Conceptualization of A Leadership Learning Model for Medical Curriculum: Mix Approaches, Literature Review & Qualitative Case Study
Konsepsualisasi Model Pembelajaran Kepimpinan untuk Kurikulum Perubatan: Campuran Pendekatan, Kajian Literatur & Kajian Kes Kualitatif
DOI:
https://doi.org/10.33102/sainsinsani.vol9no2.653Keywords:
qualitative model; learning experience; leadership skills; medical undergraduatesAbstract
Abstract: Although there is a growing interest in research about learning leadership skills, brief details on the medical undergraduate students’ learning experience pertaining to the skills seems to be lacking. This issue raises the question: How do Malaysian medical undergraduate students learn their leadership skills? Thus, this study aims to explore learning experiences of the leadership skills among medical undergraduate students in Malaysia, produce a leadership learning model and present the components of the model. Thus, action research focusing on a reflection stage has been conducted. A literature review approach supports with a case study design was adopted in which responses from 91 medical undergraduate students were randomly selected. Students’ responses on an online platform were analysed using framework analysis. Three components for the model were found; (1) content determination, (2) design and delivery of content, and (3) significance of the learning design. The findings led to the creation of a model that presented the components that are benefit for designing learning for students’ leadership skills. The model adds value on a better understanding of the extension of leadership skills development in the medical undergraduate’s curriculum. The model may also influence the future development of pedagogies in leadership such as curriculum development in term of designation of course learning outcomes, teaching and learning activities, and students’ assessment.
Abstrak: Walaupun terdapat minat yang semakin meningkat dalam penyelidikan tentang pembelajaran kemahiran kepimpinan, perincian tentang pengalaman pembelajaran mahasiswa perubatan yang berkaitan dengan kemahiran ini nampaknya kurang. Isu ini menimbulkan persoalan: Adakah mahasiswa perubatan di Malaysia dapat menguasai kemahiran kepimpinan mereka? Justeru, kajian ini bertujuan untuk meneroka pengalaman pembelajaran kemahiran kepimpinan dalam kalangan mahasiswa perubatan di Malaysia, menghasilkan model pembelajaran kepimpinan dengan mengetengahkan beberapa komponen dalam model tersebut. Oleh itu, kajian tindakan yang memfokuskan kepada peringkat refleksi telah dijalankan. Pendekatan kajian literatur telah menyokong reka bentuk kajian kes yang digunakan di mana respon daripada 91 mahasiswa perubatan dipilih secara rawak. Maklum balas pelajar pada platform dalam talian dianalisis menggunakan analisis rangka kerja. Tiga komponen untuk model ditemui; (1) penentuan kandungan, (2) reka bentuk dan penyampaian kandungan, dan (3) kepentingan reka bentuk pembelajaran. Penemuan ini membawa kepada penciptaan model yang membentangkan komponen yang bermanfaat untuk mereka bentuk pembelajaran khusus untuk kemahiran kepimpinan pelajar. Model ini menambah nilai pada pemahaman yang lebih baik tentang pembangunan kemahiran kepimpinan dalam kurikulum sarjanamuda perubatan. Model ini juga boleh mempengaruhi perkembangan pedagogi dalam kepimpinan seperti pembangunan kurikulum dari segi penetapan hasil pembelajaran kursus, aktiviti pengajaran dan pembelajaran, dan penilaian pelajar.
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References
Allen, S. J., Rosch, D. M., & Riggio, R. E. (2021). Advancing leadership education and development: Integrating adult learning theory. Journal of Management Education, 46(2), 105256292110086. https://doi.org/10.1177/10525629211008645
Ismail, A. S., Mustaffa, N. N. M., Abdullah, A. N., Saudi, N. S. M., & Rafiuddin, N. M. (2020). Pembentukan kepimpinan pelajar menerusi program khidmat komuniti di Universiti Pertahanan Nasional Malaysia: Formation of student leadership through the community service programme at the National Defence University of Malaysia. Zulfaqar Journal of Defence Management, Social Science & Humanities.3(special issue), 29-35. https://zulfaqarjdmssh.upnm.edu.my/index.php/zjdmssh/article/view/44
Anderson, K. L., Cobb, M. I.-P. H., Gunasingha, R. M., Waldron, N. H., Atia, A., Bailey, J. R., Doty, J. P., Boswick-Caffrey, J. H., & Taylor, D. C. (2017). Improving medical leadership education through the feagin leadership program. International Journal of Medical Education, 8, 290–291. https://doi.org/10.5116/ijme.5974.bb0d
Andreu, F. S., Sweet, K. M., & Carter, D. H. (2019). Building leadership skills through high-impact experiences. Journal of Leadership Education, 19(4). https://doi.org/10.12806/v19/i4/a342.
