title: Educational research at Johns Hopkins University School of Medicine: a grassroots development.
abstract: The Divisions of General Internal Medicine at Johns Hopkins University School of Medicine have been a rich source of educational research. To better understand the facilitators and barriers to educational research within the divisions, the authors reviewed published educational research from the divisions published between 1995-2004 and examined the history, leadership decisions, and sentinel events that have allowed educational scholarship within the divisions to grow. The authors' analysis suggests a grassroots model of programmatic growth that includes a growing cadre of clinician-educator scholars, effective mentorship, a faculty development program, access to learners, access to research expertise, protected time for scholarship, some funding, and an institutional culture that stimulates scholarship. A medical education fellowship was integral to the model; fellows were first authors for 47% of reviewed manuscripts. Extramural funding has helped build an infrastructure that supports educational scholarship; however, only 12% of the publications have had extramural funding. Protected time for faculty is the characteristic of this model most at risk. While there has been a move toward more institutional support of educational research, it is clear that further growth in the educational research program will require noninstitutional resources.
authors.affiliation: Johns Hopkins University School of Medicine, Room 9033, 1830 East Monument Street, Baltimore, MD 21287, USA. pathomas@jhmi.edu
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Thomas
authors.forename: Scott M
authors.initials: SM
authors.lastname: Wright
authors.forename: David E
authors.initials: DE
authors.lastname: Kern
mesh_terms: D015142:Baltimore; D003657:Decision Making; D004501:Education, Medical / Q000458:organization & administration* / Q000592:standards*; D005257:Fellowships and Scholarships; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007857:Leadership; D019982:Organizational Case Studies; D015279:Organizational Culture; D012109:Research Support as Topic; D012577:Schools, Medical / Q000458:organization & administration*