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Related Experiment Video

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Leadership and governance

A Kaufman1

  • 1Department of Family and Community Medicine, University of New Mexico, Albuquerque 87131, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|October 6, 1998
PubMed
Summary

Effective leadership and governance are crucial for successful medical education curricular reform. Key individuals and administrative structures facilitate change, while addressing resistance ensures smooth implementation.

Area of Science:

  • Medical Education
  • Curriculum Development
  • Leadership Studies

Background:

  • The Robert Wood Johnson Foundation's "Preparing Physicians for the Future: Program in Medical Education" initiative involved eight medical schools.
  • Curricular reform is a complex process requiring effective leadership and governance.

Purpose of the Study:

  • To analyze leadership and governance challenges in implementing curricular reform in medical education.
  • To identify characteristics of successful leaders and governance structures in educational change.

Main Methods:

  • The study examines leadership roles and institutional administrative structures at participating schools.
  • It analyzes how leaders managed resistance to change and the role of students.
  • Governance structures, including curriculum committees and centralized budgets, were reviewed.

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Main Results:

  • Successful leadership involves specific characteristics that facilitate significant curricular change.
  • Effective governance structures, such as centralized education budgets, supported reform implementation.
  • Student involvement played a role in overcoming resistance at some institutions.

Conclusions:

  • Strong leadership and well-defined governance are essential for successful medical school curriculum reform.
  • Understanding and addressing resistance to change, with student involvement, is vital.
  • Key characteristics of successful leaders and governance models can guide future reforms.