2017•Obstetrics and GynecologyRequires access

Characterizing the Culture of a Graduate Medical Education Program

Jason A. Lachance, Paul K. J. Han, Kalli Varaklis, Kalli Varaklis, Kim Kenton

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Abstract

OBJECTIVE: To develop a methodology for exploring the factors that influence local culture in an academic community-based Graduate Medical Education program. METHODS: We conducted a group of six structured focus groups with 14 current residents and 15 faculty to exploring local themes that affect the shared values and key characteristics of successful OB/GYN residents and how those factors influence the culture of the residency program. EVALUATION: Focus groups were conducted by interviewers trained in qualitative research methodology with the purpose of identifying themes and characteristics that are desirable in both current and potential future residents. Qualitative data were collected and de-identified then analyzed with MAXQDA software to identify common themes that correlated with resident success. DISSEMINATION: Results will be submitted to a peer reviewed journal of higher medical education as well as shared at local home institution amongst other GME training programs for similar analysis of their respective program. REFLECTION: The work has been most challenging navigating the emerging field of qualitative research. We were ultimately able to successfully narrow the scope of the project, garner IRB approval, secure independent grant funding, and complete the focus groups and data analysis. Collaboration with local experts was immensely helpful and successful. I expanded my knowledge of both qualitative research as well as developed a better understanding of our residency program which has been extremely valuable as I have just begun the role of Program Director.

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What this paper is about

OBJECTIVE: To develop a methodology for exploring the factors that influence local culture in an academic community-based Graduate Medical Education program. METHODS: We conducted a group of six structured focus groups with 14 current residents and 15 faculty to exploring local themes that affect the shared values and key characteristics of successful OB/GYN residents and how those factors influence the culture of the residency program. EVALUATION: Focus groups were conducted by interviewers trained in qualitative research methodology with the purpose of identifying themes and characteristics that are desirable in both current and potential future residents. Qualitative data were collected and de-identified then analyzed with MAXQDA software to identify common themes that correlated with resident success. DISSEMINATION: Results will be submitted to a peer reviewed journal of higher medical education as well as shared at local home institution amongst other GME training programs for similar analysis of their respective program. REFLECTION: The work has been most challenging navigating the emerging field of qualitative research. We were ultimately able to successfully narrow the scope of the project, garner IRB approval, secure independent grant funding, and complete the focus groups and data analysis. Collaboration with local experts was immensely helpful and successful. I expanded my knowledge of both qualitative research as well as developed a better understanding of our residency program which has been extremely valuable as I have just begun the role of Program Director.

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Available abstract

OBJECTIVE: To develop a methodology for exploring the factors that influence local culture in an academic community-based Graduate Medical Education program. METHODS: We conducted a group of six structured focus groups with 14 current residents and 15 faculty to exploring local themes that affect the shared values and key characteristics of successful OB/GYN residents and how those factors influence the culture of the residency program. EVALUATION: Focus groups were conducted by interviewers trained in qualitative research methodology with the purpose of identifying themes and characteristics that are desirable in both current and potential future residents. Qualitative data were collected and de-identified then analyzed with MAXQDA software to identify common themes that correlated with resident success. DISSEMINATION: Results will be submitted to a peer reviewed journal of higher medical education as well as shared at local home institution amongst other GME training programs for similar analysis of their respective program. REFLECTION: The work has been most challenging navigating the emerging field of qualitative research. We were ultimately able to successfully narrow the scope of the project, garner IRB approval, secure independent grant funding, and complete the focus groups and data analysis. Collaboration with local experts was immensely helpful and successful. I expanded my knowledge of both qualitative research as well as developed a better understanding of our residency program which has been extremely valuable as I have just begun the role of Program Director.

Key concepts: Focus group, Medical education, Qualitative research, Medicine, Scope (computer science), Qualitative property, Graduate medical education, Program evaluation

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