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What is the role of global health and sustainable development in Swedish medical education? A qualitative study of key stakeholders’ perspectives

Velin, Lotta ; Svensson, Pia LU ; Alfvén, Tobias and Agardh, Anette LU orcid (2023) In BMC Medical Education 23(1).
Abstract

Background: Global health and sustainable development have increasingly been recognised as important parts of medical education, yet education on these issues remains fragmented and scarce. In 2020, a bill to reform the national medical curricula across all Swedish medical schools was introduced, including a greater emphasis on global health and sustainable development. This study aimed to explore the perspectives of key stakeholders in medical education on the role of global health and sustainable development in Swedish medical education. Methods: This was a qualitative study based on semi-structured interviews with 11 key stakeholders in medical education, broadly defined as faculty board members (dean and/or vice-deans for medical... (More)

Background: Global health and sustainable development have increasingly been recognised as important parts of medical education, yet education on these issues remains fragmented and scarce. In 2020, a bill to reform the national medical curricula across all Swedish medical schools was introduced, including a greater emphasis on global health and sustainable development. This study aimed to explore the perspectives of key stakeholders in medical education on the role of global health and sustainable development in Swedish medical education. Methods: This was a qualitative study based on semi-structured interviews with 11 key stakeholders in medical education, broadly defined as faculty board members (dean and/or vice-deans for medical education) and/or programme chairs representing six universities. Data were analysed using qualitative content analyis (QCA). The study was conducted according to the Consolidated Criteria for Reporting Qualitative research (COREQ) guidelines. Results: Stakeholders discussed the challenges and opportunities associated with the modification of medical education, which was seen as necessary modernisation to fit the changing societal perception of the role of medical doctors. The anchoring process of redesigning the curriculum and integrating global health and sustainable development was discussed, with emphasis on ownership and mandate and the role of teachers and students in the process. Finding a shared understanding of global health and sustainable development was perceived as a challenge, associated with resistance due to fear of curriculum overload. To overcome this, integrating global health and sustainable development with other topics and developing existing components of the curricula were seen as important. Additionally, it was stressed that fostering capacity building and developing infrastructure, including utilization of digital tools and collaborations, were essential to ensure successful implementation. Conclusions: Medical institutions should prepare future doctors to respond to the needs of a globalised world, which include knowledge of global health and sustainable development. However, conceptual uncertainties and questions about ownership remain among key stakeholders in medical education. Yet, key stakeholders also highlight that the inclusion of global health and sustainable development in the new curricula represents multiple overarching educational opportunities that can bring about necessary improvement.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Curriculum development, Global health, Interviews, Medical education, Qualitative research, Sustainable development, Sustainable development goals, Sweden, UN 2030 Agenda
in
BMC Medical Education
volume
23
issue
1
article number
511
publisher
BioMed Central (BMC)
external identifiers
  • pmid:37460947
  • scopus:85164982180
ISSN
1472-6920
DOI
10.1186/s12909-023-04502-y
language
English
LU publication?
yes
id
6a1939c0-8dd5-4e0a-a6f0-9cf12f0ae4e9
date added to LUP
2023-08-29 15:07:38
date last changed
2024-04-20 02:10:01
@article{6a1939c0-8dd5-4e0a-a6f0-9cf12f0ae4e9,
  abstract     = {{<p>Background: Global health and sustainable development have increasingly been recognised as important parts of medical education, yet education on these issues remains fragmented and scarce. In 2020, a bill to reform the national medical curricula across all Swedish medical schools was introduced, including a greater emphasis on global health and sustainable development. This study aimed to explore the perspectives of key stakeholders in medical education on the role of global health and sustainable development in Swedish medical education. Methods: This was a qualitative study based on semi-structured interviews with 11 key stakeholders in medical education, broadly defined as faculty board members (dean and/or vice-deans for medical education) and/or programme chairs representing six universities. Data were analysed using qualitative content analyis (QCA). The study was conducted according to the Consolidated Criteria for Reporting Qualitative research (COREQ) guidelines. Results: Stakeholders discussed the challenges and opportunities associated with the modification of medical education, which was seen as necessary modernisation to fit the changing societal perception of the role of medical doctors. The anchoring process of redesigning the curriculum and integrating global health and sustainable development was discussed, with emphasis on ownership and mandate and the role of teachers and students in the process. Finding a shared understanding of global health and sustainable development was perceived as a challenge, associated with resistance due to fear of curriculum overload. To overcome this, integrating global health and sustainable development with other topics and developing existing components of the curricula were seen as important. Additionally, it was stressed that fostering capacity building and developing infrastructure, including utilization of digital tools and collaborations, were essential to ensure successful implementation. Conclusions: Medical institutions should prepare future doctors to respond to the needs of a globalised world, which include knowledge of global health and sustainable development. However, conceptual uncertainties and questions about ownership remain among key stakeholders in medical education. Yet, key stakeholders also highlight that the inclusion of global health and sustainable development in the new curricula represents multiple overarching educational opportunities that can bring about necessary improvement.</p>}},
  author       = {{Velin, Lotta and Svensson, Pia and Alfvén, Tobias and Agardh, Anette}},
  issn         = {{1472-6920}},
  keywords     = {{Curriculum development; Global health; Interviews; Medical education; Qualitative research; Sustainable development; Sustainable development goals; Sweden; UN 2030 Agenda}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Medical Education}},
  title        = {{What is the role of global health and sustainable development in Swedish medical education? A qualitative study of key stakeholders’ perspectives}},
  url          = {{http://dx.doi.org/10.1186/s12909-023-04502-y}},
  doi          = {{10.1186/s12909-023-04502-y}},
  volume       = {{23}},
  year         = {{2023}},
}