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Shifting concepts, changing contexts: the new schools' drive for change

机译:观念转变,环境变化:新学校的变革动力

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Seventeen new medical schools were founded in the US and Canada in the decade prior to 2014. These new medical schools continue the tradition of utilizing mission statements (MSs) to convey goals and ideals. The authors aimed to compare these 17 new medical schools' MSs with MSs of previously established medical schools in the US and Canada. The MSs of the 17 newest medical schools were processed and analyzed utilizing network text analysis software that assessed centrality of concepts within new medical schools' MSs. This semantic network data was then compared to existing similar analysis by Grbic et al. (Acad Med 88(6):852-860, 2013. doi:10.1097/ACM.0b013e31828f603d). Four concepts were found to be more central in new medical schools' MSs as compared to established medical schools' MSs: "physicians," "improve," "diversity," and "innovation." Grbic et al. found four concepts to be central to all 132 medical schools "health" or "health_care," "research," "education," and "premier" which are shared top themes of the new medical schools' MSs. The author's analysis has demonstrated that new medical schools, as compared to previously established subsets of medical schools, developed both shared and unique language within their MSs. This unique vocabulary reflected a response to a dynamic healthcare environment during the decade of new medical school development. New medical schools may have responded to environmental challenges including a physician shortage while also recognizing the need for a diverse physician workforce prepared to apply innovative strategies to healthcare.
机译:在2014年之前的十年中,在美国和加拿大建立了17所新的医学院。这些新的医学院延续了利用使命陈述(MS)传达目标和理想的传统。作者旨在将这17所新医学院的MS与之前在美国和加拿大建立的医学院的MS进行比较。使用网络文本分析软件对17所最新医学院的MS进行了处理和分析,该软件评估了新医学院MS中概念的中心性。然后将此语义网络数据与Grbic等人的现有类似分析进行了比较。 (Acad Med 88(6):852-860,2013. doi:10.1097 / ACM.0b013e31828f603d)。与建立的医学院的MS相比,在新医学院的MS中发现四个概念更为重要:“医师”,“改善”,“多样性”和“创新”。 Grbic等。发现四个概念是所有132所医学院的“健康”或“ health_care”,“研究”,“教育”和“总理”的核心,这是新医学院MS的共同主题。作者的分析表明,与以前建立的医学院的子集相比,新医学院在其MS中发展了共享语言和独特语言。这种独特的词汇反映了新医学院发展十年来对动态医疗环境的反应。新的医学院可能已经应对了环境挑战,包括医师短缺,同时也认识到需要多样化的医师队伍,准备将创新策略应用于医疗保健。

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