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Discursive (mis)alignments in internationalization: The case of International Medical Programmes.

Emmaline E Brouwer1, Janneke M Frambach1, Erik W Driessen1

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International Medical Programmes (IMPs) are justified by three narratives: institutional service, public interest, and student benefit. Misalignments in these discourses create confusion in medical education.

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Area of Science:

  • Medical Education
  • Higher Education Studies
  • Sociolinguistics

Background:

  • International Medical Programmes (IMPs) are a growing modality in medical education, characterized by diverse students, English instruction, and globalized curricula.
  • A lack of consensus on the purpose and role of IMPs leads to critiques and challenges within the medical education landscape.

Purpose of the Study:

  • To analyze the effects of different discourses used to justify the purpose of International Medical Programmes.
  • To explore how the purposes of IMPs are constructed at regulatory, institutional, and individual levels.

Main Methods:

  • Discourse analysis approach.
  • Qualitative research conducted in two IMPs in the Netherlands and Hungary.
  • Data collected through key-informant interviews, policy documents, and scholarly literature.

Main Results:

  • The purpose of IMPs is discursively constructed around three narratives: serving host institutions, serving the global public interest, and serving individual students.
  • The co-existence and misalignments of these three discourses lead to conflicting practices and confusion among stakeholders.
  • Diverging perspectives on internationalization in medical education create tensions for both learners and staff.

Conclusions:

  • Articulating a clear and explicit meaning for internationalization in medical education can reduce uncertainties.
  • Establishing realistic expectations for the outcomes of International Medical Programmes is crucial for stakeholders.
  • Addressing the discursive tensions is essential for the effective functioning and development of IMPs.