Connors, Seifer, Sebastian, Cora-Bramble, and Hart laboration with the Cooperative Education Association (CEA) and the Corporation for National Service, hosted a two-hour national telebriefing to identify and discuss the barriers and facilitators of interdisciplinary service-learning in health professions education.2 Program directors from three HPSISN-funded schools described their experiences in developing interdisciplinary service-learning courses in the first funded year. Program directors were asked to briefly describe their programs and respond to the following questions: (1) what challenges did you face in developing your interdisciplinary service-learning program and how did you overcome them; (2) what resources (i.e. written materials, the support of certain key individuals) did you find helpful to you in developing your interdisciplinary service-learning program; and (3) what "lessons learned" would you share with faculty interested in developing interdisciplinary service-learning programs? We reviewed the telebriefing transcript and information obtained from the three schools' initial grant proposal and progress reports and summarize our findings in the sections below. George Washington University Program Overview The George Washington University School of Medicine and Health Sciences in partnership with George Mason University College of Nursing and Health Sciences have developed an interdisciplinary service-learning project entitled, Interdisciplinary Student Community Patient Education Service or ISCOPES. Teams composed of nursing, medical, physician assistant, and health services management students are exposed to a curriculum which emphasizes Community Oriented Primary Care (COPC) and Continuous Quality Improvement (CQI) through seminars, service-learning activities, and research in interdisciplinary team settings. Under the supervision of a multidisciplinary faculty, students conduct health promotion and disease prevention activities in the District of Columbia, Virginia and Maryland. This methodology focuses on involving all program partners to continually improve the process and systems in which they work. The main components of CQI involves the following cycle of steps: Plan, Do, Study, Act. The integration of servicelearning into the curriculum is led by the ISCOPES COPC Curriculum Committee which includes the lead curricular person from each discipline's degree program. 118 Program Goals The three main goals of the project are to: * develop interdisciplinary service-learning projects * develop an interdisciplinary COPC and CQI curriculum * develop a cadre of academic and community based faculty to support service-learning projects and to teach the curriculum Community Service Learning Activity Nurse practitioners, physician assistant, and medical students meet with an identified group of faculty and community faculty members to design a project together for a given site. Using a community-oriented approach, the community needs are first identified by the agency staff, students, and faculty. Once the community health needs have been identified, the student's service projects are mutually planned and executed by community and institutional partners. With 6 community sites involved to date in the service-learning program (Washington Free Clinic, Elderly Network, La Clinica de Pueblo, Headstart Programs, Iona House, and the United Planning Organization), the students address a range of different health promotion, disease prevention, and health education activities for preschoolers, the elderly, the homeless population, prisoners, abused women, adolescents in inner city schools and migrant groups. Prior to their service placements, students participate in an orientation to their service experience. Orientation components include student understanding and sensitivity to the community and its needs, idea development for health promotion activities, and team building concepts for the interdisciplinary service activity. Throughout the course of the service-learning project, students participate in reflection exercises in small group discussions facilitated by faculty. Community Involvement Community partners have a stake in the development of all areas of the interdisciplinary servicelearning projects. For example, community partners who have substantial experience in community service or with health professions students and have a commitment to the overall program are eligible to be selected as "Community Faculty." Their role ensures their active involvement and representation in the communities they serve and in the program. In addition, serving on the program's advisory committee are two community faculty and
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