Abstract
Aspiring medical educators and their advisors often lack clarity about career paths. To provide guidance to faculty pursuing careers as educators, we sought to explore perceived factors that contributed to the career development of outstanding medical educators. Using a thematic analysis, investigators at two institutions interviewed 39 full or associate professor physician faculty with prominent roles as medical educators in 2016. The social cognitive career theory (SCCT) informed the interview guide. Investigators developed the codebook and performed iterative analysis using qualitative methods. Extensive team discussion generated the final themes. Eight themes emerged related to preparation, early successes, mentors, networks, faculty development, balance, work environment, and multiple identities. Preparation led to early successes, which served as “launch points,” while mentors, networks, and faculty development programs served as career accelerators to open more opportunities, and a supportive work environment was an additional enabler of this pathway. Educators who reported balance between work and outside interests described boundary setting as well as selectively choosing new opportunities to establish boundaries in mid-career. Participants described multiple professional identities, and clinician and educator identities tended to merge and reinforce each other as careers progressed. This study revealed common themes describing trajectories of success among medical educators. These themes aligned with the SCCT, and typically replayed and spiraled over the course of the educators’ careers. These findings resonate with other studies, lending credence to an approach to career development that can be shared with junior faculty who are exploring careers in medical education.
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References
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, Inc.
Bartle, E., & Thistlethwaite, J. (2014). Becoming a medical educator: Motivation, socialisation and navigation. BMC Medical Education,14, 110.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3(2), 77–101.
Browne, J., Webb, K., & Bullock, A. (2018). Making the leap to medical education: A qualitative study of medical educators’ experiences. Medical Education,52(2), 216–226.
Cantillon, P., Dornan, T., & De Grave, W. (2018). Becoming a clinical teacher: Identity formation in context. Academic Medicine,94, 1610–1618.
Chopra, V., Arora, V. M., & Saint, S. (2018). Will you be my mentor? Four archetypes to help mentees succeed in academic medicine. JAMA Internal Medicine,178(2), 175–176.
Elmberger, A., Björck, E., Liljedahl, M., Nieminen, J., & Bolander Laksov, K. (2018). Contradictions in clinical teachers’ engagement in educational development: An activity theory analysis. Advances in Health Sciences Education: Theory and Practice,24(1), 124–140. https://doi.org/10.1007/s10459-018-9853-y.
Feldman, M. D., Arean, P. A., Marshall, S. J., Lovett, M., & O’Sullivan, P. (2010). Does mentoring matter: Results from a survey of faculty mentees at a large health sciences university. Medical Education Online,15(1), 5063.
Greenberg, L. (2018). The evolution of the clinician-educator in the United States and Canada: Personal reflections over the last 45 years. Academic Medicine,93(12), 1764–1766.
Heinrich, K. T., & Oberleitner, M. G. (2012). How a faculty group’s peer mentoring of each other’s scholarship can enhance retention and recruitment. Journal of Professional Nursing,28(1), 5–12.
Hu, W. C. Y., Thistlethwaite, J. E., Weller, J., Gallego, G., Monteith, J., & McColl, G. J. (2015). “It was serendipity”: A qualitative study of academic careers in medical education. Medical Education,49(11), 1124–1136.
Irby, D. M., & O’Sullivan, P. S. (2018). Developing and rewarding teachers as educators and scholars: Remarkable progress and daunting challenges. Medical Education,52(1), 58–67.
Jauregui, J., O’Sullivan, P., Kalishman, S., Nishimura, H., & Robins, L. (2019). Remooring: A qualitative focus group exploration of how educators maintain identity in a sea of competing demands. Academic Medicine,94(1), 122–128.
Johnson, K. S., Hastings, S. N., Purser, J. L., & Whitson, H. E. (2011). The junior faculty laboratory: An innovative model of peer mentoring. Academic Medicine,86(12), 1577–1582.
Lent, R. W., & Brown, S. D. (2013). Social cognitive model of career self-management: Toward a unifying view of adaptive career behavior across the life span. Journal of Counseling Psychology,60(4), 557–568.
Lent, R. W., Brown, S. D., & Hackett, G. (1994). Toward a unifying social cognitive theory of career and academic interest, choice, and performance. Journal of Vocational Behavior,45(1), 79–122.
