Headrick L A, Knapp M, Neuhauser D, Gelmon S, Norman L, Quinn D, Baker R
Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, USA.
Jt Comm J Qual Improv. 1996 Mar;22(3):149-64. doi: 10.1016/s1070-3241(16)30217-6.
Recognizing the need to find new models for educating health professionals, the Institute for Healthcare Improvement (IHI) initiated the Interdisciplinary Professional Education Collaborative in April 1994. The goal of the Collaborative is to improve health care by working from upstream, to address the health professions workforce changes demanded by the need to deliver better care at a lower cost. With support and advice from IHI and others, faculty leaders in health professions education from the disciplines of medicine, nursing, and health administration framed a vision of the future in which "health professions education has evolved into an integrated teaching/learning environment in which health professionals are working together across discipline boundaries, using the best knowledge for improvement to continuously improve health care". This article describes the first year of the three-year project.
The 1994-1995 pilot year of the Collaborative involved more than 60 learners and 50 faculty members, across multiple disciplines. At each of the four sites, education was integrated with efforts to improve health care delivery. Education-oriented outcomes include assessment of student learning (applied knowledge and skills) and program evaluation (student and faculty feedback on the effect of the project on community-based experiential learning sites). Even at this early stage, there is evidence of change in participating institutions. The Collaborative in now planning how to increase the number of students and faculty involved in such a way that a deeper understanding of how to prepare new health professionals to improve health care may be determined.
认识到需要寻找新的模式来培养卫生专业人员，医疗改进研究所（IHI）于1994年4月发起了跨学科专业教育协作项目。该协作项目的目标是从上游着手改善医疗保健，以应对因需要以更低成本提供更好的护理而对卫生专业人员队伍提出的变革要求。在IHI及其他方面的支持和建议下，医学、护理和卫生管理等学科的卫生专业教育领域的教师领导者勾勒出了一幅未来愿景，即“卫生专业教育已演变成一个综合的教学/学习环境，卫生专业人员跨越学科界限共同协作，运用最佳知识进行改进，以持续改善医疗保健”。本文描述了这个为期三年项目的第一年情况。
协作项目1994 - 1995年的试点阶段涉及多个学科的60多名学习者和50名教师。在四个地点中的每一个，教育都与改善医疗服务的努力相结合。以教育为导向的成果包括对学生学习（应用知识和技能）的评估以及项目评估（学生和教师对该项目对基于社区的体验式学习场所的影响的反馈）。即使在这个早期阶段，也有证据表明参与机构发生了变化。协作项目目前正在规划如何增加参与的学生和教师数量，以便能够确定对如何培养新的卫生专业人员以改善医疗保健有更深入的理解。
