SEARCH Curriculum and Program Design

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SEARCH Curriculum and Program Design

• Evolution and
• Guiding Principles

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Evolution eras

• 1995 INCLEN and IDRC
• Principles for health system development and
  focus on community health
• Model of training and development for
  under-capacity areas with ongoing linkage
• Recognition of limitations of the academy to
  respond
• 1997Module-based themes
• Recognition of the need for faculty ownership
• Program design for inclusiveness and
  accessibility
• 2000-01 Curriculum Framework and Faculty team
• Stakeholder review and feedback (eg Red Deer and
  Edmonton)
• Pidgeon Lake retreat themes, plinths and threads

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April 2001 Whats new this time?

• Faculty team
• Curriculum frame
• Residential module schedule
• Approach to projects
• On-line environment
• Network

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Red Deer Joint Faculty MeetingApril 1, 2000

• Issues
• Cracks in the partnership disparate
  expectations, cultures, planning horizons
• Program planning processes need to be more
  participatory
• Explicit program logic model missing
• Confusion about levels of competency
• Confusion about timeline to see system change
• Complex organizational context and influence
  including on participants
• Need for infrastructure as well as Will and
  Leadership

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The Red Deer MeetingApril 1, 2000

• Skill sets needed in the curriculum
• Evidence-Based Decision Making
• Research
• Team member
• Change agent
• Collaborative network member
• Network infrastructure development
• Disseminate knowledge and skills
• Electronic technology use
• Development of and member of a supportive
  community
• Outcomes
• New faculty arrangements and team Program design
  process
• Increased focus on organizational context and
  partner engagement

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Pidgeon Lake Faculty RetreatJanuary 2001

• What are participants expected to do?
• Developing the program map threads, themes,
  plinths, modules, projects
• Project support
• On-line learning support
• Teams identified
• Modules scoped

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Pidgeon Lake Faculty RetreatResonating Ideas

• Developmental kind of person, a scholar
  practitioner, systematic practice, using in
  context
• Network building linkages, work as a team,
  richness of face to face, build network of
  expertise, curriculum conceptual framework
• Multi-directional learning packaging, learning
  a set of things, creating opportunity for growth,
  building of evidence, expose to a range of
  people
• Participants themselves back to organization,
  take on new roles, intriguing, learning, working,
  willing to do more, how fit into organization
• Entrepreneurial SEARCH a marketable product,
  stand alone, business proposition, put on this
  footing, franchising design tricks
• Not evangelical - Take up methods without buying
  into the religion - lots of noble things, how
  well we succeed, what SEARCH is not necessarily
  the best way, may do some good
• Challenges to quality research Doing or using
  dangers of under-trained, amateur researchers,
  evidence more helpful

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Pidgeon LakeIdeas on Outcomes

• Individual in Organization
• a formal internal presentation annually
• present to Board X times
• undertake relevant research wrt identified
  regional priority
• connect with people in other departmentsr
• reconnect with researchers in relation to shared
  information
• know how to get approval to do project
• connect with mentor to help make appropriate
  linkages
• be aware of organizations business plan and
  management structure
• connects with research resources, activities in
  the organization
• research supports in the organization are
  identified
• access to data
• IT supports

• Organization
• time commitment is honored (40)
• regular meetings with supervisor,
• mentor has been assigned
• supervisor, academic mentor, participant have met
  X times
• opportunity created for dissemination of project
  findings
• appropriate senior decision maker is identified
  and aware of project results
• Cross-boundary activity - links 

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April 2001 Key Concepts for Program Design

• Knowledge transfer and system change
• Organizational relationships
• Creating supportive environments
• Applied health research in Alberta
• Collaborative research teams - relevant topics
• A community of learning
• Growth and achievement
• variable and individualized goals for individuals
  and organizations

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Program Strategies

• Interactive teaching and learning
• Advocacy and recognition
• Research and development
• Ongoing linkage and support

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Curriculum Frame ThemesAn integrated curriculum
linked to goals
Creating Evidence
Choosing Evidence
Using Evidence
Context
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Curriculum Frame Threads

• Creating
• Research paradigms, policy and process
• Research designs, methods and techniques
• Evaluation and assessment methods
• Health data sources, analysis and management
• Research ethics - conduct and review
• Developing funding research projects programs
  

• Using
• Organizational change and change management
• Decision-making
• Understanding Context
• Skills for Navigating Context
• Managing the interfaces
• Writing and presentation skills
• Dissemination
• An Evidence Based Decision Making Health
  Organization

• Choosing
• Information management skills
• Health information systems
• Health knowledge sources
• Information searching, selection and
  retrieval
• Critical Appraisal of research for relevance,
  validity and importance
• Systematic Research Synthesis

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Learning Modes
face to face, faculty team, participants,
interested contributors, visiting speakers,
group work and discussion
Residential modules
Project learning
group and individual, faculty mentors,
collaborative teams RHA team members
On-line learning
curriculum preparation, follow-up and support,
discussion and team-building, project team work,
communications
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Supporting Approaches
Curriculum
Using Information Tools and Technologies
Creating and Participating in Collaborative
Networks
Personal Development - scholar practitioner and
change agent
Navigating Context personal, organisation,
system, province
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Residential sessions
Jan Feb Mar Apr May June July Aug
Sep Oct Nov - Dec
Calgary 7 days
Grande Prairie 5 days
Leth- bridge 5 days
Edmon- ton 7 days
Project learning
01
On-line learning
5 days
Red Deer 5 days
5 days
02
Wrap-up/ Transition
03
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Projects Topic Selection Engage RHA leadership
in framing research themes

