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  • PMID: 28165968 was deleted because it is a duplicate of PMID: 27712619
Med Educ Online. 2016 Oct 5;21:31864. doi: 10.3402/meo.v21.31864. eCollection 2016.

Organizing graduate medical education programs into communities of practice.

Author information

1
Department of Medical Education, Maine Medical Center, Portland, ME, USA; bingyb@mmc.org.
2
Department of Medical Education, Maine Medical Center, Portland, ME, USA.

Abstract

BACKGROUND:

A new organizational model of educational administrative support was instituted in the Department of Medical Education (DME) to better meet increasing national accreditation demands. Residency and fellowship programs were organized into four 'Communities of Practice' (CoOPs) based on discipline similarity, number of learners, and geographic location. Program coordinator reporting lines were shifted from individual departments to a centralized reporting structure within the DME. The goal of this project was to assess the impact on those most affected by the change.

METHODS:

This was a mixed methods study that utilized structured interviews and the Organizational Culture Assessment Instrument (OCAI). Eleven members of the newly formed CoOPs participated in the study.

RESULTS:

Three major themes emerged after review and coding of the interview transcripts: improved group identity, improved availability of resources, and increased opportunity for professional growth. OCAI results indicated that respondents are committed to the DME and perceived the culture to be empowering. The 'preferred culture' was very similar to the culture at the time of the study, with some indication that DME employees are ready for more creativity and innovation in the future.

CONCLUSION:

Reorganization within the DME of residency programs into CoOPs was overwhelmingly perceived as a positive change. Improved resources and accountability may position our DME to better handle the increasing complexity of graduate medical education.

KEYWORDS:

medical setting; organizational culture; residency; staff management

PMID:
27712619
PMCID:
PMC5054084
DOI:
10.3402/meo.v21.31864
[Indexed for MEDLINE]

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