1 International Centre for Disability and Rehabilitation Report of the Meeting of the Minds Research on International Clinical Education May 30 th, 2011
2 Overview On May 30 th, 2011, The International Centre for Disability and Rehabilitation (ICDR) at the, convened a meeting to generate discussion about developing research that examines aspects of international clinical education (ICE). Nearly 30 people attended the meeting (see Appendix A), bringing a wealth of experience and a range of interests. From this initial discussion, several research themes emerged which provide direction for further discussion. These themes and ICDR s plans are described below. ICDR s Commitment to Education and Research The ICDR was formed in 2004 with a dream of making global issues related to disability and rehabilitation a focus within the Rehabilitation Sciences Sector, the Centre for International Health, and throughout the. ICDR quickly became a hub for like-minded people interested in, and committed to, a common vision and a set of values. ICDR now enjoys formal, robust partnerships in eight countries (see Appendix C) and informal relationships in many others. ICDR has become a point of entry for rehabilitation students, faculty and clinicians seeking international experiences. From the start, ICDR has been committed to an approach that integrates research and education into practice and capacity-building activities. ICDR Update In 2010, ICDR completed a five-year retrospective internal review followed by an external review in order to inform ICDR s 2011-2014 strategic plan. This strategic plan highlights future directions for education and research, as aligned with ICDR s mission and core values and building on its strengths (http://www.icdr.utoronto.ca/files/images/d28db4da4a403ec.pdf). One of the plan s strategic directions is an enhanced emphasis on research and policy related to international clinical education. This Meeting of the Minds is a step toward realizing this strategic direction. Goals of the Meeting of the Minds Academic approaches to global issues, particularly as they relate to health, are increasingly the focus of initiatives at the in general and the Faculty of Medicine specifically. Students have reported being attracted to the Rehabilitation Sciences Sector because of the increased focus on global issues. International clinical education opportunities are one of the ways that the Rehabilitation Sciences Sector and the ICDR are increasing the focus on global health and rehabilitation issues within the curricula. A key direction in ICDR s strategic plan is to formalize and implement a program of research investigating dimensions of international clinical education. Over 120 students from the Rehabilitation Sciences Sector have experienced international clinical internships and the numbers are increasing. A complementary
3 program of research is required to better understand how to advance these educational opportunities. The Meeting of the Minds on May 30 th, 2011, aimed to provide an opportunity for faculty, clinicians, students, researchers and others who share an interest in international clinical education to come together and brainstorm about future research possibilities. The meeting also served as a medium to network, share current research and explore shared interests (see Appendix B). Emerging Research Themes Attendees discussed ideas for research priorities in international clinical education. After an informative and thought provoking discussion of research topics and gaps, the following themes emerged from the meeting. 1. Research on operational models of international clinical education! Includes type of student most likely to be successful, supervision structures, expectations of students/supervisors/community/client, navigation of cultural values and differences, how to optimize the match between student and placement 2. Research on ethical underpinnings and dimensions of international clinical education! Includes concept of ICE as extracting more from host communities than it contributes, the various impacts of ICE, reflecting on the assumption of altruism as a motivation for ICE, justice, issue of balancing cost and benefits for all stakeholders (home country, internationally), whose research and education agendas are served by ICE 3. Research to develop an evaluative international clinical education framework! Includes measuring cost and benefits to home country and placement country, how is it operating now, workload measurement, what is good about ICE and how good is it at meeting stated objectives, how to best evaluate students on core competencies, other skills developed internationally, cultural competency tools 4. Research exploring the sustainability of international clinical education! Includes funding sources, buy-in from corporations, partners and professional colleges for research and placement, students returning as supervisors, sustainability of socially desirable outcomes, effective partnerships, why some students leave the field, added value of ICE Next Steps! ICDR will convene a second meeting to bring together stakeholders interested in further exploring these research themes.! Selected ICDR groups will recreate the Meeting of the Minds dialogue with their partners in low and middle income countries.
