Category: Learning
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How to overcome limitations of expert-led fellowships for global health
Coaching and mentoring programs sometimes called “fellowships” have been upheld as the gold standard for developing leaders in global health. For example, a fellowship in the field of immunization was recently advertised in the following manner. We will not dwell here on the ‘live engagements’, which are expert-led presentations of technical knowledge. We already know…
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How does the scalability of peer learning compare to expert-led coaching ‘fellowships’?
By connecting practitioners to learn from each other, peer learning facilitates collaborative development. ow does it compare to expert-led coaching and mentoring “fellowships” that are seen as the ‘gold standard’ for professional development in global health? Scalability in global health matters. (See this article for a comparison of other aspects.) Simplified mathematical modeling can compare…
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Calculating the relative effectiveness of expert coaching, peer learning, and cascade training
A formula for calculating learning efficacy, (E), considering the importance of each criterion and the specific ratings for peer learning, is: $latex \text{Efficacy} = \frac{S \cdot w_S + I \cdot w_I + C \cdot w_C + F \cdot w_F + U \cdot w_U}{w_S + w_I + w_C + w_F + w_U}&s=3$ This abstract formula provides…
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Why does cascade training fail?
Cascade training remains widely used in global health. Cascade training can look great on paper: an expert trains a small group who, in turn, train others, thereby theoretically scaling the knowledge across an organization. It attempts to combine the advantages of expert coaching and peer learning by passing knowledge down a hierarchy. However, despite its…
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The capability trap: Nobody ever gets credit for fixing problems that never happened
Here is a summary of the key points about the capability trap, from the article “Nobody ever gets credit for fixing problems that never happened: creating and sustaining process improvement”. What is the capability trap? Core causal loops The capability trap The “capability trap” refers to the downward spiral organizations can get caught in, where…
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Making sense of sensemaking
In her article “A Shared Lens for Sensemaking in Learning Analytics”, Sasha Poquet argues that the field of learning analytics lacks a shared conceptual language to describe the process of sensemaking around educational data. She reviews prominent theories of sensemaking, delineating tensions between assumptions in dominant paradigms. Poquet then demonstrates the eclectic use of sensemaking…
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Education as a system of systems: rethinking learning theory to tackle complex threats to our societies
In their 2014 article, Jacobson, Kapur, and Reimann propose shifting the paradigm of learning theory towards the conceptual framework of complexity science. They argue that the longstanding dichotomy between cognitive and situative theories of learning fails to capture the intricate dynamics at play. Learning arises across a “bio-psycho-social” system involving interactive feedback loops linking neuronal…
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The design of intelligent environments for education
Warren M. Brodey, writing in 1967, advocated for “intelligent environments” that evolve in tandem with inhabitants rather than rigidly conditioning behaviors. The vision described deeply interweaves users and contexts, enabling environments to respond in real-time to boredom and changing needs with shifting modalities. Core arguments state that industrial-model education trains obedience over creativity through standardized,…
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How do we reframe health performance management within complex adaptive systems?
We need a conceptual framework that situates health performance management within complex adaptive systems. This is a summary of an important paper by Tom Newton-Lewis et al. It describes such a conceptual framework that identifies the factors that determine the appropriate balance between directive and enabling approaches to health performance management in complex systems. Existing…
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What is a “rubric” and why use rubrics in global health education?
Rubrics are well-established, evidence-based tools in education, but largely unknown in global health. At the Geneva Learning Foundation (TGLF), the rubric is a key tool that we use – as part of a comprehensive package of interventions – to transform high-cost, low-volume training dependent on the limited availability of global experts into scalable peer learning to improve access, quality, and outcomes.…
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