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      “My right-hand man” versus “We barely make use of them”: change leaders talking about educational scientists in curriculum change processes—a Membership Categorization Analysis

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          Abstract

          Health professions education scholarship units (HPESUs) are increasingly becoming a standard for medical schools worldwide without having much information about their value and role in actual educational practices, particularly of those who work in these units, the educational scientists. We conducted a linguistic analysis, called Membership Categorization Analysis, of interviews with leaders of recent curriculum changes to explore how they talk about educational scientists in relation to these processes. The analysis was conducted on previously collected interview data with nine change leaders of major undergraduate medical curriculum change processes in the Netherlands. We analyzed how change leaders categorize HPESUs and educational scientists (use of category terms) and what they say about them (predicates). We noticed two ways of categorizing educational scientists, with observable different predicates. Educational scientists categorized by their first name were suggested to be closer to the change process, more involved in decisional practices and positively described, whereas those described in more generic terms were represented in terms of relatively passive and unspecified activities, were less explicit referenced for their knowledge and expertise and were predominantly factually or negatively described. This study shows an ambiguous portrayal of educational scientists by leaders of major curriculum change processes. Medical schools are challenged to establish medical curricula in consultation with a large, diverse and interdisciplinary stakeholder group. We suggest that it is important to invest in interpersonal relationships to strengthen the internal collaborations and make sure people are aware of each other’s existence and roles in the process of curriculum development.

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            Curricular change in medical schools: how to succeed.

            Society's changing needs, advancing knowledge, and innovations in education require constant changes of medical school curricula. But successful curricular change occurs only through the dedicated efforts of effective change agents. This study systematically searched and synthesized the literature on educational curricular change (at all levels of instruction), as well as organizational change, to provide guidance for those who direct curricular change initiatives in medical schools. The focus was on the process of planning, implementing, and institutionalizing curricular change efforts; thus, only those articles that dealt with examining the change process and articulating the factors that promote or inhibit change efforts were included. In spite of the highly diverse literature reviewed, a consistent set of characteristics emerged as being associated with successful curricular change. The frequent reappearance of the same characteristics in the varied fields and settings suggests they are robust contributors to successful change. Specifically, the characteristics are in the areas of the organization's mission and goals, history of change in the organization, politics (internal networking, resource allocation, relationship with the external environment), organizational structure, need for change, scope and complexity of the innovation, cooperative climate, participation by the organization's members, communication, human resource development (training, incorporating new members, reward structure), evaluation, performance dip (i.e., the temporary decrease in an organization's performance as a new program is implemented), and leadership. These characteristics are discussed in detail and related specifically to curricular change in medical school settings.
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              Moving forward with membership categorization analysis: Methods for systematic analysis

                Author and article information

                Contributors
                +31623014160 , f.velthuis@umcg.nl
                Journal
                Adv Health Sci Educ Theory Pract
                Adv Health Sci Educ Theory Pract
                Advances in Health Sciences Education
                Springer Netherlands (Dordrecht )
                1382-4996
                1573-1677
                8 May 2019
                8 May 2019
                2019
                : 24
                : 4
                : 725-737
                Affiliations
                [1 ]GRID grid.4830.f, ISNI 0000 0004 0407 1981, Center for Education Development and Research in Health Professions (CEDAR), LEARN, University Medical Center Groningen, , University of Groningen, ; Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
                [2 ]GRID grid.4830.f, ISNI 0000 0004 0407 1981, Communication and Information Studies, , University of Groningen, ; Groningen, The Netherlands
                [3 ]GRID grid.11951.3d, ISNI 0000 0004 1937 1135, School of Human and Community Development, , University of the Witwatersrand, ; Johannesburg, South Africa
                Author information
                http://orcid.org/0000-0002-2890-2028
                Article
                9894
                10.1007/s10459-019-09894-5
                6775040
                31069561
                8a074837-06df-4fb9-b44c-36d226ca23a6
                © The Author(s) 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 25 February 2019
                : 29 April 2019
                Categories
                Article
                Custom metadata
                © Springer Nature B.V. 2019

                Education
                educational scientists,health professions education scholarship units,curriculum change,linguistic analysis,membership categorization analysis

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