Cross-disciplinary Collaboration Research Articles

Integrating green computing into rational unified process for sustainable development goals: a comprehensive approach

This research explores the incorporation of green computing variables into the rational unified process (RUP) methodology, specifically focusing on sustainable development goal (SDGs) 12-responsible consumption and production. Supported by three additional papers using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) method. Our study aims to promote eco-friendly software development practices and tools (artifacts) aligned with green computing principles to support SDGs throughout RUP development phases. We conducted a matrix thorough analysis of existing green computing adaptability within RUP, yielding key findings: a system charter for inception, system requirement specification for elaboration, software development result for construction, and software test report/user acceptance test for transition. As a result, we've compiled comprehensive phase-specific documents, emphasizing the need for educational initiatives to foster green computing adoption among developers. This study advocates for cross-disciplinary collaboration to ensure successful implementation of eco-friendly software development processes.

The neoadjuvant approach to treatment of breast cancer: Multidisciplinary management to improve outcomes

Over the last several decades, the treatment of breast cancer has evolved from a reliance on radical surgery to less invasive treatments incorporating systemic therapy (e.g., chemotherapy and endocrine therapy) and radiotherapy, which has allowed for breast conservation surgery and improved survival. Accordingly, the management of breast cancer today is perhaps the best example of multidisciplinary cancer care. Surgeons work closely with radiologists, medical oncologists, radiation oncologists, and other specialists to design the optimal treatment plan for their patients. This cross-disciplinary collaboration and communication is especially well-illustrated in the neoadjuvant approach to breast cancer management. Neoadjuvant therapy provides several advantages to patients with newly diagnosed early-stage breast cancer. Current neoadjuvant regimens include chemo-immunotherapy for patients with triple negative disease, chemotherapy with human epidermal growth factor-2 (HER2) targeted therapy for patients with HER2+ disease, and chemotherapy or endocrine therapy for patients with hormone receptor positive/HER2- cases. As many studies have shown, tumor biology impacts the response to neoadjuvant therapy, including rates of pathologic complete response. Neoadjuvant approaches continue to grow in complexity, calling for increased cross-specialty understanding of its indications and treatment algorithms. Therefore, in this review we discuss contemporary neoadjuvant therapy approaches, with a focus on the interplay between imaging, systemic therapy, radiotherapy, and surgical management.

Cultivating Quantitative Literacy in the Introductory Course: A Mathematics Education Collaboration to Teach the Gini Coefficient

We report on a cross-disciplinary collaboration between sociology and mathematics education to more effectively cultivate quantitative literacy (QL) in the introductory sociology course. Focusing on an instructional unit presenting the Gini coefficient (the most commonly used summary measure of income inequality), we engaged in iterative cycles of presentation, assessment, and redesign across four semester-long courses. Assessments were guided by insights from mathematics education—such as the procedural/conceptual distinction, student misconceptions, and student noticing—and characterized by extensive informal discussion and analysis of patterns in student exam responses. Assessments were formalized via coding of specific response elements and used to identify strategic foci for revision and redesign (including creating a brief instructional video series and an active learning exercise). In this article, we highlight the value of cross-disciplinary collaboration in QL pedagogy, demonstrate the effectiveness of analyzing specific elements and patterns of student comprehension to revise pedagogical presentation, and advocate for the strategic utility of the Gini coefficient for cultivating QL in introductory sociology.

Stem Cell and Regenerative Therapies for the Treatment of Osteoporotic Vertebral Compression Fractures.

