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      Faculty retention in regional medical schools in Iran: a qualitative content analysis

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          Abstract

          Background and purpose

          Recruitment and retention of competent faculty members are important in maintaining and improving the quality of education and research performance of universities. The aim of the present study was to find out the faculty members’ views, experiences, and attitudes to identify the reasons for faculty attrition and retention in regional medical schools in Iran.

          Methods

          In this qualitative study, we used a content analysis method. The participants included 12 faculty members who had been transferred to type I universities, four faculty members who had applied for transfer, four with more than 10 years of experience and working in the type 3 universities with no intention to be transferred. Data were collected using semi-structured interviews, which were conducted either face-to-face or via phone calls. The interview was developed for this study (Supplementary file). To measure the trustworthiness of the data, we evaluated four components of credibility, transferability, dependability, and conformability, as proposed by Lincoln and Guba.

          Results

          The findings were classified into three categories and 14 subcategories. The first category was “retention facilitators” including four subcategories of facilitated communication, proximity to major universities, gaining experience, and support by authorities. The second category was “retention threats” including six subcategories of social infrastructure, individual dimension, occupation dimension, economic dimension, sense of respect, and executive management. The third category was “retention strategies” which included four subcategories of recruitment and promotion processes, inter-university collaboration with type I universities, facilitation of the scientific growth, and fulfilment of the safety needs.

          Conclusion

          Several factors play a role in the faculty members’ retention in regional medical schools in Iran. Authorities can create a more positive environment by devising a suitable reward system, supporting academic activities, and increasing the level of faculty autonomy practically to develop a sense of belonging among them and reduce the intention to be transferred among their human resources.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-020-02473-y.

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          Most cited references21

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          Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.

          Qualitative content analysis as described in published literature shows conflicting opinions and unsolved issues regarding meaning and use of concepts, procedures and interpretation. This paper provides an overview of important concepts (manifest and latent content, unit of analysis, meaning unit, condensation, abstraction, content area, code, category and theme) related to qualitative content analysis; illustrates the use of concepts related to the research procedure; and proposes measures to achieve trustworthiness (credibility, dependability and transferability) throughout the steps of the research procedure. Interpretation in qualitative content analysis is discussed in light of Watzlawick et al.'s [Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies and Paradoxes. W.W. Norton & Company, New York, London] theory of communication.
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            • Record: found
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            A generalized Kruskal-Wallis test for comparing K samples subject to unequal patterns of censorship

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              • Record: found
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              Measuring faculty retention and success in academic medicine.

              To develop and demonstrate the usefulness of quantitative methods for assessing retention and academic success of junior faculty in academic medicine.
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                Author and article information

                Contributors
                m_shjalali@yahoo.com
                Future_6969@yahoo.com
                khani_1512@yahoo.com
                fums.mansoori@gmail.com
                r_homayounfar@yahoo.com
                ehrampoush@yahoo.com
                shahkar20022002@yahoo.com
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                6 January 2021
                6 January 2021
                2021
                : 21
                : 24
                Affiliations
                [1 ]Medical Science School, Islamic Azad University of Tonkabon Branc, Tonekabon, Iran
                [2 ]GRID grid.411135.3, ISNI 0000 0004 0415 3047, Department of Internal Medicine, , Fasa University of Medical Sciences, ; Fasa, Iran
                [3 ]GRID grid.411135.3, ISNI 0000 0004 0415 3047, Department of Public Health, , Fasa University of Medical Sciences, ; Fasa, Iran
                [4 ]GRID grid.411135.3, ISNI 0000 0004 0415 3047, Department of Medical Genetics, , Fasa University of Medical Sciences, ; Fasa, Iran
                [5 ]GRID grid.411135.3, ISNI 0000 0004 0415 3047, Department of Nutrition, , Fasa University of Medical Sciences, ; Fasa, Iran
                [6 ]GRID grid.411135.3, ISNI 0000 0004 0415 3047, Medical Education Research Center, , Fasa University of Medical Sciences, ; Fasa, Iran
                Author information
                http://orcid.org/0000-0001-5398-9519
                Article
                2473
                10.1186/s12909-020-02473-y
                7788721
                33407369
                c041db3a-386a-40ed-9cd4-1a3fcbaf670b
                © The Author(s) 2021

                Open AccessThis 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/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 22 September 2020
                : 22 December 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100006402, Fasa University of Medical Sciences;
                Award ID: . 97260
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2021

                Education
                attrition,faculty,retention
                Education
                attrition, faculty, retention

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