Embed Size (px)
Citation preview
The Business of Health Sciences Education: Is it Time to Reconsider
our Delivery Models?
Assembly of Health Science ProfessionsFebruary 14th/2014 CMA House
Jane Gamberg – Dean Health Sciences College of the North Atlantic, Chair CAAHPBill Dow – Dean Health Sciences, BC Institute of Technology, BC Rep CAAHP
Canadian Association of Allied Health Programs (CAAHP)
CAAHP: An affiliation group for Colleges and Institutions across Canada offering programs of study in the “allied health” fields (ie, excluding Medicine and Nursing)
Mission: To be the national voice for health sciences education
Vision: To shape the future of health sciences education within the college and institute system
Canadian Association of Allied Health Programs
The activities and affairs of CAAHP are conducted by a Board of Directors according to an approved set of bylaws. The Pan Canadian Board consists of eight members representing the following regions:British Columbia, Alberta, Saskatchewan, Manitoba, Ontario (2 members), Quebec, Atlantic provinces
Canadian Association of Allied Health Programs
Membership The institutional membership of the association shall consist of
publicly funded institutions offering Health Sciences Programs in post-secondary education. They shall be represented by the Dean, Director or equivalent.
An organization agency or individual with an interest in the mission and purpose of the association may become affiliate members of the association.
Canadian Association of Allied Health Programs
One face-to-face board meeting per year Annual Conference / AGM
o Consistent attendance / Positive feedback
Exploring ways of broadening CAAHPs impact to enhance the value of membership in the organizationo 2012 facilitated strategic planning session
CAAHP Priorities Until a couple of years ago, primarily focussed on two areas:
simulation and interprofessional education (IPE)Since then, shift towards broader issues, in particular on the
changes that are occurring in health care and how to best align our programs to ensure sustainability and to maximize on the opportunities presented (recognizing that both simulation and IPE will play a role the process)
2014 CAAHP Conference AGM:
oCAPITAL IDEAS / THINKING TO ACTION: FORECASTING SYSTEM CHANGES AND THEIR IMPACT ON ALLIED HEALTH PROGRAMS
o May 28 and 29, 2014 at La Cite Collegiale, Ottawa
The Ten Pillars Shaping the Future of Health Science Education
Learner and Learning Focussed
Competency and Outcome Based
Interprofessional Emphasis
Simulation and Virtual Pedagogy
Team Based Performance Assessment
Sequential Competency Alignment
Academic Health Center Based
Care / Safety Outcome Accountable
Diversity and Globally Focussed
Economic and Sustainably Deliverable
Jeffrey P Gold, MD
Ten structural elements upon which the future ofeducation in the health sciences will likely be built:
The Education & Training for Health Care Transformation Conference
So What Else Will I Talk About? What are the prevalent trends in both Education and
the Health system? What is necessary to pay attention to for programs to
remain successful? Challenges in practice education and time for radical
adjustments Rethinking the professional silos What can the AHSP do?
Future How Dare We! Anyone who tries to suggest anything
definitive about the future should be thrown out
However……..
Lets be prepared to allow the uncertainty of the future as a means to provoke new thinking
And………
If we look at current trends it would appear something is going to change!! So why not utilize someone who is constantly distilling trends and events in the education system.
Ken Steele – Eduvation Blog Sept 19/13 references 6 trends…….I have 8
Ken Steele has 6 and I have 8…… Trends Declining Youth Demographics Intensifying Urbanization Labor Market Swings Back Part Time Students Virtualization of the Campus Public pressure for Transferability
The Health System will continue to struggle PSE funding models will increasingly be uncertain
Declining Youth Demographics Estimate some 400,000 less youth between 2013 and 2028
All the 18 year olds that can enroll in 2030 are now born
Immigration will keep Vancouver, Toronto and Calgary on the growth side
Deficit impact will be felt in other cities/areas of Canada
Students will increasingly target their investment to specific skill development – mostly because of government policy and messaging will change social norms. And labor market will push in this direction, ie you want a job you do “x”.
Intensifying Urbanization Suggested those education centers outside of the principle urban centers
will experience declines in enrolments…….outside defined as more than 2-3 hour drive
New Canadians tend to locate in major urban centers………..hence the growth in those cities
Limits with International recruitment- costly and competitive globally
Labor Market Pendulum Swings Back Stats Canada – by 2030 approx. we will have a deficit of 4 million skilled
workers
Expect government and employers to shift toward creating mechanisms for faster access to the labor force, for example on-the-job training.
Labor shortages create comfort with “good enough”……..credentials have less meaning.
Quoting Don Wright – former President of BCIT on the future of trends of the labor market will require……“modularized and just-in-time human capital development”.
Part Time Students The reality is students are juggling many different
responsibilities, for example the % of full-time students who are working has risen since 1977 from 22% to 50%. The % will continue to rise.
Students are much more focused on co-op or work integrated learning opportunities – especially where skill shortages exist.
Technologies are providing alternatives – shift is already happening
Virtualization of the Campus Data (BCIT and others) suggests students really like face to face education
experience
However as the skill shortage takes hold and rural
access is required many more programs will be
delivered on-line
Technology is a catalyst not a solution –
but new skills required by Faculty to ensure
high quality education
Conversion to on-line is expensive!
Public Pressure for Transferability Access has to be as open as possible – big push from
government to reorganize the system Students sensitive to the investments made and will demand
credit for not just courses but work experiences. Mechanism necessary for aggregating educational activities to
attain “credential” and/or confirm competency
Health System will continue to struggle Health system pace of expenditure will cripple the treasury of
each province. Issue is affordability! System redesign remains on the edges and more likely
resembles tinkering than substantive change Expect continued experiments– eg. New HR models, pay for
performance Lacking of a strong national vision making progress on real
change very difficult ; in-fact threatens to undermine the notion of a publically funded healthcare system (which may be the plan)
PSE Funding Models will be increasingly be uncertain
“Health care increase is PSE decrease” – governments have supported PSE development to increase access but are about to hit a funding wall.
Several jurisdictions in Canada have implemented decreases in base/grant funding to PSE.
Value for dollar spent is essential – hence the emphasis on job skill development (easier to justify politically) and target funding.
Competition for capital – renos/buildings/equipment is harsh and will continue to be so
Expect the rise of the private education providers – faster, cheaper and supported by employers.
Professional associations and regulators run the risk of being marginalized (by government) if not “solution” focused.
Oh My!! He is going to suggest solutions?!
Competencies – Entry to what practice?
Capitalize on “best practice”
Think Career vs Job Entry
Simulation – time to redefine practice education
Student of the future – we are already out of touch
What can the AHSP do? Capitalize on “collective voice” – eg. we need help with funding
simulation Appreciate the notion of “independent” disciplines is difficult
to sustainable – It may not even make sense. Can we identify a process to support bold moves? Ensure the processes of accreditation and quality oversight do
not inadvertently restrict innovation Keep the communication pathways short – the world is
changing quickly and important to maintain updates
