaude, Susan C. Connors, Eva Aagaard, Christine Velez, Amelia Challender, James Hakim |
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| Rok vydání: | 2017 |
| Předmět: |
Zimbabwe
Biomedical Research 050204 development studies International Cooperation Context (language use) HIV Infections Career Pathways Article Education Interviews as Topic 03 medical and health sciences 0302 clinical medicine 0502 economics and business Humans 030212 general & internal medicine Interpersonal interaction Academic medicine Schools Medical Medical education Academic Medical Centers Education Medical 05 social sciences Financing Organized General Medicine Research skills United States Transformative learning National Institutes of Health (U.S.) General partnership Curriculum Diffusion of Innovation Psychology Biomedical sciences |
| Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 92(9) |
| ISSN: | 1938-808X |
| Popis: | PROBLEM In medical education, evaluating outcomes from programs intended to transform attitudes or influence career trajectories using conventional methods of monitoring is often difficult. To address this problem, the authors adapted the most significant change (MSC) technique to gain a more comprehensive understanding of the impact of the Medical Education Partnership Initiative (MEPI) program at the University of Zimbabwe College of Health Sciences. APPROACH In 2014-2015, the authors applied the MSC to systematically examine the personal significance and level of positive transformation that individuals attributed to their MEPI participation. Interviews were conducted with 28 participants nominated by program leaders. The authors coded results inductively for prevalent themes in participants' stories and prepared profiles with representative quotes to place the stories in context. Stakeholders selected 9 themes and 18 stories to illustrate the most significant changes. OUTCOMES Six themes (or outcomes) were expected, as they aligned with MEPI goals-becoming a better teacher, becoming a better clinician, increased interest in teaching, increased interest in research, new career pathways (including commitment to practice in Zimbabwe), and improved research skills. Three themes were unexpected-increased confidence, expanded interprofessional networks, and improved interpersonal interactions. NEXT STEPS The authors found the MSC to be a useful and systematic evaluation approach for large, complex, and transformative initiatives like MEPI. The MSC seemed to encourage participant reflection, support values inquiry by program leaders, and provide insights into the personal and cultural impacts of MEPI. Additional trial applications of the MSC technique in academic medicine are warranted. |
| Databáze: | OpenAIRE |
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