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The development of innovations aimed at tackling grand challenges requires the support of an appropriate innovation ecosystem. However, there is a limited understanding of how such innovation ecosystems emerge in contexts of absolute uncertainty. We addressed this gap by examining the boundary work carried out by key actors in the creation of the biomedical innovation ecosystem in India that supported the development of a successful low‐cost heart valve over the 1976–1995 period. We developed a process model demonstrating how the ecosystem leader co‐created the innovation ecosystem that led to the development of a low‐cost heart valve by engaging in three types of configuration boundary work: establishing ecosystem configuration, modeling ecosystem configuration, and expanding ecosystem configuration. Our study contributes to the literature on innovations for grand challenges, innovation ecosystems, and boundary work. [ABSTRACT FROM AUTHOR]

Sustainable development lies at the heart of sustainable entrepreneurship. In the context of this view, the current paper explores the linkages among sustainable development, entrepreneurship, and innovation. Since Gujarat ranks among the five top Indian states in terms of renewable energy (RE) potential, we studied this sector using a case study approach. The study explores factors that affects the shift from conventional to sustainable entrepreneurship. These factors include major opportunities, as well as challenges for RE entrepreneurs. The findings suggest that RE entrepreneurs are driven by a mix of economic, personal commitment for the environment and social concerns. Institutional support in the form of skill development programmes, subsidies and easing entry level barriers to RE serve as opportunities for entrepreneurs. Technological expertise is another enabler for RE entrepreneurship. Major challenges identified in this study include inadequate access to formal and institutional finance, especially for start-ups, bureaucratic obstacles, limited number of government-accredited certification labs, and inconsistency in the Ministry of New and Renewable Energy (MNRE) guidelines. Knowledge barriers in the form of lack of information regarding usage, maintenance and utility of solar technologies are also challenges for this sector. Technological risks related to the adoption of RE technologies also puts them at a cost disadvantage in comparison to conventional technologies. [ABSTRACT FROM AUTHOR]

BACKGROUND: Studies have called for reforms in medical education to create a better generation of doctors who can cope with the system-based problems; they would encounter in an interdisciplinary and collaborative environment and make better-reasoned decisions for quality patient care. To achieve this, critical thinking (CT) is at the very heart of development of new medical knowledge. Medical academics and practitioners have raised concerns about the low levels of CT and stress the need for fostering CT among medical practitioners. OBJECTIVE: The objective of this study was to identify and analyze the gap among the interns with respect to their CT skills and attitude toward CT. MATERIALS AND METHODS: A cross-sectional descriptive study was conducted among the MBBS interns of an institution of national importance in India. The interns were administered with a short version of Watson-Glaser CT appraisal tool to assess their CT skills and with CT disposition self-rating form to assess their attitude toward CT, respectively. The data were analyzed to assess their level of CT skills and their attitude toward CT. RESULTS: Sixty-one percent of the interns responded to the survey, and only 26% of interns had high CT skills; the five dimensions of CT showed varied levels of skills among the interns. Fifty-one percent of interns showed positive attitude toward CT. CONCLUSION: The findings showed a gap among the interns in their CT skills and their attitude toward CT. [ABSTRACT FROM AUTHOR]