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      The sensemaking narratives of scientists working in health professions education scholarship units: The Canadian experience

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          Abstract

          Introduction

          To date, research studying health professions education scholarship units has overlooked the perspectives of research scientists in the field, despite their important role in these units. This research explores how health professions education scientists uphold and/or upend the institutional logics of the units they work within.

          Methods

          Recruited via snowball sampling, 29 Canadian health professions education scientists participated in semi-structured interviews that lasted between 32–55 min. Data analysis was informed by the theories of organizational institutionalism—specifically, the microfoundation element of sensemaking.

          Results

          Respondents’ narrations of career success were overtly linked to their research-oriented pursuits above other expectations (i.e., teaching, service).

          Discussion

          Respondents’ narrative revealed a mismatch between the value they associated with teaching- and service-related pursuits, and the value the institution associated with those pursuits. Participants indicated a need to reconceptualize the institutional value associated with these endeavors.

          Electronic supplementary material

          The online version of this article (10.1007/s40037-020-00577-1) contains supplementary material, which is available to authorized users.

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          Most cited references25

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          Institutional Logics and the Historical Contingency of Power in Organizations: Executive Succession in the Higher Education Publishing Industry, 1958– 1990

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            Association between funding and quality of published medical education research.

            Methodological shortcomings in medical education research are often attributed to insufficient funding, yet an association between funding and study quality has not been established. To develop and evaluate an instrument for measuring the quality of education research studies and to assess the relationship between funding and study quality. Internal consistency, interrater and intrarater reliability, and criterion validity were determined for a 10-item medical education research study quality instrument (MERSQI). This was applied to 210 medical education research studies published in 13 peer-reviewed journals between September 1, 2002, and December 31, 2003. The amount of funding obtained per study and the publication record of the first author were determined by survey. Study quality as measured by the MERSQI (potential maximum total score, 18; maximum domain score, 3), amount of funding per study, and previous publications by the first author. The mean MERSQI score was 9.95 (SD, 2.34; range, 5-16). Mean domain scores were highest for data analysis (2.58) and lowest for validity (0.69). Intraclass correlation coefficient ranges for interrater and intrarater reliability were 0.72 to 0.98 and 0.78 to 0.998, respectively. Total MERSQI scores were associated with expert quality ratings (Spearman rho, 0.73; 95% confidence interval [CI], 0.56-0.84; P < .001), 3-year citation rate (0.8 increase in score per 10 citations; 95% CI, 0.03-1.30; P = .003), and journal impact factor (1.0 increase in score per 6-unit increase in impact factor; 95% CI, 0.34-1.56; P = .003). In multivariate analysis, MERSQI scores were independently associated with study funding of $20 000 or more (0.95 increase in score; 95% CI, 0.22-1.86; P = .045) and previous medical education publications by the first author (1.07 increase in score per 20 publications; 95% CI, 0.15-2.23; P = .047). The quality of published medical education research is associated with study funding.
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              Institutional Logics and Institutional Pluralism: The Contestation of Care and Science Logics in Medical Education, 1967–2005

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                Author and article information

                Contributors
                lara.varpio@usuhs.edu
                Journal
                Perspect Med Educ
                Perspect Med Educ
                Perspectives on Medical Education
                Bohn Stafleu van Loghum (Houten )
                2212-2761
                2212-277X
                11 May 2020
                11 May 2020
                June 2020
                : 9
                : 3
                : 157-165
                Affiliations
                [1 ]GRID grid.46078.3d, ISNI 0000 0000 8644 1405, Department of Sociology & Legal Studies, , University of Waterloo, ; Waterloo, ON Canada
                [2 ]GRID grid.413275.6, ISNI 0000 0000 9819 0404, Accreditation Council for Graduate Medical Education, ; Chicago, IL USA
                [3 ]GRID grid.265436.0, ISNI 0000 0001 0421 5525, Department of Medicine, , Uniformed Services University of the Health Sciences, ; Bethesda, MD USA
                Article
                577
                10.1007/s40037-020-00577-1
                7283403
                32394365
                7f780b0c-e0d6-4f4f-b74d-c1d00767d81e
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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                Original Article
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                © The Author(s) 2020

                Education
                career success,research scientist,health professions education scholarship units (hpesu)

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