Reshaping Pharmacy and Allied Health Education for a Post-Pandemic World Using Kotter's Change Model

The COVID-19 pandemic brought unprecedented challenges to higher education. The extraordinary challenges created by the pandemic required equally extraordinary efforts from faculty and other stakeholders to rapidly convert face-to-face classes to online/hybrid instruction. This rapid change was facilitated by use of a robust framework for not only making changes in short order but also sustaining the changes to reshape healthcare education for a post-pandemic future. To this end, the chapter discusses the effective use of Kotter's 8-step framework to successfully implement change in healthcare education at a college of pharmacy and allied health professions. This chapter discusses each step of Kotter's 8-step process to create, implement, and sustain change in pharmacy and allied health education. The model integrated people, processes, and effective strategies to create changes amid the pandemic (crisis). Lessons learned and implications for the future in a post-pandemic educational environment are presented.

The Sum is Greater Than the Parts: Aligning Graduate Allied and Medical Health Education at a Training Institution

ABSTRACT Analysis of military Graduate Medical Education (GME) remains in the discussion forefront as resources continue to face scrutiny along with military-specific obligation challenges. The Military Health System Quadruple Aim of Better Care, Better Health, Lower Cost, and Increased Readiness continues to drive debate of the right approach to both GME and Graduate Allied Health education. In this paper, we expand the discussion beyond traditional physician-focused GME and include the military’s highly trained allied health specialists. Graduate Allied Health medical providers provide quality and effective medical care to the military’s service members and dependents. These specialists also carry a significant deployment and operational medicine footprint complimenting core physician medical specialties delivering cost-efficient, optimal patient care and providing a ready force. This paper addresses GME and GAH interprofessionalism, institutional culture endorsement, patient safety, increasing demand, research productivity, and encouraging physician retention altogether benefiting the Military Health System. This institution’s support for the interprofessional GME model works well, expanding physician and GAH specialists’ professional application and knowledge while garnering mutual respect across all medical disciplines ultimately benefiting all.

The role of educational theory in the future development of paramedicine as a profession: An integrative review

Introduction Paramedicine is at a critical juncture in its history as a healthcare profession. The evolution of paramedic practice in Australia over recent decades has culminated in its inclusion as a nationally registered, accredited, healthcare profession, while similar development is also occurring worldwide. Although paramedic education has developed over time, it is now the moment to determine whether existing educational approaches can adequately support its ongoing evolution as a profession. This article shares findings of a systematic, integrative review of characteristics of professions, allied health education and paramedic education literature. Methods Due to too little current research on approaches to paramedic education, the review aimed to distil essential requirements of professional education in general, and paramedic education in particular. This distillation served as an initial point of comparison with existing educational approaches in paramedicine. Literature was iteratively searched using PubMed, ScienceDirect and EBSCOhost megafile ultimate search engines, and was complemented with manual searches via professional networks, reference searches and Google Scholar. Results The literature review highlighted consistent themes relevant to paramedic education such as, the socio-political definition of a profession, methods for the identification of a profession, paramedicine as a distinct healthcare profession and the contemporary paramedic education framework. Conclusion Based on findings from this integrative review, we conclude that there is a potential misalignment between existing paramedic curricula and the educational scaffolding required to develop practicing paramedic professionals. We recommend further investigation of this potential misalignment as part of conceptualising an effective, quality, educational framework that is fit-for-purpose.

To what extent is telehealth reported to be incorporated into undergraduate and postgraduate allied health curricula: A scoping review

Background Telehealth has become a necessity within the medical and allied health professions since the COVID-19 Pandemic generated a rapid uptake worldwide. It is now evident that this health delivery format will remain in use well into the future. However, health education training, most particularly allied health, has been slow to ‘catch up’ and adapt curriculum to ensure graduates are equipped with the knowledge and skills to implement telehealth in the workplace. The aim of this study was to gain a comprehensive understanding of current telehealth curricula in undergraduate and postgraduate allied health education training programs, with a focus on the aims, objectives, content, format, delivery, timeline and assessments. Methods A systematic search of Medline, Embase, PsychINFO, Scopus, ERIC and relevant grey literature was conducted. Students studying allied health degrees through formal education at either postgraduate or undergraduate level were included, while nursing, dentistry and medical students were excluded. The data from the included studies was extracted and tabulated by country, participants, program and content. Results Of the 4484 studies screened, eleven met the eligibility criteria. All studies were published after 2012, highlighting the recency of research in this area. The studies were conducted in four countries (Australia, United Sates of America, United Kingdom, Norway) and participants were from various allied health professions. Of the included studies, four related to undergraduate programs, four to postgraduate programs and for the remaining three, this was not specified. Curricula were delivered through a combination of online and face-to-face delivery, with assessment tasks, where reported, comprising mainly multiple-choice and written tests. Conclusion Published reporting of telehealth curricula within allied health programs is limited. Even the minority of programs that do include a telehealth component lack a systematic approach. This indicates that further primary research would be beneficial in this area.

