DeBoer Sarah, Dockx Jamie, Lam Chris, Shah Shabdit, Young Gillian, Quesnel Martine, Ng Stella, Mori Brenda
Department of Physical Therapy, University of Toronto, Ontario, Canada.
Department of Speech-Language Pathology, University of Toronto, Ontario, Canada.
Can Med Educ J. 2019 Mar 13;10(1):e56-e67. eCollection 2019 Mar.
Clinical work-based internships form a key component of health professions education. Integral to these internships, academic health science partnerships (AHSPs) exist between universities and teaching hospitals. Our qualitative descriptive study explored the perspectives of hospital leadership on AHSPs: what they are composed of, and the facilitators and barriers to establishing and sustaining these partnerships.
Fifteen individuals in a variety of hospital leadership positions were purposively sampled to participate in face-to-face interviews, after which a thematic analysis was conducted.
Participants reported that healthcare and hospital infrastructure shapes and constrains the implementation of clinical education. The strength of the hospitals' relationship with the medical profession facilitated the partnership, however other health professions' partnerships were viewed less favourably. Participants emphasized the value of hospital leaders prioritizing education. Further, our findings highlighted that communication, collaboration, and involvement are considered as both facilitators and barriers to active engagement. Lastly, opportunities stemming from the partnership were identified as research, current best practice, improved patient care, and career development.
Our study found that AHSPs involve the drive of the university and hospitals to gain valued capital, or opportunities. Reciprocal communication, collaboration, and involvement are modifiable components that are integral to optimizing AHSPs.
基于临床工作的实习是卫生专业教育的关键组成部分。作为这些实习不可或缺的一部分,大学与教学医院之间存在学术健康科学伙伴关系(AHSPs)。我们的定性描述性研究探讨了医院领导层对AHSPs的看法:它们由哪些部分组成,以及建立和维持这些伙伴关系的促进因素和障碍。
有目的地抽取了15名担任各种医院领导职务的人员参与面对面访谈,之后进行了主题分析。
参与者报告称,医疗保健和医院基础设施塑造并限制了临床教育的实施。医院与医学专业的关系强度促进了伙伴关系,然而其他卫生专业的伙伴关系则不那么受青睐。参与者强调医院领导重视教育的价值。此外,我们的研究结果突出表明,沟通、协作和参与既被视为积极参与的促进因素,也被视为障碍。最后,伙伴关系带来的机会被确定为研究、当前最佳实践、改善患者护理和职业发展。
我们的研究发现,AHSPs涉及大学和医院获取有价值资本或机会的动力。相互沟通、协作和参与是可调整的组成部分,是优化AHSPs不可或缺的。