Leslie, K., Baker, L., Egan-Lee, E., Esdaile, M., & Reeves, S. (2013). Advancing faculty development in medical education: A systematic review. Academic Medicine,88(7), 1038–1045.
Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample size in qualitative interview studies: Guided by information power. Qualitative Health Research,26(13), 1753–1760.
Ng, S. L., Barker, L., Cristancho, S., Kennedy, T. J., & Lingard, L. (2019). Qualitative research in medical education: Methodologies and methods. In T. Swanwick, K. Forrest, & B. C. O’Brien (Eds.), Understanding medical education (pp. 427–441). Hoboken, NJ: Wiley Blackwell.
O’Sullivan, P. S., & Irby, D. M. (2014). Identity formation of occasional faculty developers in medical education: A qualitative study. Academic Medicine,89(11), 1467–1473.
O’Sullivan, P. S., Mkony, C., Beard, J., & Irby, D. M. (2016). Identity formation and motivation of new faculty developers: A replication study in a resource constrained university. Medical Teacher,38(9), 879–885.
Onyura, B., Ng, S. L., Baker, L. R., Lieff, S., Millar, B.-A., & Mori, B. (2017). A mandala of faculty development: Using theory-based evaluation to explore contexts, mechanisms and outcomes. Advances in Health Sciences Education,22(1), 165–186.
Sanfey, H., & Gantt, N. L. (2012). Career development resource: Academic career in surgical education. American Journal of Surgery,204(1), 126–129.
Sethi, A., Ajjawi, R., McAleer, S., & Schofield, S. (2017). Exploring the tensions of being and becoming a medical educator. BMC Medical Education,17(1), 62.
Shenton, A. K. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information,22, 63–75.
Simpson, D., Fincher, R.-M. E., Hafler, J. P., Irby, D. M., Richards, B. F., Rosenfeld, G. C., et al. (2007). Advancing educators and education by defining the components and evidence associated with educational scholarship. Medical Education,41(10), 1002–1009.
Simpson, D., Marcdante, K., Souza, K. H., Anderson, A., & Holmboe, E. (2018). Job roles of the 2025 medical educator. Journal of Graduate Medical Education,10(3), 243–246.
St Clair, R., Hutto, T., MacBeth, C., Newstetter, W., McCarty, N. A., & Melkers, J. (2017). The “new normal”: Adapting doctoral trainee career preparation for broad career paths in science. PLoS ONE,12(5), e0177035.
Steinert, Y., Mann, K., Anderson, B., Barnett, B. M., Centeno, A., Naismith, L., et al. (2016). A systematic review of faculty development initiatives designed to enhance teaching effectiveness: A 10-year update: BEME guide no. 40. Medical Teacher,38(8), 769–786.
Steinert, Y., Mann, K., Centeno, A., Dolmans, D., Spencer, J., Gelula, M., et al. (2006). A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME guide no. 8. Medical Teacher,28(6), 497–526.
Steinert, Y., O’Sullivan, P. S., & Irby, D. M. (2019). Strengthening teachers’ professional identities through faculty development. Academic Medicine,94(7), 963–968.
Strong, E. A., De Castro, R., Sambuco, D., Stewart, A., Ubel, P. A., Griffith, K. A., et al. (2013). Work-life balance in academic medicine: Narratives of physician-researchers and their mentors. Journal of General Internal Medicine,28(12), 1596–1603.
Travis, E. L., Doty, L., & Helitzer, D. L. (2013). Sponsorship: A path to the academic medicine C-suite for women faculty? Academic Medicine,88(10), 1414–1417.
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This study was supported by a grant from the Western Group on Educational Affairs (WGEA) of the American Association of Medical Colleges (AAMC)
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Ethical approval was granted as exempt by the Institutional Review Boards at the University of California, San Francisco (August 19, 2015, 15-17104) and the University of New Mexico (March 21, 2016, 16-045).
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Thomas, L.R., Roesch, J., Haber, L. et al. Becoming outstanding educators: What do they say contributed to success?. Adv in Health Sci Educ 25, 655–672 (2020). https://doi.org/10.1007/s10459-019-09949-7
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DOI: https://doi.org/10.1007/s10459-019-09949-7