open access publication

Article, 2022

Preparing the Leaders of Tomorrow: Learnings from a Two-Year Community of Practice in Fragility Fractures

Journal of CME, ISSN 2161-4083, 2833-8073, Volume 11, 1, Page 2142405, 10.1080/21614083.2022.2142405

Contributors

Murray, Suzanne 0000-0002-3534-8379 (Corresponding author) [1] Langdahl, Bente Lomholdt 0000-0002-8712-7199 [2] Casado, Enrique Sáenz 0000-0001-8839-6430 [3] Brooks, Keyla [4] Libanati, Cesar R 0000-0003-1427-7839 [5] Di Lecce, Livio [6] Lazure, Patrice 0000-0002-9278-1718 [1]

Affiliations

  1. [1] Axdev Group (Canada)
    2. [NORA names: Canada; America, North; OECD];
  2. [2] Aarhus University Hospital
    3. [NORA names: Central Denmark Region; Hospital; Denmark; Europe, EU; Nordic; OECD];
  3. [3] Department of Rheumatology, University Hospital Parc Taulí, I3PT Research Institute, Sabadell, Barcelona, Spain
    4. [NORA names: Spain; Europe, EU; OECD];
  4. [4] UCB Pharma (United States)
    5. [NORA names: United States; America, North; OECD];
  5. [5] UCB Pharma (Belgium)
    6. [NORA names: Belgium; Europe, EU; OECD];

Abstract

To facilitate the development of leadership competencies in a multidisciplinary group of 18 emerging bone experts from 6 European Countries and Brazil, to face future scenarios in the evolving field of fragility fractures, and to support secondary fracture prevention and improve patient outcomes. Changes brought by the COVID-19 pandemic have further highlighted this need. A 2.5-year community of practice (CoP) programme was established with two senior bone experts acting as mentors. The content was adapted during the COVID-19 pandemic. The education impact of the programme was assessed using an ethics-approved mixed-method design consisting of multiple sources of qualitative and quantitative data collected longitudinally. Quantitative data were analysed descriptively. Qualitative data underwent a thematic analysis. After participating in the programme, participants reported increased interprofessional collaboration and communication skills, better understanding of health economics and negotiation, application of adult learning principles to their work setting, development of competencies to critically appraise guidelines, enhanced abilities to facilitate behaviour change in others, and improved confidence leading their team through crisis situations. Although time was required for some physicians to get accustomed to the CoP concept and develop trust with other members, it was described as a beneficial real-world learning experience. An educational real-world CoP programme was effective in enhancing leadership competencies among future leaders in the bone field to improve care of fragility fracture patients. The results presented could guide the development of other CoPs in fragility fracture care as leadership competencies are increasingly required in that field.

Keywords

Brazil, COP, COVID-19, COVID-19 pandemic, CoP concept, European countries, ability, adult learning principles, analysis, application of adult learning principles, applications, behavior, behavioral changes, bone, bone field, care, changes, collaboration, communication, communication skills, communities of practice, community, competence, concept, confidence, content, countries, crisis, crisis situations, data, design, development, development of competencies, development of leadership competencies, economics, education, educational impact, enhanced ability, enhancing leadership competencies, experiments, experts, field, fracture, fracture care, fracture patients, fracture prevention, fragility, fragility fracture care, fragility fracture patients, fragility fractures, group, guidelines, health, health economics, impact, improve care, improve confidence, improve patient outcomes, increase interprofessional collaboration, interprofessional collaboration, leaders, leaders of tomorrow, leadership, leadership competencies, learning, learning experience, learning principles, members, mentoring, mixed-methods design, multidisciplinary group, multiple sources, negotiation, outcomes, pandemic, participants, patient outcomes, patients, physicians, practice, prevention, principles, programme, qualitative data, quantitative data, real-world learning experiences, results, scenarios, secondary fracture prevention, situation, skills, source, team, thematic analysis, time, tomorrow, trust, two-year

Data Provider: Digital Science

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