Purpose Although medical leadership and management (MLM) is increasingly being recognised as important to improving healthcare outcomes, little is understood about current training of medical students in MLM skills and behaviours in the UK. The paper aims to discuss these issues. Design/methodology/approach This qualitative study used validated structured interviews with expert faculty members from medical schools across the UK to ascertain MLM framework integration, teaching methods employed, evaluation methods and barriers to improvement. Findings Data were collected from 25 of the 33 UK medical schools (76 per cent response rate), with 23/25 reporting that MLM content is included in their curriculum. More medical schools assessed MLM competencies on admission than at any other time of the curriculum. Only 12 schools had evaluated MLM teaching at the time of data collection. The majority of medical schools reported barriers, including overfilled curricula and reluctance of staff to teach. Whilst 88 per cent of schools planned to increase MLM content over the next two years, there was a lack of consensus on proposed teaching content and methods. Research limitations/implications There is widespread inclusion of MLM in UK medical schools' curricula, despite the existence of barriers. This study identified substantial heterogeneity in MLM teaching and assessment methods which does not meet students' desired modes of delivery. Examples of national undergraduate MLM teaching exist worldwide, and lessons can be taken from these. Originality/value This is the first national evaluation of MLM in undergraduate medical school curricula in the UK, highlighting continuing challenges with executing MLM content despite numerous frameworks and international examples of successful execution.
Although gender-role stereotyping in children's books is a consistent focus of research, the study of the gender role stereotyping of parenting in particular is less common, despite a developing academic interest in the changing social meanings of fathering and mothering in contemporary societies. Previous analysis has suggested that fathers are under-represented in children's books and when present, are less likely than mothers to be featured expressing affection towards, or caring for, children. This paper reports the results of a content analysis of a sample of best-selling young children's picturebooks in the UK which feature representations of parents. It was predicted that fathers would feature less often, particularly at home, and be less likely to be depicted sharing physical contact with other family members, involved in domestic chores or childcare activity, or expressing emotion. The results upheld a number of the hypotheses, indicating that fathers remain 'invisible' in an important sense. However scenes featuring fathers with children, some forms of physical contact, or caring for children were not significantly less likely to feature in these picturebooks than equivalent scenes featuring mothers; perhaps reflecting a more progressive portrayal of 'involved' fatherhood. The findings are discussed in terms of their methodological, social, and political implications.
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