Dealing with the complex dynamics of teaching hospitals

Autor: Tiuri R. van Rossum, Ide C. Heyligers, Fedde Scheele, Henk E. Sluiter, Albert J. J. A. Scherpbier
Přispěvatelé: RS: SHE - R1 - Research (OvO), Onderwijsontw & Onderwijsresearch, IOO, Other Research
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Flexible medical education
Organizational innovation
020205 medical informatics
Diffusion of innovation theory
Debate
media_common.quotation_subject
Diffusion of innovations theory
02 engineering and technology
Education
Teaching hospital
Postgraduate medical education
03 medical and health sciences
Organizational science
0302 clinical medicine
Organizational change
0202 electrical engineering
electronic engineering
information engineering
Humans
Medicine
030212 general & internal medicine
Change management
Hospitals
Teaching
media_common
Medicine(all)
Medical education
Organizational impact
business.industry
Complexity theory
Perspective (graphical)
General Medicine
Competency-Based Education
Organizational Innovation
Competency based medical education
Education
Medical
Graduate
Service (economics)
Implementation
business
Zdroj: BMC Medical Education, 16:104. BioMed Central Ltd
van Rossum, T R, Scheele, F, Scherpbier, A J J A, Sluiter, H E & Heyligers, I C 2016, ' Dealing with the complex dynamics of teaching hospitals ', BMC Medical Education, vol. 16, 104 . https://doi.org/10.1186/s12909-016-0623-3
BMC Medical Education, 16:104. BioMed Central
BMC Medical Education
ISSN: 1472-6920
DOI: 10.1186/s12909-016-0623-3
Popis: Innovation and change in postgraduate medical education programs affects teaching hospital organizations, since medical education and clinical service are interrelated. Recent trends towards flexible, time-independent and individualized educational programs put pressure on this relationship. This pressure may lead to organizational uncertainty, unbalance and friction making it an important issue to analyze. The last decade was marked by a transition towards outcome-based postgraduate medical education. During this transition competency-based programs made their appearance. Although competency-based medical education has the potential to make medical education more efficient, the effects are still under debate. And while this debate continues, the field of medical education is already introducing next level innovations: flexible and individualized training programs. Major organizational change, like the transition to flexible education programs, can easily lead to friction and conflict in teaching hospital organizations. This article analyses the organizational impact of postgraduate medical education innovations, with a particular focus on flexible training and competency based medical education. The characteristics of teaching hospital organizations are compared with elements of innovation and complexity theory. With this comparison the article argues that teaching hospital organizations have complex characteristics and behave in a non-linear way. This perspective forms the basis for further discussion and analysis of this unexplored aspect of flexible and competency based education.
Databáze: OpenAIRE
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