International Week Tallinn Health Care College Filip Dejonckheere

International Week Tallinn Health Care College Filip Dejonckheere International & interdisciplinary programmes Artevelde University College Ghent, Belgium

International Week Tallinn Health Care College Needs within the internationalization, the impact on the competences for students and teachers through internationalization

The philosophy of COHEHRE is shaped by its desire to establish itself as a European learning organization which can provide response and activity to the emerging agenda in the fields of pedagogy in health and social care. 16 th of May 2011 Tallinn, Estonia

Impact by … monitoring, responding to and influencing the international dimension on curriculum development, student and staff exchange and research Networking by … creating a platform for higher education institutions within health and social care … empowering collegiality … maintaining and developing a community to which international staff is attached Expertise by … encouraging capacity building of faculty members, staff members and international coordinators … exchanging examples of good practice … widening the perspective on the European dimension of health and social care education

Innovation by … enhancing student and staff exchange through the COHEHRE Academy and student conference activities … providing new teaching and learning strategies and opportunities to students and faculties … establishing an intercultural exchange environment … facilitating consult and external advise Interprofessional cooperation by … stimulating the development of models and educational methods for interprofessional cooperation … expanding educational roles by bridging the borders of health care professions and social studies International Week Tallinn Health Care College

International Week Tallinn Health Care College

Mission aims of the Cohehre Academy: The Cohehre Academy is one of the activities within the Cohehre consortium. The aim of the Academy is enhancing international, interdisciplinary, inter-professional cooperation and capacity building within health education among the members institutions.

Mission of the Cohehre Academy: The Academy has an active role in undertaking initiatives and can act as a platform that initiates, supports and coordinates different activities. It offers opportunities to create, stimulate, found and intensify networking of partner institutions and to develop joint initiatives. It creates an extra dimension and gives an added value to participation in the consortium. These initiatives can be initiated by the Cohehre Academy according to the needs of Cohehre member institutions or by individual members.

Objectives of the Cohehre Academy Objective 1: To enhance interprofessional cooperation within education in health care and rehabilitation in different areas Objective 2: Capacity building: The Cohehre Academy wants to stimulate and improve the international and interprofessional competences of staff. It also wants to strengthen and improve the expertise of the institutions with regards to management of international activities.

Objective 3: Development of new products The Cohehre Academy has a proactive policy to develop new initiatives: Programmes and courses for students, upgrading and Train-the-trainer courses, study tour, website, databank, Elearning programmes, digital platform, articles and publications) Objective 4: Dissemination of outcomes of new or existing products of the Cohehre Academy Outcomes of the Cohehre Academy will be disseminated to all Cohehre members: Presentations during annual conferences, articles, poster and publications, training an coaching, . . of the institutions with regards to management of international activitie

Objective 5: The Cohehre Academy can be intermediary for consult and external advise for member institutions and projects ing

Some activities of the Cohehre Academy Some programmes have been initiated and developed by the Cohehre Academy: International Course on Health Care Issues (ICHCI) ICHCI-1: Health in a changing world (since 1996) Gent, Belgium ICHCI-2: Health and Wellbeing (since 2009) Setubal, Portugal ICHCI-3: Interprofessional Programme on Poverty and Social Exclusion (IPPSE)(start 2010) Helsinki, Finland ICHCI-4: Community Mental Health Care and social psychiatry (application 2010) Nijmegen, The Netherlands

Some activities of Some other projects are the result of cooperation between Cohehre members. Integration of complementary care in responsive health care systems (INCCAR) (Prague, Czech Republic) Changing towards a critical and innovative health professional: showing leadership towards integral care (Lisbon, Portugal) Interdisciplinary Programme on Chronic and end-of-life Care (IPPE-IPCEC) (Gent, Belgium)

Some activities of the Development of a train-the-supervisor and train-thetrainer course Educators on Developing and Teaching Intercultural Competence (include developing teaching strategies) (DATIC) (Fall 2011 & 2012) Development of curriculum project: Seminar on writing an application for curriculum development under the multi lateral projects of the LLP-programme (2010 & 2012) Interventions after Emergency or Disaster & Public Health Preparedness (Call conference 2012)

Madalena Silva Filip Dejonckheere Cohehre Board members Responsible for Cohehre Academy Contact to: madalena. silva@ess. ips. pt filip. dejonckheere@arteveldehs. be International Week Tallinn Health Care College

