The ecology of time: Beyond efficiency and outcomes in medical education- reclaiming temporal diversity-

Contemporary medical education is increasingly dominated by the imperatives of efficiency, measurable outcomes, and technological optimization. While these frameworks aim to improve educational quality, they risk marginalizing essential but non-linear learning experiences. This commentary introduces the concept of "temporal diversity" as a necessary ecological shift in curriculum design. By situating the obsession with efficiency within the broader context of New Public Management and social acceleration, we argue for legitimizing "slow time"-relational, reflective, and unstructured moments. Reclaiming temporal diversity is vital for fostering professional identity formation, preventing burnout, and ensuring a humane foundation for medical education.

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Publication Details

Journal
Medical Teacher
Published
2026-02-25
DOI
https://doi.org/10.1080/0142159x.2026.2635526
Primary Topic
Innovations in Medical Education
Type
article
Field-Weighted Citation Impact
0.00
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article

The ecology of time: Beyond efficiency and outcomes in medical education- reclaiming temporal diversity-

Junji Haruta
Medical Teacher
Innovations in Medical Education
article

The ecology of time: Beyond efficiency and outcomes in medical education- reclaiming temporal diversity-

Junji Haruta
article en

Abstract

Contemporary medical education is increasingly dominated by the imperatives of efficiency, measurable outcomes, and technological optimization. While these frameworks aim to improve educational quality, they risk marginalizing essential but non-linear learning experiences. This commentary introduces the concept of "temporal diversity" as a necessary ecological shift in curriculum design. By situating the obsession with efficiency within the broader context of New Public Management and social acceleration, we argue for legitimizing "slow time"-relational, reflective, and unstructured moments. Reclaiming temporal diversity is vital for fostering professional identity formation, preventing burnout, and ensuring a humane foundation for medical education.

Medical Teacher
Keio University (JP)
Quality Education
Openalex Percentile: Top 46%
Innovations in Medical Education
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