leadership development track

Envisioning Leadership in Health
Professions Education for the 21st Century 

  Final Report - Click Here

An Interprofessional Consensus Conference

October 17-18, 2010

Columbia University Faculty House

On October 17-18, 2010, the Associated Medical Schools of New York (AMSNY) and the New York State Academic Dental Centers (NYSADC), with support from the Josiah Macy Jr. Foundation and the ADEAGies Foundation, convened an interprofessional conference of more than 60 state and national leaders from academic health centers to envision the future health care delivery environment and leadership competencies that will be critical in the continually evolving healthcare system of the mid-21st Century. Issues for special emphasis included the training and leadership of interprofessional teams across the continuum of education and practice, systems-based quality improvement and change management,  modern educational technologies and simulation, and adapting educational pedagogies to meet the needs of the millennial learner.  

Representatives from medicine, dentistry, nursing, public health, social work, psychology, hospital systems, health policy and management, including recent inductees into the Institute of Medicine (IOM), discussed the future direction of health care education and delivery and how to work collectively across the professions to bridge the widening gap between the current training and practice of health care professionals and society's needs.

The conference was based on the premise that health professions' education must evolve beyond 20th century models and as such educational content and learning experiences must be pertinent to practice in the 21st century. Another key premise was that interprofessional  collaboration offers the potential to significantly improve the quality, efficiency and effectiveness of health care delivery so that structural changes to the educational system need to be implemented in order to foster collaborative models of interprofessional training.

Conference Goals

1. Identify future drivers of health professions education and the health care delivery environment of the mid 21st century, including essential leadership competencies;  
2. Determine strategies for implementing change in institutions, including barriers/challenges, and necessary resources, and;  
3. Develop the draft of a competency-based, leadership curriculum for health professions educators, to prepare them with the skills and abilities needed to educate future healthcare teams practicing in the mid 21st century.

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Conference External Advisory Board

As part of our research into best practices for health professions education leading up to the conference, AMSNY/NYSADC convened an external advisory board of representatives from innovative leadership programs and institutions across the country, to learn how they have responded to the changing landscape of health care education and delivery.

External Advisory Board Members
Carol Aschenbrener, MD - Association of American Medical Colleges
Robert D’Alessandri, MD - The Commonwealth Medical College
Linda Fried, MD, MPH - Columbia University, Mailman School of Public Health
Jody Gandy, PT, DPT, PhD - American Physical Therapy Association
Kristine Gebbie, DrPH, RN - Hunter-Bellevue School of Nursing
Deborah German, MD - University of Central Florida College of Medicine
Karl Haden, PhD - Academy for Academic Leadership
Kenneth Kalkwarf, DDS, MS - The University of Texas Health Science Center at San Antonio Dental School
Victoria Kaprielian, MD, FAAFP – Duke University School of Medicine
Mark Kelley, MD - Henry Ford Health Systems
Mary Lee, MD, MS - Tufts University
Cathryn Nation, MD - University of California
Lois Nora, MD - Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Steven Wartman, MD, PhD - The Association of Academic Health Centers

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In break-out sessions, facilitated by members of the conference External Advisory Board (EAB), conference participants were asked to identify educational challenges and areas for curricular reform, and determine organizational change strategies for transitioning outdated models of education into models that are better aligned with contemporary health care delivery. Participants also worked to develop a leadership curriculum for health professions educators to adequately prepare them to educate future health care teams practicing in the mid-21st century.

Conference Agenda

Recommendations

The conference yielded a set of recommendations for health professionals leading healthcare education and delivery systems an era of uncertainty and continuous change. A common overarching theme from the discussions was that, in order to meet society’s needs, now and in the environment of the mid 21st century, health education and delivery would need to focus on outward looking standards, motivated by the social mission of medicine and informed by public health. Participants agreed that, one of the most formidable challenges is the fragmentation of the healthcare system across education and practice settings, which results in inefficient and less effective quality of care at a higher cost. They agreed that, as the pace of change in the education and delivery of healthcare continues to accelerate and become increasingly complex, better integrated, more high-performing health systems would be critical, as would the leadership of these complex systems. 

In order to achieve far-reaching change, participants noted that there would need to be better systemic and educational integration:

1. Across the healthcare professions;

2. Across the continuum of education and practice;

3. Across healthcare providers throughout a patient’s lifetime; and,

4. Across practice settings.

Immediate Outcomes and Areas for Further Exploration

AMSNY and NYSADC will release a full report of the conference proceedings in winter of 2010/11.

In addition, the consortia will convene an interprofessional workgroup and NYS Caucus of Academic Nursing Schools to facilitate interprofessional training and collaboration across academic health centers in New York State.

The consortia also plan to hold symposia on the Leadership Competencies identified by conference participants as critical in the continually evolving healthcare system of the mid-21st Century.

Day 1 Presentations:

Jo Wiederhorn, President and CEO, AMSNY/NYSADC

http://vimeo.com/17389919

 George E. Thibault, MD, President, Josiah Macy, Jr. Foundation

http://vimeo.com/17547332

Richard W. Valachovic, DMD, MPH, President, ADEAGies Foundation

http://vimeo.com/16233325

Michael Reichgott, MD, PhD, Professor of Internal Medicine, Albert Einstein College of Medicine; Chair, AMSNY Medical Education Committee

http://vimeo.com/17392592

Ira Lamster, DDS, MMSc, Dean, Columbia University College of Dental Medicine

http://vimeo.com/17551789

Tom D’Aunno, PhD, Director, Executive MPH Program, Health Policy and Management, Columbia University, Mailman School of Public Health

http://vimeo.com/17696103

Day 2 Presentations:

Kristine Gebbie, DrPH, RN, Interim Dean, Hunter-Bellevue School of Nursing

http://vimeo.com/17988133

Gary Kalkut, MD, MPH, Senior Vice President and Chief Medical Officer, Montefiore Medical Center

http://vimeo.com/18231751

Marc Triola, MD, PhD, Chief, Section of Medical Informatics, Department of Medicine; Director, Educational Informatics, NYU School of Medicine; Chair, AMSNY Educational Informatics Committee

Terry Fulmer, PhD, RN, FAAN, Erline Perkins McGriff Professor and Dean, NYU School of Nursing

http://vimeo.com/18348630

Jody Gandy, PT, PhD, Director, Academic/Clinical Education Affairs at American Physical Therapy Association

http://vimeo.com/18238453