Needs within the internationalization, the impact on the competences for students and teachers through internationalization Filip Dejonckheere International Office Health Care Professions Artevelde University college, Gent, Belgium International Week Tallinn Health Care College

Part I Internationalization in a Moving Perspective International Week Tallinn Health Care College

Internationalisation in a Moving Perspective From crossing borders to an implicit part of each curriculum : From an international experience to an international dimension in each curriculum : – Free moving of students / teaching staff – Benefits of networking – joint programs – Tuning of educational structures, international branding The importance of I@H (internationalisation at home)

internationalisation I@H internationalisation students teaching staff curriculum management International Week Tallinn Health Care College

internationalisation I@H students teaching staff curriculum management International Week Tallinn Health Care College

Tuning In the framework of the TUNING project a methodology has been designed to understand curricula and to make them comparable. definition of generic (general), interprofessional and subject-specific competences n the role of ECTS as an accumulation system n common approaches to learning, teaching, assessment and performance n the role of quality enhancement in the educational process n International Week Tallinn Health Care College

Part II Bridging of differences and impact on the curriculum development International Week Tallinn Health Care College

Concept of internationalisation: defining the difference “Internationalization is the process of integrating an international, intercultural and global dimension in the purposes, functions and delivery of higher education” (to J. Knight 1994) International Week Tallinn Health Care College

Concept of internationalisation 4 different approaches Process approach The process approach frames internationalization as a process which integrates an international dimension or perspective into major functions of the institutions. Terms such as infuse, integrate, permeate and incorporate are used to characterize the process. Activity approach The activity approach describes internationalization in terms of categories or types of activities such as curriculum development, scholar/student exchange and technical cooperation. International Week Tallinn Health Care College

Concept of internationalisation 4 different approaches Competency approach The competency approach looks at internationalization in terms of developing new skills, attitudes and knowledge in students, faculty and staff. The focus is clearly on the human dimension and not on academic activities or organizational issues. Organizational approach The fourth approach focuses on developing an ethos or culture in the institution that values and supports international and intercultural perspectives and initiatives. (J. Knight 1994) International Week Tallinn Health Care College

Internationalization and Education 4 functional areas Flexibility of the curriculum Educational methods Internationalisation & Curriculum development Tuning Compatibility of Systems International Week Tallinn Health Care College Competence. Based

Why? Research Evaluation of the impact of internationalisation on the higher education curricula (in Flanders) International Week Tallinn Health Care College

1. Internationalization indeed has an impact on curricula 2. For the following competencies it was observed that internationalization has an impact on the competency achieved after the training 3. The duration / intensity of the international experience is clearly a significant factor in a number of cases 4. Other input indicators, both related to internationalization and more generic (e. g. gender) seem to be far less significant International Week Tallinn Health Care College

Ø • • • The (intensive/long) international experience most clearly influenced perseverance, communicating in other languages multi-cultural openness The international dimension of the training, including teaching material in other languages, paying attention to international / virtual subject content etc. has an impact on developing projects, carrying out research independently, synthesizing information, solving problems, using the Internet, making ethical choices, selecting relevant information working in an interdisciplinary way International Week Tallinn Health Care College

1. Internationalization indeed has an impact on curricula 2. For the following competencies it was observed that internationalization has an impact on the competency achieved after the training 3. The duration / intensity of the international experience is clearly a significant factor in a number of cases 4. Other input indicators, both related to internationalization and more generic (e. g. gender) seem to be far less significant International Week Tallinn Health Care College

5. It is very conspicuous how highly lecturers estimate the role of the teaching they provide in relation to the acquisition of a certain level of competency by students 6. The quality of the international experience has absolutely no influence on the stated level of competence, in either a negative or a positive sense. 7. The international experience has a major impact at the personal level. 8. A clear distinction can be made between what we call an 'internationalisation experience' and what we might call an 'internationalisation dimension'. International Week Tallinn Health Care College

5. It is very conspicuous how highly lecturers estimate the role of the teaching they provide in relation to the acquisition of a certain level of competency by students 6. The quality of the international experience has absolutely no influence on the stated level of competence, in either a negative or a positive sense. 7. The international experience has a major impact at the personal level. 8. A clear distinction can be made between what we call an 'internationalization experience' and what we might call an 'internationalization dimension'. International Week Tallinn Health Care College