Co-designing a methodology for workforce development during the personalisation of allied health service funding for people with disability in Australia

Background Internationally, health and social services are undergoing creative and extensive redesign to meet population demands with rationed budgets. This has critical implications for the health workforces that serve such populations. Within the workforce literature, few approaches are described that enable workforce development for health professions in the service contexts that emerge from large scale service redesign in times of industry shift. We contribute an innovative and robust methodology for workforce development that was co-designed by stakeholders in allied health during the personalisation of disability funding in Australia (the introduction of the National Disability Insurance Scheme). Methods In the context of a broad action research project, we used program logic modelling to identify and enact opportunities for sustainable allied health education and workforce integration amidst the changed service provision context. We engaged with 49 industry stakeholders across 92 research engagements that included interviews (n = 43), a workshop explicitly for model development (n = 8) and a Project Advisory Group (n = 15). Data from these activities were inductively coded, analysed, and triangulated against each other. During the program logic modelling workshop, we worked with involved stakeholders to develop a conceptual model which could be used to guide trial and evaluation of allied health education which was fit-for-purpose to emerging workforce requirements. Results Stakeholder interviews showed that drivers of workforce design during industry shift were that (1) service provision was happening in turbulent times; (2) new concerns around skills and professional engagement were unfolding for AHP in the NDIS; and (3) impacts to AHP education were being experienced. The conceptual model we co-designed directly accounted for these contextual features by highlighting five underpinning principles that should inform methodologies for workforce development and AHP education in the transforming landscape: being (1) pedagogically sound; (2) person- or family-centred; (3) NDIS compliant; (4) informed by evidence and (5) having quality for all. We use a case study to illustrate how the co-designed conceptual model stimulated agility and flexibility in workforce and service redesign. Conclusions Proactive and situated education of the emerging workforce during policy shift is essential to realise future health workforces that can appropriately and effectively service populations under a variety of changing service and funding structures – as well as their transitions. We argue that collaborative program logic modelling in partnership with key stakeholders including existing workforce can be useful for broad purposes of workforce (re)design in diverse contexts.

Competency-Based Methods in Adult Cardiac Sonography and its Application to Credentialing

Objectives: This research examined the effects of multiple combined competency-based methods in an adult cardiac Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited diagnostic medical sonography program on clinical and didactic scores. Materials and Methods: A quasi-experimental nonequivalent group research design was used to evaluate students enrolled in an adult cardiac CAAHEP accredited echocardiography curriculum. Their cumulative final examination and clinical competency evaluation scores from multiple cohorts (pre- and post-intervention) were used for statistical analyses. Results: There were no significant differences between multiple competency-based assessments and didactic or clinical scores but unveiled reasons that coincide with the literature, such as nonvalid and subjective clinical assessment. Conclusion: These results suggest further evaluation of the credentialing process to ensure clinical competency.

Predicting Success in a Statistics Course Geared toward Allied Health Students

Statistics education is an important component of allied health education. Although success in statistics courses has been reported for students in fields such as business, nursing and psychology, there is a dearth of literature in students of other allied health science disciplines. As statistics is a gatekeeper course for many of these disciplines, understanding and addressing demographic predictors of success is a crucial step in helping to maintain a diverse healthcare workforce. In this study, ethnicity, gender, their interaction, age, and class format were used to predict 953 success outcomes in a retrospective dataset, with major being used as a random effect. Ethnicity alone predicted success, with students of other ethnicities having 0.6 times the odds of success as their Caucasian counterparts. As statistics is a potential gatekeeper course for success in health professions programs, academic instructors, administrators and other stakeholders should take steps to ascertain the incidence and nature of disparities in their settings, as it may play a role in maintaining a diverse healthcare workforce.

Invite Students to Skip the Unemployment Line: How Health Information Management Education Programs Can Increase Employability with Support from HIM Stakeholders

Students graduate from accredited programs every year with skills and competencies required by their profession of choice. However, employability remains an issue after graduation. Industry leaders and educators have a statistically significant difference in graduate preparedness for the workforce. When attempting to find a position in their career, graduates are told that without experience, they cannot secure a job. How does one attain the experience desired by employers? This paper posits that university connections and partnerships will assist graduates in securing positions and other required skills after graduation. The purpose of this paper is to extend the work started by Jackson, Lower, and Rudman, using an evidence-based management approach, to synthesize frameworks that will support allied health education programs with bridging the gap between curriculum, internships, practicums, and graduate employability. Also discussed will be the importance of considering both hard and soft skills in graduate employability.