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Table 4 Guidance plan showing the activities and timeline corresponding to each step of Mento’s Change Model

From: Mento’s change model in teaching competency-based medical education

Step No.

Steps of Mento’s Model of Change

Activity to facilitate/implement the change

Timeline

1

The idea and its context

Preliminary results from the phase-1 semester-1 course of MBPG showed that flipped-model of pedagogy facilitates better learning in UME. The idea is to integrate flipped-teaching in the phase-1 semester-2 structure-function courses (table-2).

N/A

2

Define the change initiative

Present to the concerned stakeholders:

What is flipped-teaching?

Benefits of flipped-teaching.

Successful case-studies of flipped teaching (literature review).

FOUR-weeks prior to course initiation

3

Evaluate the climate for change

Appraise the necessary resources, prior knowledge of stakeholders and technological know-how required to successfully implement flipped-teaching in the structure-function courses, through SWOT analysis.

FOUR-weeks prior to course initiation

4

Develop a change plan

Work with technology-enhanced learning (TEL) team at MBRU to develop a faculty development plan to train the stakeholders regarding strategies to implement flipped-teaching in structure-function courses.

THREE-weeks prior to course initiation

5

Find and cultivate a sponsor

Schedule meetings with MBRU academic leadership (Dean/Associate Deans/ Departmental Chairs) to inform them about the benefits of flipped-teaching and the resources required.

THREE-weeks prior to course initiation

6

Prepare your target audience

Organize faculty development workshops in collaboration with the TEL team to inform stakeholders about “how” to implement flipped-teaching structure-function courses.

Circulate nano-lectures on of flipped-teaching to stakeholders over WhatsApp.

TWO-weeks prior to course initiation

7

Create the cultural fit

Create linkage between students’ learning approaches and flipped-teaching to elaborate to the concerned stakeholders “why” there is a necessity to create a culture of innovative pedagogy in UME.

TWO-weeks prior to course initiation

8

Develop and choose a leader team

Create an informal “Leader Team” consisting of course-director and instructors from the MBPG course, such that they can guide and encourage the stakeholders to implement flipped-teaching in their courses. (at least NINE flipped-teaching sessions over FIVE weeks)

ONE–FIVE weeks into the course

9

Create small wins for motivation

Identify the stakeholders who successfully integrated flipped teaching in their courses and request them to present their experiences in this effort to the MBRU academic leadership and other concerned stakeholders.

FOUR-FIVE weeks into the course

10

Constantly and strategically communicate the change

During the whole transformation process:

Create a “Learning community” such that stakeholders can learn from each other about strategies to successfully implement flipped-teaching in pedagogy.

Try to address hurdles that are faced by stakeholders in their endeavor, by communicating the change process to Sponsors

ONE–FIVE weeks into the course

11

Measure progress of the change effort

Refer to the updated pedagogical techniques of concerned courses to appraise the number to teaching sessions where flipped-teaching was implemented.

Evaluate the attitude of stakeholders towards flipped-teaching following the transformation initiative using ADKAR framework.

Assess the performance of the students in these courses to identify if flipped-teaching was beneficial over traditional method.

Conduct student feedback to assess the perception of students towards flipped teaching.

SIXTH-week into the course following the Mid-term assessments

12

Integrate lessons learned

Using a reflective-framework conduct an After Action Review to:

Map the transformation process

Identify hurdles that further required to be tackled such that flipped-teaching can be successfully integrated in other courses.

SIXTH-week into the course following the Mid-term assessments

 

PREPARATORY TIME FOR IMPLEMENTING THE TRANSFORMATION

FOUR-WEEKS

 

TIME REQUIRED FOR IMPLEMENTING/ASSESSING THE TRANSFORMATION

FIVE-WEEKS

 

TOTAL STUDY DURATION (PREPARATION + IMPLEMENTATION + ASSESSMENT)

NINE-WEEKS