Don't let up: implementing and sustaining change in a new post-licensure education model for developing extended role practitioners involved in arthritis care
- PMID: 26347223
- PMCID: PMC4556301
- DOI: 10.2147/JMDH.S83237
Don't let up: implementing and sustaining change in a new post-licensure education model for developing extended role practitioners involved in arthritis care
Abstract
Key message: Across a 9-year period, the Advanced Clinician Practitioner in Arthritis Care program has achieved a set of short-term "wins" giving direction and momentum to the development of new roles for health care practitioners providing arthritis care.
Implication: This is a viable model for post-licensure training offered to multiple allied health professionals to support the development of competent extended role practitioners (extended scope practice). Challenges at this critical juncture include: retain focus, drive, and commitment; develop academic and financial partnerships transferring short-term success to long-term sustainability; advanced, context-driven, system-level evaluation including fiscal outcome; health care policy adaptation to new human health resource development.
Supporting evidence: Success includes: completed 2-year health services research evaluating 37 graduates; leadership, innovation, educational excellence, and human health resource benefit awards; influential publications/presentations addressing post-licensure education/outcome, interprofessional collaboration, and improved patient care.
Keywords: allied health professionals; arthritis; extended role practitioners; human health resource development; post-licensure education.
References
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- Cohen DS. Heart of Change Field Guide. Tools and Tactics for Leading Change in Your Organization. Part III: Implementing and Sustaining the Change. Step 7. Don’t Let Up. Deloitte Development LLC, USA: Harvard Business Press; 2005. p. 163.
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- Advanced Clinician Practitioner in Arthritis Care (ACPAC) University of Toronto; [Accessed: June 15, 2015]. Available from: http://www.acpacprogram.ca.
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- Lundon K, Shupak R, Sunstrum-Mann L, Galet D, Schneider R. Leading change in the transformation of arthritis care through development of an interprofessional academic clinical education training model. Healthcare Quarterly. 2008;11(3):59–65. - PubMed
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- MacKay C, Devitt R, Soever L, Badley E. Arthritis Community Research and Evaluation Unit (ACREU) Report. Toronto (ON): University Health Network; 2005. An exploration of comprehensive interdisciplinary models for arthritis; pp. iv–vi.
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