Osteoporotic vertebral compression fractures (OVCFs) significantly increase morbidity and mortality, presenting a formidable challenge in healthcare. Traditional interventions such as vertebroplasty and kyphoplasty, despite their widespread use, are limited in addressing the secondary effects of vertebral fractures in adjacent areas and do not facilitate bone regeneration. This review paper explores the emerging domain of regenerative therapies, spotlighting stem cell therapy's transformative potential in OVCF treatment. It thoroughly describes the therapeutic possibilities and mechanisms of action of mesenchymal stem cells against OVCFs, relying on recent clinical trials and preclinical studies for efficacy assessment. Our findings reveal that stem cell therapy, particularly in combination with scaffolding materials, holds substantial promise for bone regeneration, spinal stability improvement, and pain mitigation. This integration of stem cell-based methods with conventional treatments may herald a new era in OVCF management, potentially improving patient outcomes. This review advocates for accelerated research and collaborative efforts to translate laboratory breakthroughs into clinical practice, emphasizing the revolutionary impact of regenerative therapies on OVCF management. In summary, this paper positions stem cell therapy at the forefront of innovation for OVCF treatment, stressing the importance of ongoing research and cross-disciplinary collaboration to unlock its full clinical potential.

Evolution of Professional Standards: Reflecting on the Past to Inform the Future

Clearly defined professional standards result in better prepared professionals who positively impact outcomes for children and families by ensuring an effective workforce. This article describes the evolution of early intervention early/childhood special education preparation standards from the on-the-job competencies of the 1960s to the historic 2020 Initial Practice-Based Professional Standards for Early Interventionists/Early Childhood Special Educators (EI/ECSE Standards), in concert with the evolution of the profession itself. Influencing factors include (a) changes in federal legislation and policy, (b) ages and characteristics of children served, (c) growing knowledge of effective practices, (d) collaboration with other disciplines, and (e) ongoing advocacy for EI/ECSE as a profession. The article concludes with a vision for using these EI/ECSE Standards to guide the future local, state, and national agenda of the profession around preservice preparation and accreditation, professional development, state and federal policy, cross-disciplinary collaboration, and standards-informed research.

Pathological Eye Growth in Myopia: a Limited Review on Endocrine Physiology for Future Research

Purpose: Myopia or short-sightedness: first manifests in school-children (early-onset), and also in young adults (late-onset). Pathological myopia can lead to stretching of the eyeball to the point of blindness from a detached retina. This title presents a preliminary understanding of endocrine, juxtacrine, and paracrine factors: hoping to stimulate further research and enable early therapeutic intervention. Background: The optical stimulus for eye growth is a blurred image on the retina that results from under-focused accommodation of the internal crystalline lens. Neural signals and biochemical messaging from the retina and vascular choroid provide local impetus to alter collagen structure in the outer white sclera of the eye. In persons that develop highly myopic refractive error, additional factors from blood and tissue chemistry, might influence intra-ocular pressure (IOP), posited to influence eyeball elongation. New research shows that GABA and dopamine are involved, but other factors remain unexplored. Eye Physiology: Human sclera has developmental origination same as any other connective tissue derived from the neural crest and mesoderm. Bundles of collagen fibers exist in the white opaque sclera and are more stringently oriented in the dome of the clear, transparent cornea. “Deformation compliance” of the sclera is governed by complexity of the collagen architecture, and “reduced scleral rigidity” is a known factor for myopic elongation, but developmental physiology is not well understood. Muscular contraction is required for sustained eye focusing to objects located at normal working distances. Short-term contractions can reduce IOP but increased muscle density from sustained near accommodation can promote progression of myopia. This implicates nitric oxide and calcium channels, and a role for associated biochemical and nutritional agonists and antagonists. Endocrine Influences: In his 1954 lecture to the Royal College of Surgeons, Dr. Howard C. Naffziger pointed to all forms of “ocular protrusion,” not just “thyroid exophthalmos,” as being physiologically related. A 2016 review paper on autonomic nervous physiology, aside from sympathetic (adrenergic) and parasympathic (collinergic) control, also implicates Substance P (SP), Vasoactive Intestinal Peptide (VIP), and Phospholipase C (PC). These topics are further described in limited detail. SP is a neuropeptide of the tachykinin family, is released from the terminals of sensory nerves, and regulates emotion (hypothalamus, amygdala, and the periaqueductal gray). It is also a vasodilator dependent on release of nitric oxide. Experimental eye physiology and clinical research pertaining to these topics appears warranted. VIP regulates cardiac contractions, relaxes smooth muscle of the trachea, and affects prolactin secretion by the pituitary gland. Cardiac contractions lead to pulsations of eye pressure about three times in two seconds, and pulmonary effects on IOP occur once every five seconds. Research into these mechanisms requires cross-disciplinary collaborations. PC is a membrane-associated enzyme that cleaves dietary phospholipids and has downstream effects on calcium channels. Binding to blood platelets, of agonists such as thrombin, epinephrine, or collagen: activates PC to release arachidonic acid from cleavage of phosphatidylinositol and phosphatidyl choline. Behavioral effects include visual attention-span and memory: both of which also concern education of children, and effectiveness of adults at work. Conclusions: The author is pleased to report growing interest and evidence for endocrine influences upon the outer coat of the eye (cornea and sclera). A 2022 study on “keratoconus” from Texas and Oklahoma provides in-vitro as well as in-vivo data, suggesting the existence of what they call, the Hypothalamic-Pituitary-Adrenal-Corneal axis. Effective communication across university disciplines and clinic doctors appears necessary for further progress. Funding: The author received no funds from Federal or State granting mechanisms, and no wages from corporate employers. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Promoting academic social intrapreneurship: Developing an international virtual incubator and fostering social impact

