vi TABLE OF CONTENTS CHAPTER TITLE DECLARATION ii DEDICATION iii ACKNOWLEDGEMENT iv ABSTRACT v ABSTRAK vi TABLE O F CONTENTS vii LIST OF TABLES xii LIST OF FIGURES xiv LIST OF ABBREVIATIONS LIST OF APPENDICES 1 PAGE xv xvii INTRODUCTION 1 1.1 Introduction 1 1.2 Background of Problem 5 1.3 Statement of Problem 13 1.4 Objectives of the Study 16 1.5 Research Questions 16 1.6 Significance of the Study 17 1.7 Scope of the Study 18 1.8 Conceptual Framework 18 1.9 Definition of Terms 19 1.10 2 vii 1.9.1 Medical Universities 19 1.9.2 Academics’ Research 20 1.9.3 Junior Academics in Medicine 20 1.9.4 Professionalism 21 1.9.5 Professional Development Activities 21 Summary 22 LITRATURE REVIEW 23 2.1 Introduction 23 2.2 Background of Islamic Republic of Iran 23 2.2.1 Current Policies of Islamic Republic of Iran for Development 2.2.2 Background of Iranian Universities 28 2.2.3 Medical Universities in Iran 31 2.2.3.1 Medical Academics’ Professional Development in Iran 2.2.3.2 33 Educational Development Centers in Medical Universities in Iran 2.3 25 33 Research 35 2.3.1 Academic Research 36 2.3.1.1 Disciplinary Context and Research 36 2.3.1.2 Academic Research Distinctions 38 2.3.1.3 Academic Research Variations 38 2.3.1.4 Research and Scholarship 39 2.3.1.5 Academic Research Strategies and Culture 40 2.3.1.6 Academic Researcher Identity 44 2.3.1.7 Academic Research Productivity 47 2.3.1.8 Academic Research Quality 49 2.3.2 Academics’ Research Capability 51 2.3.3 Academics’ Understanding of Research 55 2.4 Academic Development 58 2.5 PDA Needs Analysis for Medical Academics 63 2.6 PDA for Medical Academics 65 2.7 Professionalism 69 2.8 Culture of Medical Faculties 70 2.9 PDA Models 73 2.10 Junior Academics Research Development 83 2.11 PDA for Junior Academics 86 2.12 Theories 90 2.13 3 viii 2.12.1 Complexity Theory 90 2.12.2 Change Theories in PDA 91 2.12.3 Adult Learning Theory 94 2.12.4 Field Theory 99 2.12.5 Activity Theory 99 2.12.6 Action Theory 103 Summary 104 RESEARCH METHODOLOGY 106 3.1 Introduction 106 3.2 Research Orientation 106 3.3 Research Design 107 3.3.1 109 Grounded Theory 3.3.1.1 Grounded Theory Rationale and Characteristics 3.3.1.2 109 Coding Defined in Grounded Theory 110 3.3.1.3 4 111 3.4 Research Population and Location 112 3.5 Sampling Procedures 113 3.6 Data Collection Techniques 115 3.6.1 Interview 115 3.6.2 Open-ended Questions 118 3.6.3 Observation 119 3.6.4 Documents and Multimedia Materials 119 3.7 Research Process 121 3.8 Data Analysis 122 3.9 Trustworthiness 124 3.10 Ethical Issues 125 3.11 Summary 125 FINDINGS 127 4.1 Introduction 127 4.2 Demographic Background 127 4.3 Data for Research Questions 131 4.3.1 First Research Questions 131 4.3.2 Second Research Question 154 4.3.3 Third Research Question 184 4.3.4 Fourth Research Question 207 4.4 5 Memo Writing ix Summary DISCUSSION and Conclusion 5.1 Introduction 5.2 Summary of Findings 5.3 Discussion of the Study 219 220 220 221 222 x 5.4 Draft Theory Development 238 5.5 Final Theory 241 5.6 Implication of the Study 249 5.7 Contribution of the Study 253 5.8 Limitation of the Study 254 5.9 Suggestions for Future Studies 255 5.10 Summary 259 REFERENCES Appendices A – N 258 289 - 316 xi LIST O F TABLES TABLE NO. 2.1 TITLE Name and Number of Universities and Higher Education Institutes in Iran 2.2 30 Numbers and Prerequisites of Faculty Members by Academic Rank 2.5 Key Aspects of Research Culture 2.6 Influential Factors on Academics’ Research Productivity 2.7 30 Number of University Students Based on the Types of Universities 2.4 29 Gender Proportion and Number