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. 2014 May 8;9(5):e96724. doi: 10.1371/journal.pone.0096724

Table 2. Challenges to implementing IPE in developed and developing countries and suggested solutions.

No Challenges to implement IPE Developed countries Developing countries Suggested solutions
1 IPE curriculum challenges: content, curriculum integration, time and schedule, rigidity [13], [27], [29], [33][35], [37][39], [42], [43], [45], [46], [49], [51], [52], [54][58], [60], [61] [25] Involve students and faculty in early stages of curriculum development [29], [36], [45], [47], [49]; Students and faculty should evaluate course contents provide feedback of the IPE [51]; Integrate IPE into the existing core course curriculum [60]; Commit the leadership in addressing time and scheduling barriers [33]; Use innovative approaches using web-based IPE wherever possible [34]
2 Leadership weakness [13], [27], [32], [40], [45], [47], [54][56], [60], [62] None Identify and use committed champions on IPE to spearhead the program [41], [45]; Put in place institutional agreements to help sustainability; Involve the IPE committee from the planning phases [32], [55]
3 Resources: financial challenges, physical infrastructure and distance [14], [27], [28], [34][41], [50], [55], [56], [59] [26] Integrate IPE into the mainstream curriculum to save operational costs by using available resources and infrastructures [14], [37]; Build on positive results to encourage funding, institutional support, and other resources [41]; Conduct IPE on existing infrastructure using the same faculties; Use web-designed IPE to help solve distance and infrastructure barriers whenever possible [34]; Conduct small IPE classes to help minimize the need for larger classrooms and to improve interactions [52]
4 Attitudes and stereotypes [13], [14], [27], [36], [39], [47], [49], [53], [55], [58] [25] Implement faculty development programs before the starting IPE [36], [49]; Help faculty to identify stereotypes by themselves [29]; Involve professional bodies from the inception of IPE and explain the role it can have to break gridlocks among them; Involve deans and faculty leaders to break institutional barriers [56]
5 Students' characteristics [14], [29], [33], [46], [47], [49], [57] None Acknowledge the diversity and learning needs of each group before starting IPE; Use PBL to help stimulate learning by different professions
6 IPE concept [29], [36], [38], [40], [41], [45], [59] None Set a clear curriculum and involve all parties before the beginning of and throughout IPE process; Align IPE courses within the school calendar and explain goals before taking initial steps; Provide regular feedback and evaluation to help clear misconceptions
7 Teaching barriers [33], [41][45], [50], [53], [56], [57], [59] None Encourage faculty to set adequate time for preparations to improve their competency [57]; Provide training to staff on IPE training methods [42], [57], [67]; Provide the staff with adequate information on students involved including their background and special learning needs [50], [57]
8 Enthusiasm [13], [27], [31], [38], [51], [54], [57], [62] None Incentivize students who attend IPE courses through grade points or credits to boost participation [51]; Expand practical base using PBL; Involve institutional leaders such as deans to boost enthusiasm [33]; Train and re-train staff and faculties to improve their involvement [62]
9 Profession jargons [42], [46], [47], [57] None Familiarize students with professional terms before the beginning of a class/session; Provide students with printed materials to refer in case the terminology deems difficult but important
10 Accreditation [36], [39], [62] None Set country's or regional's accreditation bodies for IPE. No accreditation body for IPE still exists.