Sundberg Kristina, Josephson Anna, Reeves Scott, Nordquist Jonas
Medical Case Centre, Department of Medicine (Huddinge), Karolinska Institutet, M54 SE-141 86, Stockholm, Sweden.
Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
BMC Med Educ. 2017 Feb 1;17(1):29. doi: 10.1186/s12909-017-0860-0.
The mission of undergraduate medical education leaders is to strive towards the enhancement of quality of medical education and health care. The aim of this qualitative study is, with the help of critical perspectives, to contribute to the research area of undergraduate medical education leaders and their identity formation; how can the identity of undergraduate medical education leaders be defined and further explored from a power perspective?
In this explorative study, 14 educational leaders at a medical programme in Scandinavia were interviewed through semi-structured interviews. The data was analysed through Moustakas' structured, phenomenological analysis approach and then pattern matched with Gee's power-based identity model.
Educational leaders identify themselves more as mediators than leaders and do not feel to any larger extent that their professional identity is authorised by the university. These factors potentially create difficulties when trying to communicate with medical teachers, often also with a weaker sense of professional identity, about medical education.
The perceptions of the professional identity of undergraduate medical education leaders provide us with important notions on the complexities on executing their important mission to develop medical education: their perceptions of ambiguity towards the process of trying to lead teachers toward educational development and a perceived lack of authorisation of their work from the university level. These are important flaws to observe and correct when improving the context in which undergraduate medical education leaders are trying to develop and improve undergraduate medical programmes. A practical outcome of the results of this study is the facilitation of design of faculty development programmes for educational leaders in undergraduate medial education.
本科医学教育领导者的使命是努力提高医学教育和医疗保健的质量。这项定性研究的目的是借助批判性视角,为本科医学教育领导者及其身份形成的研究领域做出贡献;如何从权力角度界定并进一步探索本科医学教育领导者的身份?
在这项探索性研究中,通过半结构化访谈对斯堪的纳维亚一个医学项目的14位教育领导者进行了访谈。数据通过穆斯塔卡斯的结构化现象学分析方法进行分析,然后与吉基于权力的身份模型进行模式匹配。
教育领导者更多地将自己视为调解者而非领导者,并且在很大程度上不觉得自己的职业身份得到大学的认可。在试图与医学教师(他们的职业身份认同感通常也较弱)就医学教育进行沟通时,这些因素可能会造成困难。
本科医学教育领导者对职业身份的认知为我们提供了关于执行其发展医学教育这一重要使命的复杂性的重要观念:他们对试图引导教师实现教育发展的过程存在模糊认识,以及认为其工作未得到大学层面的认可。在改善本科医学教育领导者试图发展和改进本科医学项目的背景时,这些是需要观察和纠正的重要缺陷。这项研究结果的一个实际成果是便于为本科医学教育中的教育领导者设计教师发展项目。