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Educators' experiences with governance in curriculum change processes; a qualitative study using rich pictures
Floor Velthuis1, Hanke Dekker2, Remco Coppoolse3
1Center for Education Development and Research in Health Professions (CEDAR), University Medical Center Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands. f.velthuis@umcg.nl.
Summary
Effective governance is crucial for translating health professions education concepts into practice. Exploring educators' perspectives revealed that unclear, strict, or fragmented governance structures impact curriculum implementation and outcomes.
Area of Science:
- Medical Education
- Curriculum Development
- Educational Governance
Background:
- Health professions curricula undergo frequent reforms, yet implementation often falls short of intended goals.
- The role of governance in translating curriculum reforms into practice remains under-explored.
- Understanding governance is key to bridging the gap between educational concepts and actual implementation.
Purpose of the Study:
- To explore educators' perspectives on the role of governance in translating curriculum goals into institutionalized change.
- To analyze how different governance processes influence curriculum implementation at the micro-level (teacher-student interaction).
Main Methods:
- Qualitative study involving 19 educators with dual roles (teacher and coordinator) across three Dutch medical schools.
- Interviews conducted between March and May 2018 using the rich pictures method.
- Qualitative content analysis with inductive coding, with data collection concurrent to analysis.
Main Results:
- Institute 1: Unclear governance led to implementation chaos and failure to realize abstract educational concepts.
- Institute 2: Strict, top-down governance facilitated concept implementation but demotivated educators, causing rebellion.
- Institute 3: Fragmentized governance offered freedom, fostering motivation but not fully achieving intended curriculum changes.
Conclusions:
- Governance significantly impacts the success of health professions curriculum change and its outcomes.
- Defining and explicating both hard and soft governance processes is essential for advancing curriculum reform.
- Balancing governance structures is necessary to ensure effective implementation while maintaining educator motivation and autonomy.
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