Culture Matters in Successful Curriculum Change: An International Study of the Influence of National and Organizational Culture Tested With Multilevel Structural Equation Modeling

Academic Medicine : Journal of the Association of American Medical Colleges
Mariëlle JippesCees P M van der Vleuten

Abstract

National culture has been shown to play a role in curriculum change in medical schools, and business literature has described a similar influence of organizational culture on change processes in organizations. This study investigated the impact of both national and organizational culture on successful curriculum change in medical schools internationally. The authors tested a literature-based conceptual model using multilevel structural equation modeling. For the operationalization of national and organizational culture, the authors used Hofstede's dimensions of culture and Quinn and Spreitzer's competing values framework, respectively. To operationalize successful curriculum change, the authors used two derivates: medical schools' organizational readiness for curriculum change developed by Jippes and colleagues, and change-related behavior developed by Herscovitch and Meyer. The authors administered a questionnaire in 2012 measuring the described operationalizations to medical schools in the process of changing their curriculum. Nine hundred ninety-one of 1,073 invited staff members from 131 of 345 medical schools in 56 of 80 countries completed the questionnaire. An initial poor fit of the model improved to a reasonable fit by...Continue Reading

Citations

Mar 9, 2019·Teaching and Learning in Medicine·Brian S HeistD Michael Elnicki
Jul 13, 2019·Perspectives on Medical Education·Jessica E van der AaPim W Teunissen
Jun 19, 2017·BMC Medical Education·Martin StockerFrancis Ulmer
Oct 19, 2019·BMC Medical Education·L BankF Scheele

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