4! Meeting participants are encouraged to share this report and connect directly with potential collaborators met during this first meeting (see Appendix A). For more information, please contact: Stephanie Nixon Penny Parnes Deb Cameron stephanie.nixon@utoronto.ca penny.parnes@utoronto.ca deb.cameron@utoronto.ca International Centre for Disability and Rehabilitation 160-500 University Ave Toronto, Ontario, Canada M5G 1V7 Phone: 416-946-8556 Fax: 416-946-8643
5 Appendix A: Meeting Attendees Name Affiliation Email Angie Andreoli andreoli.angie@torontorehab.on.ca Toronto Rehab Donna Barker donna.barker@utoronto.ca Fieldwork Coordinator Kim Bradley Speech Language Pathology kim-bradley@sympatico.ca Acquired Brain Injury Cathy Cameron Research Coordinator cathy.cameron@rogers.com Deb Cameron deb.cameron@utoronto.ca ICDR Trinidad Nancy Christie nancy.christie@utoronto.ca ICDR Lynn Cockburn l.cockburn@utoronto.ca ICDR Cameroon Don Cole Dalla Lana School of Public donald.cole@utoronto.ca Health Donna Drynan ddrynan@mail.ubc.ca Academic Fieldwork Coordinator University of British Columbia Cindy Ellerton c.ellerton@utoronto.ca Lynn Ellwood Speech Language Pathology lynn.ellwood@utoronto.ca Fieldwork Coordinator Carol Fancott carol.fancott@utoronto.ca Toronto Rehab Michelle Fraser IHD fraser.physio@sympatico.ca (regrets) Chair Elect for AGM Congress Mike Landry mike.landry@utoronto.ca Sylvia Langlois s.langlois@utoronto.ca Interprofessional Education Ellen Leung ellen.leung@utoronto.ca Community Care Access Centre MScCH candidate ICDR Kenya Peter Morris Abrazos Canada peter.morris1@sympatico.ca Edith Ng ng.edith@torontorehab.on.ca Toronto Rehab Stephanie Nixon stephanie.nixon@utoronto.ca
6 Janet Njelesani Penny Parnes Celia Pechak Jackie Schleifer-Taylor Lynne Sinclair ICDR Speech Language Pathology ICDR University of Texas, El Paso Member of global health think tank Interprofessional Education janet.njelesani@utoronto.ca penny.parnes@utoronto.ca cmpechak@utep.edu jackie.schleifertaylor@utoronto.ca l.sinclair@bell.net Meredith Smith meredith.smith@utoronto.ca Fieldwork Coordinator Marianne Stevens PhD candidate marianne.stevens@utoronto.ca Anne Warrick Speech Language Pathology awarrick@rogers.com Brittney Wiley Student brittney.wiley@utoronto.ca ICDR Mike Willekes ICDR Kenya mikewillekes@gmail.com Trish Williams Speech Language Pathology trish.williams@uhn.on.ca Toronto General Hospital Karen Yoshida karen.yoshida@utoronto.ca
7 Appendix B: Selected Resources Submitted by Participants Conferences Global Health Conference, Montreal, Quebec November 13-15 th, 2011 Abstracts due August 1 st, 2011 www.2011globalhealth.org Websites Abrazos Canada Charitable Foundation! Pina Palmera http://www.pinapalmera.org/historia_en.htm! Hijos de la Luna www.hijosdelaluna.org! Arthur Frederick Community Builders www.afcb.ca! Projimo Duranguito www.avemariasongs.org/projimo/duranguito/index.htm Scholarly Articles Lattanzi, J. B., & Pechak, C. (2011). A conceptual framework for international servicelearning course planning: promoting a foundation for ethical practice in the physical therapy and occupational therapy professions. Journal of Allied Health, 40(2), 98-104. McAllister, L., Whiteford, G., Hilla, B., Thomasa, N., & Fitzgerald, M. (2006). Reflection in intercultural learning: Examining the international experience through a critical incident approach. Reflective Practice, 7(3), 367-381. doi:10.1080/14623940600837624 Panos, P. T. (2005). A model for using videoconferencing technology to support international social work field practicum students. International Social Work, 48(6), 834-841. Pechak, C., & Thompson, M. (2010). Going global in physical therapist education: international service-learning in United States-based programs. Physio Research Intl, 2010 Dec 7. doi: 10.1002/pri.501. [Epub ahead of print]. Pechak, C., & Thompson, M. (2009). A conceptual model for international servicelearning and its application to global health initiatives in rehabilitation. Physical Therapy Journal, 89(11), 1192-1202. Pechak, C., & Thompson, M. (2009). International service-learning and other international volunteer service in physical therapist education programs in the US and Canada. Journal of Physical Therapy Education, 23(1), 71-79. Pechak, C., & Cleaver, S. (2009). A call for a critical examination of ethics in global health initiatives in physical therapy education. Health Policy and Administration Resource, 9(2), 9-10.
8 Pechak, C. International clinical education in physical therapist education: an exploratory study. Resubmitted revision April 2011. Anticipated publication Fall 2011. Journal of Physical Therapy Education. Accepted With Revision - Revision Under Review Razack, N. (2002). A critical examination of international student exchanges. International Social Work, 45(2), 251-265. doi: 10.1177/00208728020450020801 Simonelis, J., Njelesani, J., Novak, L., Kuzma, C., & Cameron, D. (in press, 2011). International fieldwork placements and occupational therapy: Lived experiences of the major stakeholders. Australian Journal.
9 Appendix C: The International Centre for Disability and Rehabilitation Working Groups and Chairs Working Group Bangladesh Cambodia Cameroon Kenya Pakistan Philippines Tanzania Trinidad Contact Christine Huang Laura Passalent, Crystal McKay, Euson Young Lynn Cockburn Mike Willekes, Julie Hard, Blythe Dalziel Farrukh Chishtie Jeffrey Andrion, Rudy Quimbo Trish Williams Deb Cameron, Sandie Le