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Coproducing Health Professions Education: A Prerequisite to Coproducing Health Care Services?
Robert Englander1, Eric Holmboe, Paul Batalden
1R. Englander is associate dean, undergraduate medical education, and professor, pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota. E. Holmboe is chief, research, milestones development and evaluation, Accreditation Council for Graduate Medical Education, Chicago, Illinois. P. Batalden is emeritus professor, Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. R.M. Caron is professor, Department of Health Management and Policy, College of Health and Human Services, University of New Hampshire, Durham, New Hampshire. C.F. Durham is professor and director, interprofessional education and practice, and director, education-innovation-simulation learning environment, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. T. Foster is professor of obstetrics and gynecology and of community and family medicine, Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. G. Ogrinc is senior associate dean for medical education and professor of medicine, Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. N. Ercan-Fang is associate director for medical education for primary and specialty care services, co-director, the VA longitudinal integrated clerkship, and associate professor of medicine, Minneapolis VA Health Care System and the University of Minnesota Medical School, Minneapolis, Minnesota. M. Batalden is interim chief quality officer, Cambridge Health Alliance, and assistant professor of medicine, Harvard Medical School, Boston, Massachusetts.
Healthcare services and education should adopt a coproduction model, recognizing patients and learners as experts. This shift from traditional methods is crucial for training effective clinicians and improving health outcomes.
Area of Science:
- Health Professions Education
- Healthcare Services Research
- Service-Dominant Logic
Background:
- The coproduction model in healthcare services emphasizes patient and provider collaboration for optimal outcomes.
- Traditional healthcare education models are often paternalistic and misaligned with the needs of modern practice.
- A service-dominant logic, valuing co-creation over mere service delivery, is proposed for both healthcare and education.
Purpose of the Study:
- To advocate for adapting the healthcare coproduction model to health professions education.
- To challenge the sustainability of traditional, paternalistic educational approaches in healthcare.
- To propose a framework for implementing coproduced education in health professions.
Main Methods:
- Conceptual analysis of service-dominant logic and coproduction models.
- Critique of traditional health professions education paradigms.
- Illustrative example from a longitudinal integrated clerkship.
Main Results:
- The current healthcare education system is unsustainable and fails to produce desired clinician competencies.
- Adapting the coproduction model to education is necessary for preparing clinicians for collaborative practice.
- A longitudinal integrated clerkship demonstrates possibilities for coproduced educational experiences.
Conclusions:
- Health professions education must shift towards a coproduction model to align with healthcare service delivery.
- Implementing coproduced education is essential for fostering clinicians capable of patient-centered, collaborative care.
- This alignment is vital for improving overall health outcomes.
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