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Using a framework to implement large-scale innovation in medical education with the intent of achieving sustainability

机译：使用框架来实现医学教育的大规模创新以实现可持续性

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BackgroundParticularly when undertaken on a large scale, implementing innovation in higher education poses many challenges. Sustaining the innovation requires early adoption of a coherent implementation strategy. Using an example from clinical education, this article describes a process used to implement a large-scale innovation with the intent of achieving sustainability.Desire to improve the effectiveness of undergraduate medical education has led to growing support for a longitudinal integrated clerkship (LIC) model. This involves a move away from the traditional clerkship of ‘block rotations’ with frequent changes in disciplines, to a focus upon clerkships with longer duration and opportunity for students to build sustained relationships with supervisors, mentors, colleagues and patients. A growing number of medical schools have adopted the LIC model for a small percentage of their students. At a time when increasing medical school numbers and class sizes are leading to competition for clinical supervisors it is however a daunting challenge to provide a longitudinal clerkship for an entire medical school class. This challenge is presented to illustrate the strategy used to implement sustainable large scale innovation.
机译：背景技术尤其是在大规模进行时，在高等教育中实施创新提出了许多挑战。持续创新需要及早采用一致的实施策略。本文以临床教育为例，介绍了旨在实现可持续性的大规模创新实施过程。提高本科医学教育有效性的愿望已导致对纵向综合业务（LIC）模型的支持日益增加。这需要从传统的“块轮换”业务转变为经常变化的学科，而要侧重于业务持续时间更长，学生有机会与主管，导师，同事和患者建立持久关系的业务。越来越多的医学院为小部分学生采用LIC模式。在不断增加的医学院校数量和班级规模导致临床主管竞争的时候，为整个医学院校提供纵向书记员是一项艰巨的挑战。提出这一挑战是为了说明用于实施可持续大规模创新的策略。

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