Developing Competencies for Health System Impact: Early Lessons Learned from the Health System Impact Fellows.


Journal

Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107

Informations de publication

Date de publication:
10 2019
Historique:
entrez: 23 11 2019
pubmed: 23 11 2019
medline: 29 9 2020
Statut: ppublish

Résumé

The Health System Impact (HSI) Fellowship program provides highly qualified post-doctoral fellows studying health services and policy research (HSPR) with opportunities for experiential learning, enriched core competency development and mentorship from senior-level leaders within health system organizations. Its overall aim is to prepare post-doctoral fellows with the research and professional skills, experiences and networks to make meaningful and impactful contributions in careers in academic and applied health system settings. This study examined whether this HSI Fellowship program has contributed to the development of enriched core competencies in HSPR. A competency assessment tool was developed and administered to the 46 fellows and their health system and academic supervisors from the inaugural HSI Fellowship cohort. Fellows' self-assessments at baseline, three months and 12 months were analyzed, along with supervisors' assessments at three and 12 months. Descriptive analyses were used to examine competency development over time. Differences by gender and between supervisor and fellow ratings were analyzed. HSI fellows' self-assessments indicate that they strengthened their skills in all 10 enriched core competencies. Supervisors' assessments of the fellows' competencies also improved from baseline to 12 months. Gender differences at baseline disappeared by the 12-month assessment. The HSI Fellowship provides an opportunity to develop the full suite of enriched core competencies, particularly in competency domains that are not currently emphasized in HSPR doctoral curriculum.

Sections du résumé

BACKGROUND
The Health System Impact (HSI) Fellowship program provides highly qualified post-doctoral fellows studying health services and policy research (HSPR) with opportunities for experiential learning, enriched core competency development and mentorship from senior-level leaders within health system organizations. Its overall aim is to prepare post-doctoral fellows with the research and professional skills, experiences and networks to make meaningful and impactful contributions in careers in academic and applied health system settings.
OBJECTIVE
This study examined whether this HSI Fellowship program has contributed to the development of enriched core competencies in HSPR.
METHODS
A competency assessment tool was developed and administered to the 46 fellows and their health system and academic supervisors from the inaugural HSI Fellowship cohort. Fellows' self-assessments at baseline, three months and 12 months were analyzed, along with supervisors' assessments at three and 12 months. Descriptive analyses were used to examine competency development over time. Differences by gender and between supervisor and fellow ratings were analyzed.
RESULTS
HSI fellows' self-assessments indicate that they strengthened their skills in all 10 enriched core competencies. Supervisors' assessments of the fellows' competencies also improved from baseline to 12 months. Gender differences at baseline disappeared by the 12-month assessment.
CONCLUSION
The HSI Fellowship provides an opportunity to develop the full suite of enriched core competencies, particularly in competency domains that are not currently emphasized in HSPR doctoral curriculum.

Identifiants

pubmed: 31755860
pii: hcpol.2019.25979
doi: 10.12927/hcpol.2019.25979
pmc: PMC7017754
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

61-72

Informations de copyright

Copyright © 2019 Longwoods Publishing.

Références

Health Serv Res. 2018 Oct;53 Suppl 2:4004-4023
pubmed: 29527655
Int J Health Policy Manag. 2019 Aug 01;8(10):623-626
pubmed: 31657192
Healthc Policy. 2019 Oct;15(SP):16-33
pubmed: 31755857
Healthc Policy. 2019 Oct;15(SP):34-48
pubmed: 31755858

Auteurs

Meghan McMahon (M)

Associate Director, CIHR Institute of Health Services and Policy Research, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.

Adalsteinn Brown (A)

Dean, Professor, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.

Stephen Bornstein (S)

Professor, Division of Community Health and Humanities, Faculty of Medicine, Department of Political Science, Faculty of Arts, Memorial University; Director, Newfoundland and Labrador Centre for Applied Health Research; Co-Director, SafetyNet Centre for Occupational Health and Safety Research, St. John's, NL.

Robyn Tamblyn (R)

Professor, Department of Medicine and Department of Epidemiology, Biostatistics and Occupational Health, McGill University; Scientific Director (former), CIHR Institute of Health Services and Policy Research, Montreal, QC.

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Classifications MeSH