在不同背景下建立新的医学院:成功的新概念框架。

IF 4.9 1区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Medical Education Pub Date : 2025-01-01 Epub Date: 2024-05-27 DOI:10.1111/medu.15421
Sneha Kirubakaran, Koshila Kumar, Paul Worley, Joanne Pimlott, Jennene Greenhill
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引用次数: 0

摘要

背景:建立一所新的医学院是一项重大的事业,涉及许多复杂的政治、社会、经济、教育和组织因素。然而,有关建立新医学院过程的已发表文献还不够完善,实证研究极少,也没有明确的理论参考。本研究旨在填补这些空白,并为在不同背景下,特别是在医疗服务不足的地区建立新医学院的过程建立经验和理论证据基础:我们开展了一项批判现实主义多重案例研究,以考察三大洲新医学院的建立情况。数据收集于 2016 年至 2018 年间,通过对医疗服务不足地区的三所医学院进行实地考察所收集的观察数据、相关文件/音像资料,以及对主要创校人员进行的半结构化访谈。数据采用批判现实主义方法进行分析。应用、调整和扩展了机构创业理论,以探索和解释在不同背景下新设医学院的现象:结果:本研究确定了支持新医学院建立的八个关键成功因素。这些因素被称为 "八C框架"(8CF),包括背景(实地条件)、催化剂(机构企业家)、引导(帮助实现特定情况或结果)、收集(资源)、连接(关系)、说服(理由)、挑战和后果(结果)。8CF 强调,当 "催化剂 "在其 "情境 "中采取行动,承担 "引导"、"说服"、"收集 "和 "连接 "的任务,以产生预期结果并克服挑战时,新医学院就成功建立了:八C框架是一个以理论为基础、以实证为依据的框架,可应用于不同的环境,为成功建立新的医学院提供战略指导。创校领导者和利益相关者可以利用 8CF 确保他们的建校工作以理论和学术为基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishing new medical schools in diverse contexts: A novel conceptual framework for success.

Background: Establishing a new medical school is a significant venture involving many complex political, social, economic, educational, and organisational considerations. The published literature on the process of establishing a new medical school is, however, under-developed with minimal empirical research and no explicit reference to theory. This research sought to address these gaps and establish an empirical and theoretical evidence-base for the process of new medical school establishment in diverse contexts, particularly medically under-served areas.

Methods: A Critical Realist Multiple Case Study was undertaken to examine the establishment of new medical schools across three continents. Data were collected between 2016 and 2018 through observational data gathered on site visits to three medical schools in medically under-served areas, relevant documents/audio-visual materials, and semi-structured interviews with key founding personnel. Data were analysed using the Critical Realist approach. Institutional Entrepreneurship theory was applied, adapted, and extended to explore and explain the phenomenon of new medical school establishment in diverse contexts.

Results: This study identifies eight critical success factors underpinning new medical school establishment. Framed as the Eight C's Framework (8CF), these factors include Context (field conditions), Catalysts (institutional entrepreneurs), Conducing (helping to bring about a particular situation or outcome), Collecting (resources), Connecting (relationships), Convincing (rationales), Challenges, and Consequences (outcomes). 8CF highlights that new medical schools are successfully established when Catalysts act within their Contexts to undertake the tasks of Conducing, Convincing, Collecting, and Connecting in order to produce desired Consequences and overcome Challenges.

Conclusions: The Eight C's Framework is a theory-based, empirically supported framework that can be applied across different contexts to strategically guide the successful establishment of new medical schools. Founding leaders and stakeholders could use 8CF to ensure their establishment efforts are underpinned by theory and scholarship.

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来源期刊
Medical Education
Medical Education 医学-卫生保健
CiteScore
8.40
自引率
10.00%
发文量
279
审稿时长
4-8 weeks
期刊介绍: Medical Education seeks to be the pre-eminent journal in the field of education for health care professionals, and publishes material of the highest quality, reflecting world wide or provocative issues and perspectives. The journal welcomes high quality papers on all aspects of health professional education including; -undergraduate education -postgraduate training -continuing professional development -interprofessional education
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