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ASA NEWSLETTER
 
 
November 1996
Volume 60
Number 11
 

Organizational Biography of the Overseas Teaching Program: Using Biographic Methods in Educational Program Evaluation and Curriculum Development

Kathleen Sullivan Brown, Ph.D.

Alice Otto Edler, M.D.


Programs, like people, have a life of their own. They are conceived and birthed, suffer growing pains and struggle to find a place in larger organizations and cultures. They muddle through the day-to-day life of implementation with the difficulties and joys, successes and failures of any mortal life. Most important, they change. They grow and respond to situations in the environment and interactions of others.

Educational programs are organizations created by persons working together toward a common purpose. They are predetermined arrangements of individuals whose inter-related tasks and specialties enable the total aggregate to achieve goals. For the past half-century, the most acclaimed and often used rationale for curriculum development and evaluation has had at its heart the statement of curriculum goals and the implicit assumption that if the goals are properly formulated, stated and implemented, they are reliably and explicitly achievable.

Biography of the Life Course of OTP

In our research over the past three years, we have looked at a collaborative international curriculum development program. The ASA Overseas Teaching Program (OTP) is an outreach effort to improve health care and health education in the developing world. OTP volunteers spent one to three months in Tanzania or Zambia, sharing expertise with local doctors and paraprofessionals on the theory and practice of anesthesia. In following the life story of this teaching program, as told by various narrators, we as evaluation researchers found the story taking on the quality of a program biography. More than just prosopography, or biographical sketches, of the individual participants but also not merely a sum of the parts, the resultant description is a biography of the life the program took on because of collective action in a particular setting and context. The story is reconstructed from multiple sources, including:

  • formal resources of the program using archival research of public and semi-public documents;
  • informal resources of the participants' lives as described in interviews; and
  • participant/observation data of one author.

In addition, the story is set in an evolving historical and cultural context; in other words, the life course of an educational program is contextualized by its setting in a developing country, with its own local definitions of modern professionals, teaching and health. This article, therefore, will briefly describe the life course of OTP. Like good biography, this story pieces together the stages of this life and its changes over time. As in biography, the goals here are not generalizable conclusions. The significance of the events cannot be determined with probability theories. The value of the insights about the appropriateness of the program's goals, their accomplishment and their usefulness lie ultimately with the reader.

Data and Methods for Biographical Reconstruction

Data for this biographical reconstruction were primarily archival. They included official semiannual reports of the OTP's committee chairs to ASA and individually written essays by program participants in which they reflected on their experiences, as this example shows:

"Later, after establishing a personal investment in my relations with the community, the results of the observations began to take on the values of the observed participants. Mary Catherine Bateson refers to this process of ethnography as 'stepping outside your own tradition to learn from other models.' Learning from other models was particularly hard, especially when mine had always been referred to as the superior model."

Participants wrote their reflections when they returned from their overseas tour of duty with the program, and ASA published them annually in the NEWSLETTER. Additionally, other archival materials, including related publications, were collected through a literature search using MedLine. Data also included taped interviews with leaders and participants in the program. Additional data consisted of photographs, log books, other documents and material artifacts. One researcher participated directly in the delivery of the program and brought an "insider" perspective to the analysis, while the second researcher was an outsider with an "outside" view.

Results Indicate "Life Phases" of OTP

We analyzed these archival documents chronologically and outlined the activities described in periodic reports. In light of earlier ethnographic interviews, participation and data collection, in our role as evaluation researchers, we began to notice a developmental or biographical language being used. Elements of self-description emerged as though the program itself had evolved through four distinct "life phases."

Early in these accounts, the program made its debut with announcements and selections of names, locations and sponsors. The genealogy of the program, which described the founder's intention, was published in the first OTP episode in the ASA NEWSLETTER (October 1990). A single program site was selected, with future sites to be announced later. The founders identified the program as "unique" in its appearance and pointed out its distinctive differences from its predecessors.

