Document Type : Original Article
Authors
Medical Education Discipline, School of Medicine, Trinity College Dublin, Dublin, Ireland
Abstract
Introduction: The tension between tradition and innovation is a defining challenge in medical education, yet the literature lacks a strategic framework to guide educators through this dynamic.
Methods: This study addresses this gap using a ten-year qualitative autoethnography, drawing on a 65,000-word corpus of reflective journals and institutional artifacts to explore the educator’s lived experience.
Results: The findings reveal a spectrum of three professional archetypes in response to this tension: Oppositionists, who view the two as rivals; Passive Integrators, who blend them reactively;
and Smart Integrators, who do so with intentional purpose. Based on these insights, the study proposes the FUSION Design Helix, a dual-layered framework for strategic integration. The core
comprises a six-stage process - ranging from ‘Framing Goals’ to ‘Navigating Implementation’ - which is synthesised through the macro-phases of Design Thinking: Inspiration, Ideation, and Implementation. By positioning tradition and innovation as complementary resources rather than rivals, the Helix provides a proactive, design-oriented engine for curriculum development.
Conclusion: Collectively, the findings reposition educational change as an act of purposeful pedagogical design rather than reactive compromise, offering a scalable cognitive framework for
cultivating reflective educators and building resilient, future-ready curricula in medical education. Practically, the model provides medical schools and faculty developers with a structured roadmap
for planning, implementing, and sustaining pedagogically grounded innovation while strengthening the educators’ capacity for reflective, theory-informed practice.
Highlights
Keywords
- Čavka M, Petanjek Z, Zanze M, Mathew T, Brassett C, Nagy AD, et al. Balancing tradition and innovation: rethinking the dichotomy in anatomy teaching. Croatian Medical Journal. 2025;66(1):62.
- Christianson CE, McBride RB, Vari RC, Olson L, Wilson HD. From traditional to patient-centered learning: curriculum change as an intervention for changing institutional culture and promoting professionalism in undergraduate medical education. Acad Med. 2007;82(11):1079-88.
- Woolliscroft JO. Implementing biomedical innovations into health, education, and practice: preparing tomorrow's physicians. USA: Academic Press; 2019.
- Evans MI, Britt DW. Resistance to change. Reproductive Sciences. 2023;30(3):835-53.
- Sbitan L, Alzraikat N, Tanous H, Saad AM, Odeh M. From one size fits all to a tailored approach: integrating precision medicine into medical education. BMC Medical Education. 2025;25(1):90.
- Pereira J, Murzyn T. Integrating the" new" with the" traditional": an innovative education model. Journal of Palliative Medicine. 2001;4(1):31-7.
- Borisov AK. Tradition and innovation in medical training: a brief overview. Международный журнал гуманитарных и естественных наук. 2019;6(3):16-8.
- Kaufman C, Conway S, Gallagher KE. Health information resources: tradition and innovation in a medical school curriculum. Medical reference services quarterly. 1999;18(1):11-23.
- Pati S, Reum J, Conant E, Tuton LW, Scott P, Abbuhl S, et al. Tradition meets innovation: transforming academic medical culture at the University of Pennsylvania’s Perelman School of Medicine. Acad Med. 2013;88(4):461-4.
- Bower EA, Girard DE, Wessel K, Becker TM, Choi D. Barriers to innovation in continuing medical education. Journal of Continuing Education in the Health Professions. 2008;28(3):148-56.
- Rohlfsen CJ, Sayles H, Moore GF, Mikuls TR, O’Dell JR, McBrien S, et al. Innovation in early medical education, no bells or whistles required. BMC Medical Education. 2020;20(1):39.
- Bhidé A. Constraining knowledge: traditions and rules that limit medical innovation. Critical Review. 2017;29(1):1-33.
- Șișu AM, Stoicescu ER, Bolintineanu SL, Faur AC, Iacob R, Ghenciu DM, et al. Blending tradition and innovation: student opinions on modern anatomy education. Education Sciences. 2024;14(11):1150.
- Maheux B, Beaudoin C, Berkson L, Côté L, Des Marchais J, Jean P. Medical faculty as humanistic physicians and teachers: the perceptions of students at innovative and traditional medical schools. Med Educ. 2000;34(8):630-4.
- Saleem N, Mufti T, Sohail SS, Madsen DØ. ChatGPT as an innovative heutagogical tool in medical education. Cogent Education. 2024;11(1):2332850.
- Stein D, Chen C, Ackerly DC. Disruptive innovation in academic medical centers: balancing accountable and academic care. Acad Med. 2015;90(5):594-8.