This research examines the evolving role of universities as agents of social and economic change, through academic social intrapreneurship implemented digitally. Utilizing an in-depth case study of an international virtual incubator that emerged from a large public research university's internal funding, we study a shift beyond economic motivations, highlighting the importance of universities' non-pecuniary contributions to society. We unveil a unique model of academic social intrapreneurship that integrates research, entrepreneurship, digitization, and social responsibility. The descriptive case study method examines the virtual incubator's emergence, processes and activities, exploring how digitally implemented academic social intrapreneurship can address global concerns. The findings highlight the significance of achieving legitimacy at multiple levels and adopting a decentralized approach to innovation, indicating effective means for engaging diverse stakeholders and addressing local and global issues. The findings suggest that academic social intrapreneurship is a potential avenue for universities to enhance societal contributions. We present theoretical insights and actionable advice for universities, academic intrapreneurs, and virtual incubators, emphasizing the importance of promoting academic social intrapreneurship for a positive societal impact. We conclude by advocating for universities' role in fostering transformative cross-disciplinary collaborations and expanding their societal engagement in the digital era.

Advances in nanofiber technology for biomedical application: A review

The application of nanofiber technology in the biomedical field has garnered significant interest due to its potential to revolutionize areas such as tissue engineering, wound healing, and antimicrobial treatments. This paper provides a comprehensive review of the recent advancements in nanofiber technology, particularly focusing on electrospinning and 3D printing methods that enable the fabrication of scaffolds mimicking the native extracellular matrix. These technologies have facilitated the development of nanofibers with high surface-to-volume ratios, adjustable porosity, and enhanced mechanical properties, tailored to meet specific biomedical needs. Despite their promising features, challenges such as the optimization of pore size for effective cell infiltration and the mechanical robustness required for hard tissue regeneration remain. The review also explores the evolution of sustainable polymers from natural resources, highlighting their potential to create biodegradable and biocompatible scaffolding materials. Future directions emphasize the need for cross-disciplinary collaboration to overcome current limitations and scale production from laboratory to industrial levels. The ongoing research and development efforts aim to refine the properties of nanofibers to achieve optimal performance in clinical applications, underlining the dynamic and evolving nature of this field.