Impact of internationalization on the curriculum and education An internationalization experience is IMPACT – any form of participation in an intensive and/or long (three months or more) internationalization activity within the course of study, which is explicitly experienced as such by the participants and which is often but not necessarily linked to mobility. – Contact with foreign students or lecturers is in any case necessary in order to speak of an internationalization experience. – The duration of this experience has an important part to play in determining its impact on the course of study and the competencies resulting from it. International Week Tallinn Health Care College

Impact of internationalization on the curriculum and education The internationalization dimension is IMPACT – consists of those elements that implicitly involve a reference to international, other-language or inter-cultural elements, but are rarely recognized as such. – This is almost never associated with a mobility aspect, but this is not excluded. – The extent to which this dimension is covered in the curriculum and its frequency has an important part to play in determining its impact on the learning process and the competencies resulting from it. International Week Tallinn Health Care College

Statements of students “I developed myself both as a person and as a future physical therapist” (Asa Olofsson, Sweden) “I feel that after both modules I become more aware of, that the best way to help a patient in need is not only seeing him in holistic way, but also helping in an alliance of different health care professionals to reach best results for the patient. ” (Olga Jensen, Danmark) “ I have learnt a lot, especially from the group-work, which was very educational And inspiring both towards my personal an professional development. ” (Katherina Kolembusovà, Czech Republic) International Week Tallinn Health Care College

Statements of students “Every day I had 1 minute moments. That is the way I called them. Those were moments somewhere during the day that I started to think about the things that were happening. Just to be aware of the fantastic time I was going through. mostly I looked at the people around me who were busy and I started to reflect to myself just to realize the value of those moments in a lifetime. Those moments are for me the melancholy of the moment. ” (Van Wijmeersch Steffen, Belgium) “The interdisciplinary work was a great challenge. As a nurse I now know about my future colleagues” (Alain Roossens, Belgium) “ International Week Tallinn Health Care College

Statements of students “The lesson about the cultural differences is for me the most important lesson, because it helps integration, respect, acceptance and understanding” (Marta Sans, Spain) “In my opinion the most important thing I learned was that healthcare Workers from different countries at the end are the same. We may have different ideas on which way to choose, but the goal is always the same – to help. This isknowledge I gained not by reading a book, but by talking with my fellow students and reflecting. (. . ) the process has made the knowledge an integrated part of me. ” (Kristine Karstad, Norway) International Week Tallinn Health Care College

How ? Setting up and delivery of I-3 Modules International + Intercultural + Inter professional International Week Tallinn Health Care College

Setting up and delivery of I-3 Modules International Intercultural Interprofessional International Dimension and experience Diversity in cultures Diversity in professions International Week Tallinn Health Care College

Setting up and delivery of I-3 Modules International orientation Internationalization Mobility and I@H Intercultural Interprofessional Holistic approach Cultural awareness Interdisciplinary approach Intercultural principles Teamwork Intercultural communication International Week Tallinn Health Care College

Conclusions Barriers and challenges International Week Tallinn Health Care College

Barriers: micro to macro level • Immobility of students and staff • Language barriers • ‘Intercultural diversity’ • The balance between people and structures: resistance against innovations and changes • Rigidity of the existing systems • Difference in standards of higher education • Traditions in education: academic approach vs. applied sciences approach International Week Tallinn Health Care College

Challenges: micro to macro level • More flexible structures • Intercultural diversity – ‘Couleur locale’ • Co-operation over the edges of the different professions and departments: Interdisciplinary co-operation • Internationalization of the education in the different aspects • Faculty development – capacity development • Life long development of competences International Week Tallinn Health Care College

Conclusions The impact on the competences for students and teachers through internationization and challenges International Week Tallinn Health Care College

The impact on competencies of students and TS (teaching staff) n Professional and personal development Perseverance Communication skills (language) Openness Independent decision making ICT skills Interdisciplinary understanding Problem solving n . . . n n n n International Week Tallinn Health Care College

The impact on the education n n n Life long learning Broader learning Bridge formal and informal learning Bridge with professional field New educational and teaching methods New dimensions in learning Quality enhancement International Week Tallinn Health Care College

“Imagination is more important than knowledge” (Einstein A. ) International Week Tallinn Health Care College