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Lessons learned from implementing multidisciplinary health professions educational models in community settings.

Dona L Harris1, Rebecca C Henry, Carole J Bland

  • 1Mercer University School of Medicine, Macon, GA, USA. harris_d@mercer.edu

Journal of Interprofessional Care
|May 30, 2003
PubMed
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This study identifies key factors for sustaining multidisciplinary health professions education programs. Successful elements include strong leadership and aligned curricula, while barriers involve professional boundaries and unclear goals.

Area of Science:

  • Health Professions Education
  • Community Health
  • Interprofessional Education

Background:

  • Multidisciplinary health professions education in communities is crucial for addressing population health needs.
  • Sustainability of such programs is often challenged by various operational and structural factors.

Purpose of the Study:

  • To identify and analyze elements that facilitate or hinder the sustainability of multidisciplinary health professions education programs in community settings.
  • To provide observations and suggestions for planning and implementing successful community-based health professions education initiatives.

Main Methods:

  • A 5-year program evaluation of the Community Partnerships in Health Professions Education (CPHPE) initiative.
  • Data collection through pre/post surveys, site visits, published evaluations, site reports, and a 2-year follow-up.

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  • Analysis of outcomes from multiple health professions education institutions across seven US states.

    • Main Results:

    • Facilitating elements for sustainability included: strong leadership, complementary institutional missions, practice-aligned curricula, external change drivers, partnership boards, and faculty development.
    • Barriers to sustainability comprised: professional identity conflicts, institutional structural differences, program costs, and ambiguous goals.
    • Multidisciplinary components presented the most significant challenges but were largely successful and maintained in most programs.

    Conclusions:

    • Strategic attention to factors enhancing and detracting from interprofessional collaboration is essential for program sustainability.
    • Effective planning that addresses identified facilitators and barriers can lead to more successful and enduring multidisciplinary health professions education models in communities.