Towards accountability-centred practices: governance in OSCEs subordinating patient and practitioner clinical experience

Twelve tips for how institutional ethnography (IE) is conducted in health professions education research

Institutional ethnography (IE), a term coined by sociologist Dorothy Smith, explores the nuances of institutions and their complex relationships in sociology. IE is an approach to studying and analysing social organization, and it provides a more holistic understanding of 'invisible' relationships that govern institutions and how those relationships interact with each other. Health sciences researchers in patient care, patient experience, and allied health professionals have recently become more interested in the use of this methodology and how to incorporate it into their research. However, in health professions education (HPE) there is little use of IE. We hypothesize this may be because of limited practical knowledge of this methodology. This paper serves as an introduction to the use of IE in HPE, describing the differences between IE and traditional ethnographies, recognizing the common pitfalls when utilising IE, and incorporating texts into IE. While ethnographies may be daunting to researchers less familiar with these approaches, the tips in this paper will provide an introduction and help educators and researchers successfully navigate the use of IE in health profession scholarship and education.

Trust, but verify

In this editorial, the editor considers issues of trust, accountability, and verification in the work of scholars, institutions, and journals, and challenges readers to examine the interdependencies of trust, accountability, and verification in shaping the field of health professions education.