Related Experiment Video
Updated: Mar 23, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
18.0K
Dealing with the complex dynamics of teaching hospitals
Tiuri R van Rossum1, Fedde Scheele2, Albert J J A Scherpbier3
1Maastricht University - School of Health Professions Education, Universiteitssingel 60, 6229 ER, Maastricht, The Netherlands. tiurivanrossum@gmail.com.
BMC Medical Education
|April 7, 2016
Summary
Postgraduate medical education innovations, like flexible and competency-based training, create organizational challenges in teaching hospitals. Understanding these complex dynamics is crucial for managing educational and clinical service integration.
Area of Science:
- Medical Education
- Organizational Theory
- Healthcare Management
Background:
- Postgraduate medical education is evolving with innovations like flexible and competency-based programs.
- These changes impact the intricate relationship between medical education and clinical services in teaching hospitals.
- Organizational uncertainty and friction can arise from these educational shifts.
Purpose of the Study:
- To analyze the organizational impact of innovations in postgraduate medical education.
- To specifically examine the effects of flexible and competency-based medical education.
- To explore the complex characteristics of teaching hospital organizations in relation to these innovations.
Main Methods:
- Comparative analysis of teaching hospital organizational characteristics with innovation and complexity theory.
- Literature review on postgraduate medical education trends and organizational impacts.
- Theoretical framework development based on complexity theory.
Main Results:
- Teaching hospital organizations exhibit complex, non-linear characteristics.
- Innovations in medical education, such as flexible and competency-based models, can induce organizational friction.
- The integration of educational reforms requires understanding the inherent complexity of teaching hospitals.
Conclusions:
- Teaching hospitals are complex adaptive systems, necessitating tailored approaches to educational innovation.
- Flexible and competency-based medical education require careful management to mitigate organizational disruption.
- Further research is needed to explore the unexplored aspects of these educational innovations within complex hospital settings.
Related Concept Videos
00:59Hospitals-II
1.2K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.2K
01:28Hospitals-I
2.0K
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
2.0K
01:27Levels of Communication II: Organizational, Public, and Group Dynamics
3.3K
Effective communication is the foundation of a good organization. Communication is the lifeblood of an organization that connects the group with messages. In an organization, communication occurs in upward, downward, and horizontal lines. Downward communication travels from the administrative and senior levels to the staff through official channels such as manuals, rules and regulations, and organizational charts. Staff members initiate upward communication, which is addressed to executives and...
3.3K
01:21Tertiary Healthcare System
2.4K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.4K
01:15Methods of Documentation VI: Case Management Model
1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
1.0K
01:29Issues And Trends In Healthcare Delivery System
6.4K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.4K