Banks, G. C., Dionne, S. D., Mast, M. S., & Sayama, H. (2022). Leadership in the digital era: A Review of who, what, when, where, and why. The Leadership Quarterly, 33(5), 101634. https://doi.org/10.1016/j.leaqua.2022.101634
Barry, E. S., Grunberg, N. E., Kleber, H. G., McManigle, J. E., & Schoomaker, E. B. (2018). A four-year medical school leader and leadership education and development program. International Journal of Medical Education, 9, 99–100. https://doi.org/10.5116/ijme.5abe.12d2
Barry, E., Hudepohl, N., Kleber, H. G., McManigle, J. E., Weistroffer, J. K., & Grunberg, N. E. (2019). Leader and leadership education and development in medical education across the professional life-cycle. Mededpublish, 8, 218. https://doi.org/10.15694/mep.2019.000218.1
Benmira, S., & Agboola, M. (2021). Evolution of leadership theory. BMJ Leader, 5, 3-5. https://doi.org/10.1136/leader-2020-000296
Chen, T. (2018). Medical Leadership: An important and required competency for medical students. Tzu-Chi Medical Journal, 30(2), 66. https://doi.org/10.4103/tcmj.tcmj_26_18
Clyne, B., Rapoza, B. & George P. (2015). Leadership in undergraduate medical education: training future physician leaders. Rhode Island Medical Journal, 98(9),36-40. https://pubmed.ncbi.nlm.nih.gov/26324974/
Contreras, F., Baykal, E., & Abid, G. (2020). E-leadership and teleworking in times of COVID-19 and beyond: What we know and where do we go. Frontiers in Psychology, 11, 1-11. https://doi.org/10.3389/fpsyg.2020.590271
Creswell, J. W. & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. (5th ed). SAGE Publications. https://spada.uns.ac.id/pluginfile.php/510378/mod_resource/content/1/creswell.pdf
Faculty of Medical Leadership and Management (FMLM). (2016). Leadership and management standards for medical professionals. (2nd ed). Faculty of Medical Leadership and Management. https://www.fmlm.ac.uk/sites/default/files/content/page/attachments/Leadership%20and%20Management%20Standards%20for%20Medical%20Professionals%202nd%20Edition%20-%20digital%20format_0.pdf
Fischer, T., & Sitkin, S. B. (2023). Leadership styles: A comprehensive assessment and way forward. The Academy of Management Annals, 17(1), 331–372. https://doi.org/10.5465/annals.2020.0340
Frank, J.R., Snell, L. & Sherbino J. (2015). CanMEDS Physician Competency Framework. Royal College of Physicians and Surgeons of Canada. https://www.royalcollege.ca/content/dam/documents/learning/canmeds/canmeds-full-framework-e.pdf
Grunberg, N. E., Barry, E. S., Kleber, H. G., McManigle, J. E., & Schoomaker, E. B. (2018). Charting a course for leader and leadership education and development in American medical schools. MedEdPublish, 7, 37. https://doi.org/10.15694/mep.2018.0000037.1
Guzmán, V. E., Muschard, B., Gerolamo, M., Kohl, H., & Rozenfeld, H. (2020b). Characteristics and skills of leadership in the context of Industry 4.0. Procedia Manufacturing, 43, 543–550. https://doi.org/10.1016/j.promfg.2020.02.167
Inayat, H., Torti, J., Hemmett, J., Lingard, L., Chau, B., Inayat, A., Elzinga, J. L., & Sultan, N. (2023). An approach to leadership development and patient safety and quality improvement education in the context of professional identity formation in pre-clinical medical students. Journal of Medical Education and Curricular Development, 10, 238212052311705. https://doi.org/10.1177/23821205231170522
Jusoh, I. 2021. Higher education leads Malaysia’s future. Academic magazine of AKEPT & USIM. Malaysia: Akademi Kepimpinan Pendidikan Tinggi (AKEPT) & Universiti Sains Islam Malaysia. 1, 1-44, https://akept.mohe.gov.my/ms/media2/penerbitan/e-buletin/18-leader-issue1/file
Kemmis, S. & McTaggart R. (2014). Doing critical participatory action research. The Action Research Planner. Springer.
