Squirrell Kyler, Deivanayagam Shanthi, Niles Katharine, Wang John, Kopar Piroska Cornell
The Center for Humanism and Ethics in Surgical Specialties, Washington University, Saint Louis, MO, USA.
J Med Educ Curric Dev. 2023 Nov 1;10:23821205231211081. doi: 10.1177/23821205231211081. eCollection 2023 Jan-Dec.
The social contract mandates that in return for the government-funded labor of residents and fellows, the medical profession trains, to the best of its ability, the physicians of our future. This contract obligates graduate medical education (GME) to utilize all available information to create an optimal learning environment for its trainees. Business research has determined that a clearly defined mission statement is associated with improved employee engagement, retention, and wellness. Given that GME trainees are situated at the intersection of at least two institutions, each with its own separate mission, trainees could potentially be hindered by incongruent missions in the learning environment. The literature on mission statements has analyzed medical schools and hospitals separately; however, investigations comparing the statements of these affiliated institutions have not been conducted. Therefore, we plan to compare the content and assess the consistency of mission statements from affiliated medical schools and hospitals to determine if incongruencies exist.
In 2023, the mission statements from the Association of American Medical Colleges (AAMC) medical schools and affiliated teaching hospitals (n = 163) were aggregated from their public websites. The content of each mission statement was thematically analyzed to assess variation.
According to content analysis of the mission statements from 163 AAMC medical school members and affiliated teaching hospitals, less than half of their top priorities are shared by their affiliated hospitals (45%). Additionally, themes of diversity, religion, and global care were found to be contrasting priorities between affiliated institutions.
Given the precedence within the business and the observed discrepancies in mission, further research is needed to determine whether collaborating medical schools and hospitals could provide a more favorable graduate training environment by uniting their priorities and identifying shared goals.
社会契约规定，作为对政府资助住院医师和研究员工作的回报，医学专业应尽其所能培养我们未来的医生。该契约要求毕业后医学教育（GME）利用所有可用信息为其学员创造最佳学习环境。商业研究表明，明确的使命声明与提高员工敬业度、留用率和健康状况相关。鉴于GME学员处于至少两个机构的交叉点，每个机构都有自己独立的使命，学习环境中不一致的使命可能会对学员造成潜在阻碍。关于使命声明的文献分别分析了医学院和医院；然而，尚未对这些附属机构的声明进行比较研究。因此，我们计划比较附属医学院和医院使命声明的内容并评估其一致性，以确定是否存在不一致之处。
2023年，从美国医学院协会（AAMC）医学院及其附属教学医院（n = 163）的公共网站上汇总了使命声明。对每个使命声明的内容进行主题分析以评估差异。
根据对163所AAMC医学院成员及其附属教学医院使命声明的内容分析，附属医院与医学院共同的首要任务不到一半（45%）。此外，发现多样性、宗教和全球医疗等主题在附属机构之间是相互矛盾的优先事项。
鉴于商业领域的先例以及使命方面观察到的差异，需要进一步研究以确定合作的医学院和医院是否可以通过统一其优先事项并确定共同目标来提供更有利的研究生培训环境。
