Admissions adaptations to widespread disruption:  a multiple case study of Canadian medical school responses to a constellation of social phenomena

Lawrence Grierson; Asiana Elma; Aimun Q Shah; Jean-Michel Leduc; Kulamakan Kulasegaram; Alice Cavanagh; Amar Farkouh; Justin Lam; Dilshan  Pieris; Sophie Boies; Augustine Okoh; Roberta Soares; Jenny Zhao; Mark D Hanson

doi:10.36834/066n3310

Auteurs-es

Lawrence Grierson McMaster University
Asiana Elma McMaster University
Aimun Q Shah McMaster University
Jean-Michel Leduc Universite de Montreal
Kulamakan Kulasegaram University of Toronto
Alice Cavanagh University of Toronto
Amar Farkouh Universite de Montreal
Justin Lam Western University
Dilshan Pieris McMaster University
Sophie Boies Universite de Montreal
Augustine Okoh McMaster University
Roberta Soares Universite de Montreal
Jenny Zhao Queen's University
Mark D Hanson University of Toronto

DOI :

https://doi.org/10.36834/066n3310

Résumé

Contexte : Les phénomènes sociaux peuvent perturber les systèmes éducatifs, favorisant ainsi des adaptations rapides qui modifient les priorités en matière de valeurs au sein des processus institutionnels. Entre 2020 et 2023, un ensemble de tels phénomènes a eu un impact sur les systèmes d’admission dans l’enseignement médical canadien. Dans cette étude, nous avons utilisé la théorie de l’innovation sociale pour explorer comment les réponses adaptatives ont modifié, bouleversé ou renforcé les valeurs institutionnelles dans les systèmes de sélection à travers le pays.

Méthodes : Nous avons utilisé une approche d’étude de cas multiples pour répertorier les adaptations mises en œuvre dans les facultés de médecine canadiennes. Notre attention s’est d’abord portée sur les changements induits par la pandémie, mais elle a été élargie pour inclure d’autres phénomènes soulevés par les participants. Les premiers cas exploratoires ont porté sur des adaptations spécifiques de 2020 à l’Université de Montréal (entretiens annulés), à l’Université de Toronto (entretiens virtuels) et à l’Université McMaster (tirage au sort partiel). Ils ont été suivis d’un cas explicatif lié au Réseau sur les admissions de l’Association des facultés de médecine du Canada.

Résultats : Nous avons interrogé 37 personnes issues de 13 facultés de médecine et examiné 67 documents pertinents au regard des cas. Les adaptations ont répondu à la pandémie, aux appels généralisés en faveur de la justice raciale et à l’essor de l’intelligence artificielle ; elles comprenaient des entretiens virtuels, des approches actuarielles et des parcours dédiés aux groupes structurellement exclus. Les participants ont considéré ces phénomènes comme des occasions d’affirmer et de rééquilibrer les valeurs institutionnelles, tout en soulignant l’impact des influences à grande échelle du contexte général sur les décisions locales.

Conclusions : Ces résultats incitent les facultés de médecine canadiennes à examiner dans quelle mesure les bouleversements récents ont pu éloigner leurs politiques de sélection de leurs objectifs initiaux et à se demander si ces changements sont souhaitables au niveau local. Une réflexion sur le changement peut favoriser une prise de décision fondée sur des valeurs face aux phénomènes sociaux.

Biographies de l'auteur-e

Lawrence Grierson, McMaster University

Lawrence Grierson is an Assistant Professor with the Department of Family Medicine, a Senior Scientist with the Program for Educational Research and Development, an Education Scientist with the Micheal G. DeGroote School of Medicine and MacCARE Community and Rural Education Program, and the Associate Director of the Graduate Program in Health Sciences Education, all at McMaster University (Hamilton, Canada). He holds a PhD in Kinesiology (McMaster University) and leads paraller programs of research concerned with applied health professions education and theoretical motor control.
Asiana Elma, McMaster University

Asiana Elma is Research Coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada and Doctoral Candidate, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
Aimun Q Shah, McMaster University

Aimun Q. Shah is Research Coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Jean-Michel Leduc, Universite de Montreal

Jean-Michel Leduc is Associate Clinical Professor, Department of Medical Microbiology, Infectious Diseases and Immunology, and Researcher-Investigator, Centre de Recherche en Pédagogie de la Santé, Faculty of Medicine, Université de Montreal, Montreal, Canada.
Kulamakan Kulasegaram, University of Toronto

Kulamakan Kulasegaram is Director and Associate Professor, Office of Education Scholarship, Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada and Scientist, Wilson Centre, Temerty Faculty of Medicine, University of Toronto, Canada.
Alice Cavanagh, University of Toronto

Alice Cavanagh is Family Medicine Resident, Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Amar Farkouh, Universite de Montreal

Amar Farkouh is Medical Student, Faculty of Medicine, University of Montreal, Montreal, Canada.
Justin Lam, Western University

Justin Lam is Paediatrician and Education Scientist, Department of Paediatrics, Schulich School of Medicine & Dentistry, Western University, London, Canada, and Department of Paediatrics, London Health Sciences Centre, London, Canada.
Dilshan Pieris, McMaster University

Dilshan Pieris is Family Medicine Resident, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Sophie Boies, Universite de Montreal

Sophie Boies is Research Assistant, Montreal North Island Integrated University Health and Social Services Centre, Montreal, Canada.
Augustine Okoh, McMaster University

Augustine Okoh is Research Assistant, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Roberta Soares, Universite de Montreal

Roberta Soares is Research Assistant, Montreal North Island Integrated University Health and Social Services Centre, Montreal, Canada.
Jenny Zhao, Queen's University

Jenny Lee Zhao is Research Assistant, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada and Medical Student, School of Medicine, Queen’s University, Kingston, Canada.
Mark D Hanson, University of Toronto

Mark D. Hanson is Professor, Department of Psychiatry, Temerty Faculty of Medicine, Hospital for Sick Children, University of Toronto, Toronto, Canada.

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