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Implementing a Swedish regionalized medical program supported by digital technologies: possibilities and challenges
1Department of Education, Umeå University, Mediagrand, Umea, Sweden. fanny.pettersson@pedag.umu.se
Implementing a regionalized medical program (RMP) in Sweden using digital technologies revealed contradictions in educational practices. Management must address these challenges to enhance the program
Area of Science:
- Medical Education
- Educational Technology
- Management Science
Background:
- Umeå University implemented Sweden's first regionalized medical program (RMP) in 2011.
- Digital technologies were employed to support geographically distributed medical students during clinical clerkships.
- The RMP aimed to provide theoretical education and administrative support remotely.
Purpose of the Study:
- To analyze contradictions arising during the RMP implementation from a management perspective.
- To discuss improvement possibilities and challenges for the RMP.
- To offer international implications for similar medical education reforms.
Main Methods:
- Ethnographically inspired observations of management meetings.
- In-depth interviews with six management executives.
- Qualitative analysis inspired by Activity Theory (AT).
Main Results:
- Contradictions emerged between university management and teachers regarding technology-enhanced learning (TEL).
- Digital technologies exposed pre-existing issues in educational alignment (goals, teaching, exams).
- Obsolete content and course overlaps necessitated a program-wide overhaul.
Conclusions:
- RMP implementation with digital tools highlighted contradictions, presenting both challenges and opportunities for management.
- Effective integration of interactive TEL solutions is a key management challenge.
- Regionalization improvements may enhance the overall quality of the entire medical program.
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