PhD, University of Cincinnati, 2020, Education, Criminal Justice, and Human Services: Educational Studies
This dissertation investigates the experiences of academic physicians at two colleges of medicine as they become ready for changes in their professional practices. Building on Changing and Learning Theory (Fox, Mazmanian, & Putnam, 1989) and the Transtheoretical Model of Change (Dalton & Gottlieb, 2003; Norcross, Krebs, & Prochaska, 2011; Prochaska, 2008; Prochaska & Norcross, 2001), this study employs qualitative methodologies informed by phenomenology and grounded theory. Drawing on semi-structured interviews, data include 32 change narratives from 21 physicians, reflecting how physicians experienced readiness in changing professional practices. In a field in which change is more common than stability, physicians must be ready to adjust to and embrace sudden, unexpected, and almost continual change.
Findings of the study reveal that physicians feel most committed to making changes that have been self-initiated, rather than externally mandated. Additionally, readiness is a process that results from a variety of physician-identified actions that are generated organically and intuitively, and managed within individual time, interest, and motivation parameters, rather than at a specific point in time. Findings also reveal that physicians value a trusted team to strengthen and reinforce their work, that they adjust to the needs in their field, such as becoming adept at new medical specialties or the business aspect of academic medicine, and that many physicians wish for a mentoring relationship or community.
This study illustrated that fostering and improving the way that physicians make changes as a part of their professional responsibilities supports their growth and well-being. Recognizing the value of supporting physicians in these endeavors is imperative for those who support physicians educationally and administratively, and it can and should inform their efforts. Openness to change has important relevance in the medical profession, and it is essential to un (open full item for complete abstract)
Committee: Miriam Raider-Roth Ed.D. (Committee Chair); Nancy Davis Ph.D. (Committee Member); Vicki Plano Clark Ph.D. (Committee Member); Lisa Vaughn Ph.D. (Committee Member)
Subjects: Higher Education