The second phase or life stage of the program reflected its growth and the onset of adolescence. Here the program made its first attempts at consciously articulating its own ideology encapsulated in the slogan "Don't give me a fish; teach me how to fish." Some simple statistics were reported, such as the demographics of the participants, the participating hospitals and the schools. The number of participants grew, and further growth brought differentiation. New ideas from practitioners clashed with earlier theoretical formulations.

A new addition to the OTP family came along when a second hospital site was added to the educational program. More details surfaced about daily life and the practices encountered in the field. The help of the founders was acknowledged. The program was described in terms of its fullness and growth. The language of the program participants demonstrated self-awareness of the dimensions of its own growth. Recruitment efforts expanded and were helped by "getting the word out." Overall, the level of activities increased.

The next two phases brought maturity, first to individual participants and then to the participants as a group of professionals. The authors of the reflective essays described their own "personal growth" and "fulfillment" through their participation and involvement in the program.

Complexity became a theme. Details of the day-to-day life were elaborated as evidence of this maturation. Now publications contained the first mention of a relationship developing among the collaborating nations involved in this international program. Disappointments occurred between some partners, and new contracts were struck with others, which resulted in the voicing of a certain cynicism, sometimes even wisdom. The number of publications reached an all-time high during this maturation period. New partnerships were formed with other programs and other organizations that focused on similar interests. Related programs spun off because of some practitioners' earlier participation in this effort.

For evaluators, a new definition of a successful program began to form at this juncture. Heretofore, we had naively assumed programs were good or valuable if they drew in large numbers of participants, attracted substantial funding and administrative support, and displayed some longevity by sustaining themselves over time. Now as evaluators, we began to look for generativity in the original program, a sort of intellectual DNA. How many offshoot ideas did it produce, and were those new branch programs equally important to our evaluation as the original program in achieving the goals of improving medical care in the developing world?

Reflection characterized the second phase of maturity. The individual nature of the program sites was to be savored; their nuances could not be described in words. The program offered philosophical insights to group members as doubt and disillusion began to creep in about long-term effectiveness. The program founder recruited and trained a new leader and then retired from active participation. The program entered a transition stage, shifting from developing a curriculum to assisting others to develop their curriculum as a step toward autonomy of the junior partner. Now the evaluators' definition of program success moved beyond basic dimensions to include properties of generativity and increased reflectiveness of both practitioners in the field and theorists in the research arena.

Finding Meaning in a Collective History

Researchers in educational evaluation and curriculum development can benefit from biographic methods through an understanding that educational programs do not emerge from their initial planning as fully developed, mature, organizational efforts. They grow, change and evolve in response to sociocultural conditions. Early, informal and continuous evaluations promote adjustments to the life course of an educational program just as early, informal and continuous mentoring of a young professional promotes adjustments to a career course. Popularity and the diversity of participants, once thought of as signs of health, are now seen as signals both of a power for growth and the potential for dissonance and conflict over organizational decisions. Appeal to diverse participants may point to an important and neglected generative aspect as program principles find their way into spinoffs in related disciplines and practices.

Biography holds lessons about its subject. So too is there a potential lesson for educational programs and organizations to look at themselves biographically, to be aware of the life course and to find meaning in their collective history. Analysis of educational programs using biographic methods provides a holistic picture of the program as a functional unit with goals, life stages and a complex personality. Looking at a program as a "collective biography of its participants" helps evaluators understand that the early ideals and goals of the founders and the leadership are not necessarily the same reality lived by participants at all levels and stages of program implementation. Additionally, this model allows the evaluator to identify individual milestones and trends that would be excluded by a one-day or limited visit casual model focusing on events, goals or outcomes.

We hope that our discussion has introduced a modality of program evaluation and curriculum development that describes and suggests a continuous life process, from the birth of an idea through its adolescent application, maturity and generativity. Individual and collective outcomes create a more comprehensive picture of educational and organizational change undertaken by a group of educators when seen through the eyes of an evaluator as program biographer.

Bibliography is available upon request from the authors.

Kathleen Sullivan Brown, Ph.D., is an educational consultant and researcher in St. Louis, Missouri.

Alice Otto Edler, M.D., is an Instructor at the Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Missouri. She was a volunteer for the ASA Overseas Teaching Program in May 1996.

 


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