Achieving 'something that everybody has invested in': perspectives of diverse stakeholders during co-creation of a transition to residency curriculum

Abstract

Co-creation of education within the context of student inclusion alongside diverse stakeholders merits exploration. We studied the perspectives of students and teachers from different institutions who participated in co-creating a transition to residency curriculum. We conducted post-hoc in-depth interviews with 16 participants: final-year medical students, undergraduate, and postgraduate medical education stakeholders who were involved in the co-creation sessions. Findings build on the Framework of Stakeholders' Involvement in Co-creation and identify the four key components of co-creation with diverse faculty: immersion in positive feelings of inclusivity and appreciation, exchange of knowledge, engagement in a state of reflection and analysis, and translation of co-creation dialogues into intended outcomes. Despite power dynamics, participants valued open communication, constructive feedback, mutual respect, and effective moderation. The study broadened our understanding of the co-creation process in diverse stakeholder settings. Incorporating key elements in the presence of power relations can enrich co-creation by leveraging wider expertise.

Keywords: Co-creation; Diverse stakeholders; Graduate medical education; Transition to residency; Undergraduate medical education.

Fig. 1

Modified Framework of Stakeholder Involvement in Co-Creation, Visualizing the Findings of the Current Study. Note. The triangle denotes the co-creation participants, in this study: Learners – final year medical students; Teachers – UME stakeholders; and Stakeholders X - GME stakeholders. Displayed within the triangle in the middle are the four core components of the CC-process that involve diverse faculty: Inclusivity and appreciation, knowledge sharing, reflection and analysis of current practices, and translation of co-creation dialogues into outcomes. The mitigating factors of power relations: Openness, respect, constructive feedback, and effective moderation are engrained in the core of the figure as the central fundamentals for the CC-process