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Research suggested that a number of external forces in the last twelve years may have contributed to a drop in membership renewals: economic upheaval, dramatic generational shifts, technological changes, increased competition, and unprecedented changes in healthcare. Internally, due to its age and previous success, CMDA may have failed to respond to younger generation's expectations for greater value and benefits. Research also suggested that organizations failing to adjust to changing demographics may experience reduced influence and impact.Survey and Focus Group data suggests that members want a more personal CMDA that facilitates the development of community on the local level, a greater focus on the needs of healthcare professionals and a greater priority on training-to-practice transitions, member engagement, marketing and resource development."],"rights_statement_tesim":["https://rightsstatements.org/vocab/InC/1.0/"],"thumbnail_path_ss":"/assets/work-a3b75da7abded620ab321410c80d102e5e2417b71c54de7ba7d4b0363da904f7.png","suppressed_bsi":false,"actionable_workflow_roles_ssim":["f6c99b2a-5c91-4444-8946-01a1837f1fd8-default-approving","f6c99b2a-5c91-4444-8946-01a1837f1fd8-default-depositing","f6c99b2a-5c91-4444-8946-01a1837f1fd8-default-managing"],"workflow_state_name_ssim":["deposited"],"member_of_collections_ssim":["Trinity Evangelical Divinity School"],"member_of_collection_ids_ssim":["c654e922-76d0-4427-ac29-e286b7997781"],"visibility_ssi":"open","admin_set_tesim":["Metadata Only"],"account_cname_tesim":["rim.ir.atla.com"],"human_readable_type_tesim":["Etd"],"read_access_group_ssim":["public","work_editor"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["ckarpinski@atla.com"],"_version_":1799717195459067904,"timestamp":"2024-05-22T02:14:26.104Z","score":1.0}],"facets":[{"name":"resource_type_sim","items":[{"value":"D.Min. 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