- Roberts LW. Innovation and leadership across the five missions of academic medicine. Acad Med. 2021;96(12):1623-4.
- Boscardin CK, Abdulnour RE, Gin BC. Macy Foundation innovation report part I: Current landscape of artificial intelligence in medical education. Acad Med. 2025;100(1):10-97.
- Taylor SP. Critical realism vs social constructionism & social constructivism: application to a social housing research study. International Journal of Sciences: Basic and Applied Research. 2018;37(2):216-22.
- Alharahsheh HH, Pius A. A review of key paradigms: Positivism VS interpretivism. Global academic journal of humanities and social sciences. 2020;2(3):39-43.
- Pitard J. Autoethnography as a phenomenological tool: Connecting the personal to the cultural. InHandbook of research methods in health social sciences. Singapore: Springer; 2019. pp. 1829-45.
- Riessman CK. Narrative methods for the human sciences. UK: Sage; 2008.
- Keadplang K. Applying Constructive Alignment through 3Os Platforms for Graduate Students during COVID-19 in Thailand: English for Events and Exhibitions Course (ESP). Rajapark Journal.
- 2021;15:25-38.Hosseini Zarrabi H, Rezaei-Zadeh M, Khorasani A. Pedagogy-based solutions for making effective interactions in e-learning environments: reflections on Hirumi’s three levels of interaction. Technology, Pedagogy and Education. 2024;33(4):405-20.
- Baghi MH, Abolghasemi M, Zakerimoghadam M, Rezaiezadeh M, Asl MV. Unveiling CPR training challenges in nursing education: Pedagogical strategies for success. Nurse Education in Practice. 2024;78:104040.
- Merriel A, Wilson A, Decker E, Hussein J, Larkin M, Barnard K, et al. Systematic review and narrative synthesis of the impact of appreciative inquiry in healthcare. BMJ open quality. 2022;11(2):e001911.
- Rezaei-Zadeh M. Designing Learning Management System Plugins for Improving Students’ Transversal Competencies (Doctoral dissertation). Switzerland: University of Zurich; 2020.
- Menzli LJ, Smirani LK, Boulahia JA, Hadjouni M. Investigation of open educational resources adoption in higher education using Rogers’ diffusion of innovation theory. Heliyon. 2022;8(7):e09885.
- Rezaei-Zadeh M. Foresight: Principles, Fundamentals, and Techniques. USA: Publications of the Center for Public Administration Education; 2019.
- Bengston DN, Westphal LM, Dockry MJ. Back from the future: the Backcasting wheel for mapping a pathway to a preferred future. World Futures Review. 2020;12(3):270-8.
- Lubis NW. Resource based view (RBV) in improving company strategic capacity. Research Horizon. 2022;2(6):587-96.
- Bandali B, Abolghasemi M, Pardakhtchi M, Rezaei-zadeh M. Faculty Development Programs at Shahid Beheshti University: Insufficient Strengths. Education Strategies in Medical Sciences. 2021;13(6):597-607.
- Tan L, Kocsis A, Burry J. Advancing Donald Schön's reflective practitioner: Where to next?. Design Issues. 2023;39(3):3-18.
- Tallman M. What makes pedagogical content knowledge “pedagogical”? Reconnecting PCK to its Deweyan foundations. The Mathematics Educator. 2023;31(1):1.
- Khayat M, Hafezi F, Asgari P, Shoushtari MT. Comparison of the effectiveness of flipped classroom and traditional teaching method on the components of self-determination and class perception among University students. Journal of advances in medical education & professionalism. 2021;9(4):230.
- Toofaninejad E, Rezapour SM, Kalantarion M. Utilizing Digital Twins for the Transformation of Medical Education. Journal of Advances in Medical Education & Professionalism. 2024;12(2):132.
- Alizadeh M, Sameri MJ. Intelligent Assessment Systems in Medical Education: A Systematic Review. Journal of Advances in Medical Education & Professionalism. 2025;13(3):173.
- Rezaei-Zadeh M, Cerbin-Koczorowska M. A research roadmap for AI opportunities in student assessment for medical education. BMC Medical Education. 2025;25(1):1653.
- Alsagour M. Comparing Novice and Expert Designers’ Approaches to Design Thinking and Decision Making. USA: Western Michigan University; 2020.
- Bandali B, Abolghasemi M, Pardakhtchi M, Rezaizadeh M. Pathology of academic faculty development programs of Shahid Beheshti University. Education and development of human resources. 2018;18(5):25-54.
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