How clinical teaching teams deal with educational change:'We just do it'

Autor: Fedde Scheele, C. den Rooyen, T. R. van Rossum, Albert J. J. A. Scherpbier, Mariëlle Jippes, Lindsay Bank
Přispěvatelé: RS: SHE - R1 - Research (OvO), Onderwijsontw & Onderwijsresearch, Onderwijs instituut FHML, Plastic and Reconstructive Surgery and Hand Surgery, Athena Institute, IOO
Jazyk: angličtina
Rok vydání: 2019
Předmět:
020205 medical informatics
INNOVATION
lcsh:Medicine
02 engineering and technology
Postgraduate medical education
0302 clinical medicine
Curriculum change
READINESS
IMPLEMENTATION
0202 electrical engineering
electronic engineering
information engineering
030212 general & internal medicine
Change management
Clinical teaching teams
skin and connective tissue diseases
Qualitative Research
lcsh:LC8-6691
Hierarchy
Education
Medical
General Medicine
DIFFUSION
Curriculum
Thematic analysis
Psychology
Research Article
Attitude of Health Personnel
Process (engineering)
education
READY
Organizational culture
Context (language use)
Resistance (psychoanalysis)
Education
Interviews as Topic
03 medical and health sciences
SDG 17 - Partnerships for the Goals
ORGANIZATIONAL CULTURE
Humans
LEADERS
Medical education
lcsh:Special aspects of education
Teaching
lcsh:R
Internship and Residency
HIGH-PERFORMANCE TEAMS
CLIMATE
Interdisciplinary Communication
sense organs
Zdroj: Bank, L, Jippes, M, Van Rossum, T R, Den Rooyen, C, Scherpbier, A J J A & Scheele, F 2019, ' How clinical teaching teams deal with educational change : 'We just do it' ', BMC Medical Education, vol. 19, no. 1, 377 . https://doi.org/10.1186/s12909-019-1815-4
Bank, L, Jippes, M, Van Rossum, T R, Den Rooyen, C, Scherpbier, A J J A & Scheele, F 2019, ' How clinical teaching teams deal with educational change : 'We just do it' ', BMC Medical Education, vol. 19, 377, pp. 1-8 . https://doi.org/10.1186/s12909-019-1815-4
BMC Medical Education, Vol 19, Iss 1, Pp 1-8 (2019)
BMC Medical Education, 19(1):377. BioMed Central Ltd
BMC Medical Education
BMC Medical Education, 19(1):377. BioMed Central Ltd.
BMC Medical Education, 19:377, 1-8. BioMed Central
BMC Medical Education, 19(1):377. BioMed Central
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1815-4
Popis: Background In postgraduate medical education, program directors are in the lead of educational change within clinical teaching teams. As change is part of a social process, it is important to not only focus on the program director but take their other team members into account. The purpose of this study is to provide an in-depth insight into how clinical teaching teams manage and organize curriculum change processes, and implement curriculum change in daily practice. Methods An explorative qualitative semi-structured interview study was conducted between October 2016 and March 2017. A total of six clinical teaching teams (n = 6) participated in this study, i.e. one program director, one clinical staff member, and one trainee from each clinical teaching team (n = 18). Data were analysed and structured by means of thematic analysis. Results The analysis yielded to five factors that positively impact change: shared commitment, reinvention, ownership, supportive structure and open culture. Factors that negatively impact change were: resistance, behaviour change, balance between different tasks, lack of involvement, lack of consensus, and unsafe culture and hierarchy. Overall, no clear change strategy could be recognized. Conclusions Insight was gathered in factors facilitating and hindering the implementation of change. It seems particularly important for clinical teaching teams to be able to create a sense of ownership among all team members by making a proposed change valuable for their local context as well as to be capable of working together as a team. Cultural factors seem to be particularly relevant in a team’s ability to accomplish this.
Databáze: OpenAIRE
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