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跨专业教育与“同一健康”的交叉融合:一项针对人类和兽医学机构的定性研究。

The intersection of Interprofessional Education and One Health: A qualitative study in human and veterinary medical institutions.

作者信息

Tucker Claire, Keyel Jake, Blue Amy, Chun Ruthanne, Estrada Amara, Khalili Hossein, Riles Anuja, Roopnarine Rohini, Sick Brian, VandeWoude Sue, Watson Brittany, Wisnieski Lauren, Webb Tracy

机构信息

One Health Institute, Colorado State University, 2016 Campus Delivery, Fort Collins, CO 80523-2016, United States of America.

Department of Sociology and Anthropology, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028, United States of America.

出版信息

One Health. 2024 Jun 29;19:100767. doi: 10.1016/j.onehlt.2024.100767. eCollection 2024 Dec.

Abstract

Interprofessional Education (IPE) and One Health are two common and overlapping frameworks for teaching collaborative practice. IPE is common at human medical institutions, while One Health is more common in graduate and veterinary programs. The connection between IPE and One Health is still being explored both in scholarship and in real-world professional settings. This prospective, qualitative research study examines the intersection of IPE and One Health at institutions that are members of the Clinical and Translational Science Award (CTSA) One Health Alliance (COHA). COHA consists of veterinary schools partnered with medical institutions through the National Institutes of Health CTSA funding mechanism with the specific goal of advancing the understanding of diseases shared by humans and animals. Twenty-four interviews were conducted with professionals across eight professions. Subjects noted that some of the biggest barriers to IPE education were awareness, accessibility, efficacy, and implementation beyond the classroom. Competency across multiple institutions and a consistent, validated evaluation tool were noted to be lacking. Interviews highlighted a lack of a shared mental model for IPE and One Health across the medical professions, major hurdles for implementation in professional curricula, and a disconnection between bridging IPE and One Health to the workforce and global challenges. Future work in this area may be focused on assessing the IPE and One Health offerings beyond COHA institutions, giving a more holistic understanding on how IPE and One Health are being deployed. One Health can be operationalized through the adoption of IPE principles and practices into curriculum. This research is critical to educate others on current applications, role, and definitions of One Health and IPE. The ultimate goal of this work is to help cultivate transdisciplinary leaders in the human and animal medicine who will have the skills to solve systemic problems.

摘要

跨专业教育(IPE)和“同一健康”是两个常见且相互重叠的协作实践教学框架。IPE在人类医疗机构中很常见,而“同一健康”在研究生和兽医项目中更为常见。IPE与“同一健康”之间的联系在学术研究和现实世界的专业环境中仍在探索。这项前瞻性的定性研究考察了临床和转化科学奖(CTSA)“同一健康”联盟(COHA)成员机构中IPE与“同一健康”的交叉点。COHA由通过美国国立卫生研究院CTSA资助机制与医疗机构合作的兽医学院组成,其具体目标是增进对人类和动物共患疾病的理解。对八个专业的专业人员进行了24次访谈。受访者指出,IPE教育的一些最大障碍是意识、可及性、有效性以及课堂之外的实施。注意到缺乏跨多个机构的能力以及一致、经过验证的评估工具。访谈突出了医学专业之间缺乏关于IPE和“同一健康”的共享思维模式、专业课程实施的主要障碍,以及将IPE和“同一健康”与劳动力和全球挑战联系起来方面的脱节。该领域未来的工作可能集中在评估COHA机构之外的IPE和“同一健康”课程,以便更全面地了解IPE和“同一健康”是如何被应用的。通过将IPE原则和实践纳入课程,可以使“同一健康”得以实施。这项研究对于向其他人传授“同一健康”和IPE的当前应用、作用及定义至关重要。这项工作的最终目标是帮助培养人类和动物医学领域的跨学科领导者,他们将具备解决系统性问题的技能。

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