of University Students 2.3 PAGE 31 41 48 Interaction of Research Areas and Quality Principles in Massy’s Work for Research Audition 50 2.8 Research Items and Self-Efficacy Factors 53 2.9 Interrelationship of Research Practice Aspects and Academics’ Experience 2.10 Orientations to Academic Activities 2.11 Professional \development Paradigm Shift 2.12 Gardners’ Model of Juniors Research Development 57 60 74 85 xii 2.13 Orientations of Learning 95 2.14 Adult Learning Principles 98 3.1 Research Questions and Interview Items 117 4.1 Respondents Profile 128 4.2 Interviewees Profile 130 4.3 Summary of Categories for First Research Question 152 4.4 Summary of Categories for Second Research Question 183 4.5 Summary of Categories for Third Research Question 206 4.6 Summary of Categories for Fourth Research Question 218 xiii LIST O F FIGURES FIGURE NO. PAGE TITLE 1.1 Conceptual Framework 19 2.1 Growing Trends of Human Resources Indexes from 1980 25 2.2 Administrative Structure of Educational Development Centers in Medical Universities 35 2.3 Unified Model for The Academics’ Research Capability 55 2.4 Model of Academic Professional Development 61 2.5 Academic Development Model 62 2.6 Faculty Cultural Adaptation on International PDA Experience 72 2.7 Conceptual Model for Medical Junior Academics’ PDA 81 2.8 Professional Development model for Orthodontist 82 2.9 Elements on Junior Academics’ Support programs 89 2.10 Interactions of Ferman’s Categories for Academics’ Professional Development 98 2.11 First Generation of Activity Model 100 2.12 Second Generation of Activity Model 101 2.13 Third Generation of Activity Model 102 3.1 Theoretical Sampling Sequences 111 3.2 Stages of Grounded Theory 123 5.1 Draft Theory of Research Development Trajectory 240 5.2 Final Theory of Juniors’ Research Development 248 LIST OF ABBRIVIATION AAMC - Association of American Medical Colleges ACGME - Accreditation Council for Graduate Medical Education AIHRD - Al Hayat Institute of Human Resources Development AMERA - American Medical Education and Research Association AMRA - American Medical Research Association AP & TME - Middle East CSMI - Comprehensive Scientific Map of Iran EU - Europe GDP - Gross Domestic Product GT - Grounded Theory IRI - Islamic Republic of Iran IRSS - Involvement, Regimen, Self-management Social Network MOE - Ministry of Education MoHME - Ministry of Health and Medical Education MRC - Medical Research Council OECD - Organization of Economic Co-operation and Development PDA - Professional Development Activities PhD - Doctor of Philosophy POD - Professional and Organizational Development R&D - Research and Development xiv R&R - Ruling and Regulating RDT - Research Development Trajectory UN - United Nations UNDP - United Nations Development Programme UNESCO - United Nations Educational, Scientific, and Cultural Organization US - United State of America xv xvi LIST OF APPENDICES APPENDIX TITLE PAGE A Interview Form 289 B1 Open-ended Questionnaire 1 290 B2 Open-ended Questionnaire 2 291 B3 Pilot Study Analysis 292 C Observation Form 294 D The Law of the Fourth Economic, Social and Cultural Development Plan 295 E Faculties at Persian University of Medical Sciences 299 F Medicine Departments at Persian University 300 G University Research Strategy (Translation) 302 H Letter of Invitation 307 I Information Sheet - Fieldwork 308 J Consent Letter – Open-ended Questionnaire 309 K Consent Form – Semi-structured Interview 310 L Sample of Circulars 311 M Translation of Interview Transcript & Coding Sample 313 N Sample of Categorizing for RQ1 315