Breaking Down Barriers and Building up Facilitators of Lecture Free Curriculum in Medical Education: An Interpretive Structural Modeling Publisher Pubmed



Karami S¹ ; Shariati M² ; Parmelee D³ ; Shahsavari H⁴ ; Sadeghian A⁵ ; Alvarez RB⁶ ; Zitouni A⁶ ; Alizadeh M⁷ Show Affiliations
Source: Medical Teacher Published:2024

Abstract

Introduction: The field of medical education has seen a growing interest in lecture free curriculum. However, it comes with its own set of challenges and obstacles. In this article, we aim to identify the prerequisites, facilitators, challenges, and barriers of lecture-free curriculum in medical education and examine their interrelationships using interpretive structural modeling (ISM) technique. Methods: In this mixed-method study initially, we performed a scoping review and semi-structured interviews and determined the main prerequisites, facilitators, challenges, and barriers of lecture-free curriculum in medical education using qualitative content analysis approach. The interrelationships among these components were investigated using ISM. Therefore, self-interactive structural matrices were formed, initial and final reachability matrices were achieved, and MICMAC analysis was conducted to classify the factors. Results: Finally, two ISM models of prerequisites and facilitators with 27 factors in 10 levels and challenges and obstacles with 25 factors in eight levels were developed. Each of the models was divided into three parts: key, strategic, and dependent factors. ‘Providing relevant evidence regarding lecture free curriculum’ emerged as the most important prerequisite and facilitator, and ‘insufficient support from the university’ was identified as the most critical barrier and challenge. Conclusions: The study highlights the significant importance of lecture-free curriculum in medical education and provides insights into its prerequisites, facilitators, challenges, and barriers. The findings can be utilized by educational managers and decision-makers to implement necessary changes in the design and implementation of lecture-free in medical education, leading to more effective improvements in the quality and success of education. © 2024 Informa UK Limited, trading as Taylor & Francis Group.