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Practice and professional development plans (PPDPs): results of a feasibility study
G Elwyn1, S Carlisle, P Hocking
1Department of General Practice, University of Wales, College of Medicine, Canolfan lechyd Llanedeym Health Centre, Cardiff CF23 9PN, UK. Elwyng@cf.ac.uk
BMC Family Practice
|April 12, 2001
Summary
Implementing professional development plans in Welsh healthcare practices faced challenges. While practices valued organizational development, existing health service structures hindered support for individual portfolios and systemic change.
Area of Science:
- Healthcare Education
- Organizational Development
- Health Services Research
Background:
- Uniprofessional education structures in healthcare limit quality improvement.
- Integrating professional learning with organizational development is proposed.
- Need for innovative approaches to healthcare professional development.
Purpose of the Study:
- To assess the feasibility of implementing practice and professional development plans in Wales.
- To explore the integration of individual professional development with organizational change.
- To identify barriers and facilitators to implementing such initiatives.
Main Methods:
- Qualitative observational study design.
- Involved 18 participating practices out of 541 alerted practices in Wales.
- Utilized non-participant observation, documentary analysis, and fieldwork.
Main Results:
- Implementation faced challenges including recruitment difficulties and practitioner suspicion.
- Practices recognized the value of shared ownership and commitment to change.
- Organizational support for individual portfolio completion was difficult.
- Effective teamwork culture was crucial for developing clinical service systems.
Conclusions:
- Organizational development holds potential for effective healthcare change.
- Individual contributions can be valuable in personal portfolios.
- Current health service education and management structures are inadequate.
- Alternative models for sustaining organizational development require evaluation.
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