• Province-wide consultation- the big themes
• Continuing Care
• Workforce Planning
• Resource Allocation
• Performance Measurement
• Primary Care
• Management involvement

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Projects MilestonesEnsure appraisal of project
results
Jan Feb Mar Apr May June July Aug
Sep Oct Nov - Dec
Theme and topic selection
Proposal and Plan development
Interest identification
01
Module IV
Module III
Module II
Module 1
Review Scientific/Ethics/Institution
Implementation / Data Collection/Analysis
02
Module VI
Module VI
Module V
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ReportingAbstract, Presentation, Report, Paper
Wrap-up/ Transition
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Online Environment
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A Network of Expertise

• Long term vision of research capacity in the
  health system requires
• building on initial individual capacity
• promoting long term sustainability of individuals
  within organizations
• Why more than training?
• Individual capacity lonely nature of gappers
  and bridgers
• System capacity disruption of networks, context
  of change

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Objectives of SEARCH Network

• develop a cohesive group across SEARCH cohorts
• develop ongoing working relationships
• identify common interests
• establish collaborative projects
• improve expertise
• improve dissemination and uptake

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How? February 2003

• Sustained Virtual Learning Community
• sharing the common workspace
• communications, discussion, collaboration
• mentoring and teaching
• access to knowledge resources and new learning
• Face-to-Face opportunities
• workshops linked to modules
• project clusters

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Virtual Learning Community

• SEARCH desktop
• common workspace, take it anywhere
• access to new knowledge supports
• shared progress and collaboration
• Funding (ideas)
• progressive sharing with health authorities
• 2 yrs - 100
• 1 yr - 50
• grandfather clause!

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Project Clusters (ideas 2003)

• People -focus
• SEARCHers
• and more
• Project -focus
• cross-boundaries
• Product -focus
• starting, finishing
• furthering, funding
• reporting, disseminating

• Support
• convening
• travelling
• facilitation
• writing help
• expert advice

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SEARCH Network 2003

• Continued engagement of 70 of participants in
  research and practice evaluation, outcome
  management, knowledge brokering, culture change,
  mentoring, program planning
• Success of health authorities in competing for
  grants for practice innovation, evaluation and
  research activities

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Fifth Cohort
Northwestern
Northernlights

• SEARCH I, 96-98
• SEARCH II, 98-00
• SEARCH III, 01-03
• SEARCH IV, 03-05
• SEARCH V, 05-07
• 9/9 health regions
• Cancer Board
• First Nations Branch

Peace
Keeweetinok
Mistahia
Lakeland
Aspen
Capital
E.Central
Crossroads
D Thompson
AHW AMHB MDs HC Other
RHA 5
Calgary
Headwaters
Chinook
Palliser
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Since 2001

• 2002
• Rose Bud
• What does a successful SEARCHer look like? the
  Cs
• Alumni House
• What are the faculty roles?
• Competency language
• 2003
• Calgary prep SEARCH IV
• Curriculum elements, competency levels and
  timing.
• Project re-definition and timing
• 2004
• Kananaskis - Integration
• Teach less, learn more
• 2005
• Edmonton prep SEARCH V
• Timing, reducing content

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SEARCH V Module 4 Keep

• Curriculum
• Short informatics sessions
• Show, tell, do in Computer Lab
• Repeat sessions
• Site visits
• Create, Use, Choose
• Small group work
• Mini clinics

• Program
• Pressure on RHAs to protect time
• Desktop
• Full text
• Adult learning philosophy
• Projects
• Provincial project meetings

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SV Module 4 Add

• Curriculum
• Pre-program assessment and basics if necessary
• More informatics skills sessions
• More mini clinics
• More small group work

• Program
• Curriculum available 2 - 3 weeks in advance
• Increase soundproof/clean accommodations
• Projects
• More project time earlier, with more faculty
  access (both individual and group)
• Mock proposal / project
• Intermodule group support and regular faculty
  contact (weekly)

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SV Module 4 Drop

• Curriculum
• Learning styles exercise

• Program
• Long weekends
• Didactic lectures
• Talking circle
• Grande Prairie
• Health regions doing laptop work

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SV Module 4 Change

• Curriculum
• Culture and context to Module 1
• Team building to Module 1
• Keep Module 1 with all introductory stuff
• Good/bad paper comparison
• Project Work
• Assign local project advisors sooner
• More clarity around local project scope earlier
• Decrease scope of provincial project

• Program Design
• More social open/close session
• Recruitment timeline pre Module 1
• Module 1 in September Module 2 before Conference
• Increase time between Modules 2 and 3
• Change Calgary module location to Banff
• Design of the day (various views)
• More innovative ways of information delivery

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Edmonton 2006The SEARCH Way

• What makes it SEARCH?
• Focus on learning, not teaching
• Content and delivery flexible and responsive to
  the context
• Supports individual AND community learning
• Enhanced through technologies
• Universally accessible
• Faculty roles
• Interest-based, flexible

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Calgary 2007

• Build on Edmonton 2007
• Prepare for SEARCH VI
• Integrate with Custom programming
• Be realistic
• what can we change/ improve THIS TIME?

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Calgary 2007Focus Areas

• Public health/population health concepts
• Are we paying attention? Can we improve?
• Balancing face to face and on line learning modes
• Building towards flexible courseware
• Elements that may be a good fit
• Integrating new faculty roles and people
• Opportunities for practice-based faculty
• Opportunities for leadership, mentoring

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Calgary 2007Additional Discussion

• Local Projects in Classic
• What are they?
• How do we best support them?
• Integrating topics
• Across themes
• Linking to the community through modules