Empirical findings generally indicate positive effects of early interprofessional education on student outcomes. The current study seeks to add to this evidence base by examining training transfer as an explanatory-mechanism for IPE's comparative-effectiveness across programs. Specifically, we examine learner curricular experiences (transfer climate) post-IPE delivery in predicting two learner outcomes: 1) team attitudes, and 2) professional identity. A prospective observational design with N=306 first-year students across five disciplines were assessed before an IPE training and 18-months later. A transfer climate-mediation model was used to test program differences in team attitudes and professional identity post-IPE training. Results supported full-mediation, such that program differences in team attitudes and professional identity were contingent on students' post-training reports of IP experiences (transfer climate). In turn, transfer climate's effects on team attitudes and professional identity were partially mediated by two IP variables: 1) normative beliefs (professional valuation), and 2) affective reactions (collaboration comfort). The findings contribute to the identification of 'curricula design factors' as potential confounds of program-differences in learner outcomes following early IPE. We discuss the limited value of program differences in learner outcomes, particularly for studies of early IPE effectiveness.
Background Hypotheses, Methods/Results and Brief Discussion
IntroductionAs complementary skills depend on professional training, likewise, the effectiveness of interprofessional education (IPE) depends on placement of common competencies. 1 The IPE Collaborative 2 , for example, locates IP values as the primary competency for practitioners. Toward this goal, pre-licensure (early) IPE targets the onset of socialization processes and signals IP-valuation to new learners. 3 Expressed IP values (attitudes) are foundational to Kerry M, Ander D MedEdPublish trainees' professional identity for normative practice. 4To date, IPE researchers have chiefly examined one direction of this link, that is, IPE effectiveness for distal outcomes. 5 Far less attention has been paid to how normative differences (heterarchical) across curricula may explain differences in IPE's short-term effectiveness. As the latest Best Evidence Medical Education (BEME) review of IPE concludes, 'IPE can continue to be impeded by a number of contextual factors such as space and timetabling of other profession-specific learning activities'. 6 IPE researchers typically regard 'profession-specific learning'activities as static-antecedents to delivery (context-as-presage). Findings of program differences in IPE outcomes, however, are confounded by the continuous learning activities of early curricula (context-as-process). For example, consider the duality of competition in both, 1) learner needs, and 2) curricula demands. Furthermore, educational researchers such as Cahn et al. 7 recognize the reciprocality of context-processes for IP...