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Organizing graduate medical education programs into communities of practice

机译：将研究生医学教育计划组织到实践社区

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BackgroundA new organizational model of educational administrative support was instituted in the Department of Medical Education (DME) to better meet increasing national accreditation demands. Residency and fellowship programs were organized into four ‘Communities of Practice’ (CoOPs) based on discipline similarity, number of learners, and geographic location. Program coordinator reporting lines were shifted from individual departments to a centralized reporting structure within the DME. The goal of this project was to assess the impact on those most affected by the change.MethodsThis was a mixed methods study that utilized structured interviews and the Organizational Culture Assessment Instrument (OCAI). Eleven members of the newly formed CoOPs participated in the study.ResultsThree major themes emerged after review and coding of the interview transcripts: improved group identity, improved availability of resources, and increased opportunity for professional growth. OCAI results indicated that respondents are committed to the DME and perceived the culture to be empowering. The ‘preferred culture’ was very similar to the culture at the time of the study, with some indication that DME employees are ready for more creativity and innovation in the future. ConclusionReorganization within the DME of residency programs into CoOPs was overwhelmingly perceived as a positive change. Improved resources and accountability may position our DME to better handle the increasing complexity of graduate medical education.
机译：背景技术医学教育部（DME）建立了一种新的教育行政支持组织模式，以更好地满足日益增长的国家认证要求。根据学科的相似性，学习人数和地理位置，居住权和研究金计划被组织为四个“实践社区”（CoOP）。计划协调员的报告线从各个部门转移到DME内部的集中报告结构。该项目的目的是评估对受变更影响最大的人员的影响。方法这是一项混合方法研究，利用结构化访谈和组织文化评估工具（OCAI）。新组建的CoOP的11名成员参加了研究。结果在对访谈笔录进行审查和编码后，出现了三个主要主题：提高群体认同感，提高资源可用性以及增加职业发展机会。 OCAI的结果表明，受访者致力于DME，并认为文化在授权。 “首选文化”与研究时的文化非常相似，这表明DME员工已为将来的更多创造力和创新做好了准备。结论DME中将居留计划重组为CoOP是一种积极的变化。改进的资源和问责制可能使我们的DME能够更好地处理研究生医学教育日益复杂的情况。

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