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Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators

IMPORTANCE: Investing in educators, educational innovation, and scholarship is essential for excellence in health professions education and health care. Funds for education innovations and educator development remain at significant risk because they virtually never generate offsetting revenue. A bro...

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Autores principales: Poncelet, Ann, Collins, Sally, Fiore, Darren, Rosenbluth, Glenn, Loeser, Helen, Sawaya, George F., Teherani, Arianne, Chang, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936339/
https://www.ncbi.nlm.nih.gov/pubmed/36795413
http://dx.doi.org/10.1001/jamanetworkopen.2022.56193
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author Poncelet, Ann
Collins, Sally
Fiore, Darren
Rosenbluth, Glenn
Loeser, Helen
Sawaya, George F.
Teherani, Arianne
Chang, Anna
author_facet Poncelet, Ann
Collins, Sally
Fiore, Darren
Rosenbluth, Glenn
Loeser, Helen
Sawaya, George F.
Teherani, Arianne
Chang, Anna
author_sort Poncelet, Ann
collection PubMed
description IMPORTANCE: Investing in educators, educational innovation, and scholarship is essential for excellence in health professions education and health care. Funds for education innovations and educator development remain at significant risk because they virtually never generate offsetting revenue. A broader shared framework is needed to determine the value of such investments. OBJECTIVE: To explore the value factors using the value measurement methodology domains (individual, financial, operational, social or societal, strategic or political) that health professions leaders placed on educator investment programs, including intramural grants and endowed chairs. DESIGN, SETTING, AND PARTICIPANTS: This qualitative study used semi-structured interviews with participants from an urban academic health professions institution and its affiliated systems that were conducted between June and September 2019 and were audio recorded and transcribed. Thematic analysis was used to identify themes with a constructivist orientation. Participants included 31 leaders at multiple levels of the organization (eg, deans, department chairs, and health system leaders) and with a range of experience. Individuals who did not respond initially were followed up with until a sufficient representation of leader roles was achieved. MAIN OUTCOMES AND MEASURES: Outcomes include value factors defined by the leaders for educator investment programs across the 5 value measurement methodology domains: individual, financial, operational, social or societal, and strategic or political. RESULTS: This study included 29 leaders (5 [17%] campus or university leaders; 3 [10%] health systems leaders; 6 [21%] health professions school leaders; 15 [52%] department leaders). They identified value factors across the 5 value measurement methods domains. Individual factors emphasized the impact on faculty career, stature, and personal and professional development. Financial factors included tangible support, the ability to attract additional resources, and the importance of these investments as a monetary input rather than output. Operational factors identified educational programs and faculty recruitment or retention. Social and societal factors showcased scholarship and dissemination benefits to the external community beyond the organization and to the internal community of faculty, learners, and patients. Strategic and political factors highlighted impact on culture and symbolism, innovation, and organizational success. CONCLUSIONS AND RELEVANCE: These findings suggest that health sciences and health system leaders find value in funding educator investment programs in multiple domains beyond direct financial return on investment. These value factors can inform program design and evaluation, effective feedback to leaders, and advocacy for future investments. This approach can be used by other institutions to identify context-specific value factors.
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spelling pubmed-99363392023-02-18 Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators Poncelet, Ann Collins, Sally Fiore, Darren Rosenbluth, Glenn Loeser, Helen Sawaya, George F. Teherani, Arianne Chang, Anna JAMA Netw Open Original Investigation IMPORTANCE: Investing in educators, educational innovation, and scholarship is essential for excellence in health professions education and health care. Funds for education innovations and educator development remain at significant risk because they virtually never generate offsetting revenue. A broader shared framework is needed to determine the value of such investments. OBJECTIVE: To explore the value factors using the value measurement methodology domains (individual, financial, operational, social or societal, strategic or political) that health professions leaders placed on educator investment programs, including intramural grants and endowed chairs. DESIGN, SETTING, AND PARTICIPANTS: This qualitative study used semi-structured interviews with participants from an urban academic health professions institution and its affiliated systems that were conducted between June and September 2019 and were audio recorded and transcribed. Thematic analysis was used to identify themes with a constructivist orientation. Participants included 31 leaders at multiple levels of the organization (eg, deans, department chairs, and health system leaders) and with a range of experience. Individuals who did not respond initially were followed up with until a sufficient representation of leader roles was achieved. MAIN OUTCOMES AND MEASURES: Outcomes include value factors defined by the leaders for educator investment programs across the 5 value measurement methodology domains: individual, financial, operational, social or societal, and strategic or political. RESULTS: This study included 29 leaders (5 [17%] campus or university leaders; 3 [10%] health systems leaders; 6 [21%] health professions school leaders; 15 [52%] department leaders). They identified value factors across the 5 value measurement methods domains. Individual factors emphasized the impact on faculty career, stature, and personal and professional development. Financial factors included tangible support, the ability to attract additional resources, and the importance of these investments as a monetary input rather than output. Operational factors identified educational programs and faculty recruitment or retention. Social and societal factors showcased scholarship and dissemination benefits to the external community beyond the organization and to the internal community of faculty, learners, and patients. Strategic and political factors highlighted impact on culture and symbolism, innovation, and organizational success. CONCLUSIONS AND RELEVANCE: These findings suggest that health sciences and health system leaders find value in funding educator investment programs in multiple domains beyond direct financial return on investment. These value factors can inform program design and evaluation, effective feedback to leaders, and advocacy for future investments. This approach can be used by other institutions to identify context-specific value factors. American Medical Association 2023-02-16 /pmc/articles/PMC9936339/ /pubmed/36795413 http://dx.doi.org/10.1001/jamanetworkopen.2022.56193 Text en Copyright 2023 Poncelet A et al. JAMA Network Open. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the CC-BY License.
spellingShingle Original Investigation
Poncelet, Ann
Collins, Sally
Fiore, Darren
Rosenbluth, Glenn
Loeser, Helen
Sawaya, George F.
Teherani, Arianne
Chang, Anna
Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title_full Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title_fullStr Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title_full_unstemmed Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title_short Identifying Value Factors in Institutional Leaders’ Perspectives on Investing in Health Professions Educators
title_sort identifying value factors in institutional leaders’ perspectives on investing in health professions educators
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936339/
https://www.ncbi.nlm.nih.gov/pubmed/36795413
http://dx.doi.org/10.1001/jamanetworkopen.2022.56193
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