Improving Placement Capacity, Staff Recruitment and Patient Care with Collaborative Placement Models
Notice bibliographique
Résumé
In April 2023, the UBC MPT program collaborated with VCH to plan a 4:1 collaborative student placement model. Units were chosen based on student need, patient stability and staffing, with two general surgery and two medical units selected. Preceptors were recruited via an expression of interest.Students self-selected for placements, and both preceptors and students received training informed by a literature review, one month prior to the pilot, running from August 21 to September 22, 2023. Evaluation included student and preceptor experience via online surveys and objective measures, including total placements offered, physiotherapy occasions of service, and new graduate hires into VCH’s New Graduate program. Student surveys had a 56% response rate, with overall positive feedback on opportunities to apply theoretical knowledge and develop clinical reasoning. Students felt they received sufficient feedback and interprofessional opportunities, but noted limited 1:1 time with preceptors.Preceptor surveys had a 100% response rate, with preceptors feeling well-prepared and supported by UBC. They enjoyed the educator role and were open to supervising again. Challenges included managing student expectations for 1:1 time and balancing both documentation reviews and supervision with varying student abilities.Objective data showed a 58% increase in placement capacity at VCH compared to the previous year and a 50% increase in physiotherapy occasions of services for patients during the pilot. New graduate hires from UBC to VCH rose by 67%, with two thirds of those being pilot participants. This pilot demonstrated that collaborative placement models can effectively be implemented to increase placement capacity and may increase recruitment in public health.Future efforts will prioritize enhancing placement experience for all participants, including implementing a comprehensive orientation to ensure students understand the balance between 1:1 time in a collaborative placement and other advantages, including peer learning. Additionally, preceptor support will be strengthened, particularly for managing varying competency levels. The primary aim of this project was to explore whether a 4:1 collaborative placement model could be implemented in acute care to increase placement capacity while secondarily determining the impact on patients and recruitment of new graduates to public health. Following the pilot's success, VCH permanently adopted the 4:1 collaborative model and created a Student Educator position to support preceptors and students. Other BC health authorities and Canadian universities have shown strong interest in replicating the model. To support knowledge translation of the pilot, a comprehensive toolkit is being developed to guide other sites in its implementation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,054 | 0,093 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,002 |
| Études des sciences et des technologies | 0,004 | 0,002 |
| Communication savante | 0,006 | 0,005 |
| Science ouverte | 0,007 | 0,016 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,012 | 0,003 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».