Dupper Maegen, Millard Heidi, Lyons Paul
University of California, Riverside School of Medicine, Riverside, CA, USA.
Adv Health Sci Educ Theory Pract. 2016 Mar;21(1):131-9. doi: 10.1007/s10459-015-9619-8. Epub 2015 Jul 12.
Seventeen new medical schools were founded in the US and Canada in the decade prior to 2014. These new medical schools continue the tradition of utilizing mission statements (MSs) to convey goals and ideals. The authors aimed to compare these 17 new medical schools' MSs with MSs of previously established medical schools in the US and Canada. The MSs of the 17 newest medical schools were processed and analyzed utilizing network text analysis software that assessed centrality of concepts within new medical schools' MSs. This semantic network data was then compared to existing similar analysis by Grbic et al. (Acad Med 88(6):852-860, 2013. doi: 10.1097/ACM.0b013e31828f603d ). Four concepts were found to be more central in new medical schools' MSs as compared to established medical schools' MSs: "physicians," "improve," "diversity," and "innovation." Grbic et al. found four concepts to be central to all 132 medical schools "health" or "health_care," "research," "education," and "premier" which are shared top themes of the new medical schools' MSs. The author's analysis has demonstrated that new medical schools, as compared to previously established subsets of medical schools, developed both shared and unique language within their MSs. This unique vocabulary reflected a response to a dynamic healthcare environment during the decade of new medical school development. New medical schools may have responded to environmental challenges including a physician shortage while also recognizing the need for a diverse physician workforce prepared to apply innovative strategies to healthcare.
在2014年之前的十年里，美国和加拿大新建了17所医学院。这些新医学院延续了利用使命宣言来传达目标和理想的传统。作者旨在将这17所新医学院的使命宣言与美国和加拿大先前成立的医学院的使命宣言进行比较。利用网络文本分析软件对这17所最新医学院的使命宣言进行处理和分析，该软件评估了新医学院使命宣言中概念的中心性。然后将这种语义网络数据与Grbic等人的现有类似分析进行比较（《学术医学》88(6):852 - 860, 2013。doi: 10.1097/ACM.0b013e31828f603d）。与已成立医学院的使命宣言相比，发现有四个概念在新医学院的使命宣言中更为核心：“医生”“改善”“多样性”和“创新”。Grbic等人发现有四个概念对所有132所医学院都很核心：“健康”或“医疗保健”“研究”“教育”和“卓越”，这些也是新医学院使命宣言共有的首要主题。作者的分析表明，与先前成立的医学院子集相比，新医学院在其使命宣言中既形成了共同的语言，也有独特的语言。这种独特的词汇反映了在新医学院发展的十年中对动态医疗环境的一种回应。新医学院可能应对了包括医生短缺在内的环境挑战，同时也认识到需要一支多样化的医生队伍，准备好将创新策略应用于医疗保健领域。