Khan, A. Tidman, M. M. (2021). Impacts of transformational and laissez-faire leadership in health. International Journal of Medical Science and Clinical Intervention, 8(9), 5605-5609. https://doi.org/10.18535/ijmsci/v8i09.04
Kwan P. (2019). Is Transformational leadership theory passé? Revisiting the integrative effect of instructional leadership an transformational leadership on student outcomes. Education Administration Quarterly, 56(1). https://doi.org/10.1177/0013161X198611
Laboratory leadership competency framework. (2019). Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO. https://extranet.who.int/sph/sites/default/files/gllp/framework/9789241515108-EN.pdf
Latiffi A. A. & Zulkiffli, N. A. (2021). Sustainable construction projects: The level of understanding on leadership skills among project managers. International Journal of Real Estate Studies, 15(1). https://doi.org/10.11113/intrest.v15n1.7
Lawson, L., Lake, D., Lazorick, S., Reeder, T., Garris, J., & Baxley, E. G. (2019). Developing tomorrow’s leaders: A medical student distinction track in health system transformation and leadership. Academic Medicine, 94(3), 358–363. https://doi.org/10.1097/acm.0000000000002509
Sabesan, G. S., (2021, April 27). Leadership skills inspired from Nature. NST Online. https://www.nst.com.my/opinion/letters/2021/04/685846/leadership-skills-inspired-nature
Lerman, C., & Jameson, J. L. (2018). Leadership development in medicine. The New England Journal of Medicine, 378(20), 1862–1863. https://doi.org/10.1056/nejmp1801610
Mahadi, M. H., Mustafa, N. F. B. M., & Basir, N. M. Z. B. K. (2017). Human development through leadership from Islamic perspective. Ma’alim al-Qur’an Wa al-Sunnah/Ma`Alim al-Qur`an Wa al-Sunnah, 13(14), 104–113. https://doi.org/10.33102/jmqs.v13i14.96
Martino, P., D’Onza, G. & Melville R. (2019). The relationship between CAE leadership and the IAF’s involvement in corporate governance. Journal of Accounting, Auditing & Finance, 36(2). http://dx.doi.org/10.1177/0148558X19867539
McNiff, J. & Whitehead, J. (2022). Action research: Principles and practice. Routledge. https://kapanjadibeda.wordpress.com/wp-content/uploads/2010/08/action-research-princip-and-practice.pdf
Mutch, C. (2020). Crisis leadership: Evaluating our leadership approaches in the time of COVID-19. Evaluation Matters—He Take Tō Te Aromatawai, 6. New Zealand Council for Educational Research. https://www.teritotoi.org/wp-content/uploads/2021/06/Mutch-Crisis-leadership.pdf
NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges (NHS III and AoMRC) (2010). Medical leadership competency framework. NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges. https://www.leadershipacademy.nhs.uk/wp-content/uploads/2012/11/NHSLeadership-Leadership-Framework-Medical-Leadership-Competency-Framework-3rd-ed.pdf
NHS Leadership Academy. (2013), The Healthcare Leadership Model, version 1.0. NHS Leadership Academy. https://www.leadershipacademy.nhs.uk/wp-content/uploads/2014/10/NHSLeadership-LeadershipModel-colour.pdf
Noble. (2021). Quick Reference: Clusters of learning outcomes MQF 2.0 for future-ready skilled graduates. Jabatan Pengajian Tinggi, Kementerian Pengajian Tinggi Malaysia. Academic Excellence Division, Ministry of Higher Education
Renzulli, J. S. (2016). The three-ring conception of giftedness: A developmental model for promoting creative productivity. Reflections On Gifted Education. Prufrock Press Inc.
Sebastian, J., Allensworth E., Wiedermann, W., Hochbein, C. & Cunningham, M. (2018). Principal leadership and school performance: An examination of instructional leadership and organizational management. Leadership and Policy in Schools. 18(4), 591-613. https://doi.org/10.1080/15700763.2018.1513151
Smithson, S., Dallaghan, G. B., Crowner, J., Derry, L. T., Vijayakumar, A. A., Storrie, M., & Daaleman, T. P. (2020). Peak performance: A communications-based leadership and teamwork simulation for fourth-year medical students. Journal of Medical Education and Curricular Development, 7, 238212052092999. https://doi.org/10.1177/2382120520929990
Stoller, J. K. (2021). Leadership essentials for CHEST medicine professionals. Chest, 159(3), 1147–1154. https://doi.org/10.1016/j.chest.2020.09.095
Taylor, J. S., & Bell, E. (2017). Medical education and leadership in breastfeeding medicine. Breastfeeding Medicine, 12(8), 476–478. https://doi.org/10.1089/bfm.2017.0104
Till, A., McKimm, J., & Swanwick, T. (2017). Twelve tips for integrating leadership development into undergraduate medical education. Medical Teacher, 40(12), 1214–1220. https://doi.org/10.1080/0142159x.2017.1392009
Undergraduate Education Subcommittee, Medical Education Commmittee, Malaysian Medical Council. (2019). Standards for medical undergraduate curriculum. (2nd ed). Malaysian Medical Council.https://mmc.gov.my/wp-content/uploads/2022/03/1.Standards-For-Undergraduate-Medical-Education-2nd-Edition-Draf-26-final-14Feb2022.pdf
Zeike, S., Bradbury, K., Lindert, L., & Pfaff, H. (2019). Digital leadership skills and associations with psychological well-being. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 16(14), 2628. https://doi.org/10.3390/ijerph16142628
Zembat, R., Ciftci, H. A., & Duran, A. (2020). Analysing the relationship between pre-service preschool teachers’ self-leadership skills and motivation to teach. Cypriot Journal of Educational Sciences, 15(1), 95–103. https://doi.org/10.18844/cjes.v15i1.3248
Zheng, Y., Graham, L., Epitropaki, O. & Snape, E. (2019). Service leadership, work engagement, and service performance: the moderating role of leader skills. Group and Organization Management, 45(1). https://doi.org/10.1177/10596011198519
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Copyright (c) 2024 Dr Azura Said, Nur Nabilah Abu Bakar, Wan Shahida Wan Sulaiman, Wan Noraini Wan Sulaiman, Ku Mastura Ku Mohd Noor, Ka Liong Tan, Zatul ‘Iffah Abu Hassan, Azlina Ab Rani, Nadeeya ‘Ayn Umaisara Mohamad Nor
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