Morse R M, Plungas G S, Duke D, Rollins L K, Barnes H V, Brinson B K, Martindale J R, Marsland D W
Virginia Center for the Advancement of Generalist Medicine (VCAGM), Charlottesville, USA.
Acad Med. 1999 Jan;74(1 Suppl):S24-9. doi: 10.1097/00001888-199901001-00027.
In response to Virginia's need for an increased supply of generalist physicians, the state's three medical schools--Eastern Virginia Medical School, Virginia Commonwealth University School of Medicine, and the University of Virginia School of Medicine--have formed a partnership with key governmental stakeholders in the Virginia Generalist Initiative funded by The Robert Wood Johnson Foundation's Generalist Physician Initiative. These state-supported medical schools historically have functioned independently, with little cooperative effort. This paper describes the consortium, its activities, its successes, and its unmet objectives, and uses a series of cases in point to illustrate relevant lessons learned. Some of these lessons are that (1) stakeholders must be involved from the beginning of planning to identify mutual goals and establish consortium protocols; (2) all partners must share a philosophical commitment to the consortium's mission, as well as the time and resources needed; (3) an atmosphere that enables risk-taking behavior must be created; (4) stakeholders must be willing to revise goals and sustain an environment conductive to change; and (5) trust is essential and must be vigilantly maintained. The paper concludes that the Virginia Generalist Initiative has dramatically altered the goals, objectives and programs of the three schools and has succeeded in aligning the schools' strategic objectives with the state's priorities.
为满足弗吉尼亚州对增加全科医生供应的需求，该州的三所医学院——东弗吉尼亚医学院、弗吉尼亚联邦大学医学院和弗吉尼亚大学医学院——与弗吉尼亚全科医生倡议中的主要政府利益相关者建立了合作伙伴关系，该倡议由罗伯特·伍德·约翰逊基金会的全科医生倡议资助。这些由州政府支持的医学院历来独立运作，很少有合作。本文描述了该联盟、其活动、其成功之处及其未实现的目标，并通过一系列实例来说明相关经验教训。其中一些经验教训包括：（1）利益相关者必须从规划开始就参与进来，以确定共同目标并制定联盟协议；（2）所有合作伙伴必须对联盟的使命以及所需的时间和资源抱有共同的理念承诺；（3）必须营造一种鼓励冒险行为的氛围；（4）利益相关者必须愿意修改目标并维持有利于变革的环境；（5）信任至关重要，必须时刻保持。本文得出结论，弗吉尼亚全科医生倡议极大地改变了这三所学校的目标、宗旨和项目，并成功地使学校的战略目标与该州的优先事项保持一致。
