The Bridging the Gaps Program: Three Decades of Collaborative Service-Oriented Learning in the Health Professions.
The Bridging the Gaps Program: Three Decades of Collaborative Service-Oriented Learning in the Health Professions.
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弥合差距计划：卫生专业领域以服务为导向的协作学习的三个十年。
DOI：
10.1097/acm.0000000000005594
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Tuton,LucyWolf
中科院分区：
文献类型：
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作者：
Kakara,Mihir;Martinak,Ellen;McCormick,Bridget;Morales,KnashawnH;Bogner,HillaryR;Jacobs,Dina;Tuton,LucyWolf
卫生专业教育工作者正在继续为未来的卫生保健专业人员制定培训计划，以了解健康的社会决定因素，并通过面向服务的学习解决其培训机构的实际需求。虽然美国的个别项目已经试行了不同的模式，但缺乏对社区纵向增长和可持续性的项目的评估，这一点很重要，因为这些项目不仅对学生而且对他们所服务的社区都有长期影响。在本文中，作者描述了弥合差距（BTG）计划的长期影响。BTG项目最初于1991年成立，是一个学术卫生机构和社区组织合作项目，到2019年，BTG项目包括9个基于学术卫生机构的项目，与96个社区组织合作，雇用了15个学科的187名卫生专业学生。到2019年，该计划有5，648名校友。在3，104名校友中，2，848人（91.8%）认为该计划扩大了他们对弱势和/或经济弱势群体所遇到的健康问题的理解，3，101人中有2，767人（89.2%）认为该计划增加了他们与这些人群合作的兴趣。156人中共有142人（91.0%）报告了对其临床实践的影响，180人中有169人（93.9%）报告了对其专业角色的影响，109人中有64人（58.7%）报告了对其研究生涯的影响。在1 441个社区伙伴中，（97.2%）认为他们的组织与BTG计划之间的伙伴关系是有益的，1，423人中有955人（67.1%）认为BTG的学生为他们的组织带来了以前无法获得的资源，421人（77.1%）认为他们的机构与其他组织之间的联系得到了加强。BTG计划在其持续努力中展示了增长和可持续性，通过以服务为导向的学习将健康社会决定因素的培训纳入卫生专业教育。
Health professions educators are continuing to develop training programs for future health care professionals to understand social determinants of health and address practical needs of their training institutions via service-oriented learning. Although individual US programs have piloted different models, evaluations of programs that have demonstrated longitudinal growth and sustainability in the community are lacking, which is important because these programs can have long-term impacts not only on students but also on the communities they serve. In this article, the authors describe the long-term impacts of the Bridging the Gaps (BTG) program. First established in 1991 as an academic health institution and community organization collaborative, by 2019 the BTG program encompassed 9 academic health institution–based programs, partnering with 96 community organizations and employing 187 health professions students across 15 disciplines. By 2019, the program had 5,648 alumni. Of 3,104 alumni, 2,848 (91.8%) felt that the program broadened their understanding of health issues encountered by vulnerable and/or economically disadvantaged populations, and 2,767 of 3,101 (89.2%) felt that the program increased their interest in working with these populations. A total of 142 of 156 (91.0%) reported an effect on their clinical practice, 169 of 180 (93.9%) reported an effect on their professional role, and 64 of 109 (58.7%) reported an effect on their research careers. Of the community partners, 1,401 of 1,441 (97.2%) felt that the partnership between their organization and the BTG program was beneficial, 955 of 1,423 (67.1%) felt that BTG students brought resources to their organization that had previously been unavailable, and 1,095 of 1,421 (77.1%) felt that the linkages between their agency and other organizations were strengthened. The BTG program demonstrates growth and sustainability in its ongoing efforts to integrate training on social determinants of health via service-oriented learning into health professions education.