Leaders' perspectives and actions to manage challenges in medical education presented by the COVID-19 pandemic: a nationwide survey of Japanese medical colleges.
Leaders' perspectives and actions to manage challenges in medical education presented by the COVID-19 pandemic: a nationwide survey of Japanese medical colleges.
复制标题
DOI：
10.1186/s12909-022-03193-1
复制
发表时间：
2022-03-04
影响因子：
3.6
通讯作者：
Ho MJ
中科院分区：
文献类型：
--
作者：
Hayashi M;Saiki T;Kanter SL;Ho MJ
新冠肺炎疫情已导致世界各地的医学院暂停面授课程和临床见习。这种多变的局面迫切需要教育者和学习者从传统医学教育中进行范式转换。然而，对领导人如何管理政策决策，特别是考虑到文化背景的描述有限。这项研究探讨了在新冠肺炎疫情期间，日本医学院院长如何应对面对面接触困难的情况，以及如何与不同的利益相关者互动。这项研究采用了一项全国性的在线调查，向日本82所医学院的医学教育主任发送了单独的电子邮件。答复是在2020年5月26日至6月12日期间从医学教育院长或主任那里收集的。这些调查问题是基于文献回顾和与国际研究合作者的咨询而制定的。这项调查询问在新冠肺炎大流行期间，通过课程调整遇到了哪些困难和机遇，以及可以与世界各地的医学教育工作者分享哪些经验教训。采用主题分析的方法对调查结果进行分析。根据利益相关者对主题进行分类，然后利用感觉制造理论的领域进行分析。日本共有48所医学院完成了这项调查，回复率为58.5%。国立、公立和私立医学院校的参与率分别为42.9%、77.8%和74.2%，公立和私立医学院校的回应率往往高于国立医学院校。日本院长在适应新冠肺炎的行动决策中，需要从多个利益相关者群体那里获得启示，这些利益相关者包括医学生、医学生家长、医学院和政府官员。对调查数据的专题分析显示，日本院长在适应新冠肺炎方面的行为反映了日本文化的特点，日本院长倾向于强调与不同利益相关者的深入反思和合作。尽管缺乏明确的国家决策指导方针，但日本的院长们通过相互学习，根据当地文化背景寻求不同利益攸关方的观点，从而适应了新冠肺炎的挑战。他们的方法为全球医学教育工作者提供了重要的教训。网上版载有补充材料，可在10.1186/s12909022-03193-1查阅。
The COVID-19 pandemic has caused medical colleges worldwide to suspend in-person classes and clinical clerkships. This fluid situation urgently required educators and learners to make a paradigm shift from traditional medical education. However, descriptions of how leaders manage policy decisions, especially considering cultural contexts, are limited. This study explores how the deans of medical colleges in Japan addressed the situations in which face-to-face contact is difficult and interacted with various stakeholders during the COVID-19 pandemic. The study employed a nationwide online survey by sending individual e-mails to the director of medical education at each of the 82 medical colleges in Japan. Responses were collected between May 26 and June 12, 2020 from the deans or directors of medical education. The survey questions were developed based on a literature review and consultations with international research collaborators. The survey asked what difficulties and opportunities were encountered through curriculum adjustments during the COVID-19 pandemic and what lessons could be shared with medical educators worldwide. Survey responses were analyzed using thematic analysis. The themes were categorized by stakeholder and then analyzed using the domains of sensemaking theory. A total of 48 medical colleges in Japan completed the survey, yielding a response rate of 58.5%. The levels of participation in the study were 42.9%, 77.8%, and 74.2% among national, public, and private medical colleges, respectively, with responses from public and private medical colleges tending to be higher than those from national medical colleges. Japanese deans’ decisions for actions in adapting to COVID-19 involve perceiving cues from multiple stakeholder groups, including medical students, parents of medical students, medical faculties, and government officials. Thematic analysis of survey data reveals that Japanese deans’ actions in adapting to COVID-19 reflect characteristics of Japanese culture, with Japanese deans tending to emphasize in-depth introspection and collaboration with diverse stakeholders. Despite a lack of clear national guidelines for decision making, Japanese deans adapted to COVID-19 challenges by learning from one another and seeking the perspectives of a diverse group of stakeholders, aligned with local cultural context. Their approach offers important lessons for global medical educators. The online version contains supplementary material available at 10.1186/s12909-022-03193-1.
登录
查看更多内容
影响因子：
4.7
作者：
Consorti, Fabrizio;Kanter, Steven L.;Ho, Ming-Jung
通讯作者：
Ho, Ming-Jung
影响因子：
21.2
作者：
Maitlis, Sally;Christianson, Marlys K.
通讯作者：
Christianson, Marlys K.
影响因子：
6
作者：
Ho, Ming-Jung;Lin, Chi-Wei;Ginsburg, Shiphra
通讯作者：
Ginsburg, Shiphra
影响因子：
6
作者：
Lu, Peih-Ying;Tsai, Jer-Chia;Tseng, Scott Y. H.
通讯作者：
Tseng, Scott Y. H.
影响因子：
4.7
作者：
Fuller, Richard;Joynes, Viktoria;Roberts, Trudie
通讯作者：
Roberts, Trudie