Corpus linguistics and the social sciences

Abstract Corpus linguistics, with its methodological orientation towards the empirical analysis of language based on large text collections, has the potential to offer significant tools for addressing real-world problems across various social science domains, including climate change, criminology, healthcare and policy making. Despite this potential, the integration of corpus linguistics into social science disciplines (beyond linguistics) remains hampered by fundamental differences in epistemology, definitions and methodological approaches. This article explores the relationship between corpus linguistics and the social sciences. It is argued that epistemology, or the theory of knowledge, represents a primary barrier to integration, with much corpus linguistics research aligning with positivist and naturalist epistemologies. By contrast, many social science disciplines embrace more interpretive, conventionalist approaches that account for the dynamic nature of social phenomena. Considering the role of naturalism and conventionalism within both corpus linguistics and the social sciences, this article illustrates how these epistemological stances are likely to influence the acceptance and use of corpus methods in social science research. Despite the challenges, areas of convergence (e.g. shared use of data processing tools and the acknowledgement of the central role of language in social processes) provide opportunities for cross-disciplinary collaboration. As means to bridge the epistemological divide, this article advocates for a critical realist approach and concludes by calling on users of corpus linguistic methods to be reflexive and transparent about their epistemological stances when reporting their research.

Tissue Regeneration on Rise: Dental Hard Tissue Regeneration and Challenges-A Narrative Review.

As people live longer, there is an increasing need for hard tissue regeneration and whole-tooth regeneration. Despite the advancements in the field of medicine, the field of regenerative dentistry is still challenging due to the complexity of dental hard tissues. Cross-disciplinary collaboration among material scientists, cellular biologists, and odontologists aimed at developing strategies and uncovering solutions related to dental tissue regeneration. Methodology. A search of the literature was done for pertinent research. Consistent with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 Statement, the electronic databases looked at were PubMed, Science Direct, Scopus, and Google Scholar, with the keyword search "hard dental tissue regeneration." Database analysis yielded a total of 476 articles. 222 duplicate articles have been removed in total. Articles that have no connection to the directed regeneration of hard dental tissue were disregarded. The review concluded with the inclusion of four studies that were relevant to our research objective. Current molecular signaling network investigations and novel viewpoints on cellular heterogeneity have made advancements in understanding of the kinetics of dental hard tissue regeneration possible. Here, we outline the fundamentals of stem hard dental tissue maintenance, regeneration, and repair, as well as recent advancements in the field of hard tissue regeneration. These intriguing findings help establish a framework that will eventually enable basic research findings to be utilized towards oral health-improving medicines.

Maternal depressive symptoms and mother-infant co-sleeping (including room sharing and bedsharing): a systematic review.

Maternal depressive symptoms (MDS) affect most women during the first year postpartum. Mothers provide most of the nighttime care for infants, so studying the relationship between MDS and infant sleep location (ISL) is highly relevant to understanding maternal mental health over the first year of life and beyond. Infant sleep is studied by anthropologists, health care providers, and psychologists, with very little communication across disciplines. This review aimed to determine if there is a predictive relationship between MDS and ISL. This systematic review searched six databases with terms related to maternal mood and ISL. Final analysis included 14 published studies, analyzed with narrative synthesis and PRISMA guidelines. Included studies directly compared infant sleep location (ISL) and maternal depressive symptoms (MDS). Five studies showed no relationship between ISL and MDS, and one study found bedsharing reduced MDS. Five studies found co-sleeping was related to higher MDS although directionality is mixed or missing, and three studies found an association at some ages or for some populations only. Examining studies according to type of infant sleep assessment, study design, age of infant, or breastfeeding status failed to detect consistent patterns. A variety of study designs, types and definitions of variable measures, sample recruitment and study outcomes prevent detection of a consistent relationship between MDS and ISL. We explore reasons for the elusive nature of a relationship and make recommendations for future research in MDS and ISL, including cross-disciplinary collaborations.

Prototypes as catalysts for cross-disciplinary collaboration: Viewpoints from applied food research and innovation

BackgroundPrototypes play a central role in applied food research and innovation (R&I), serving as the initial representations of new products, process, or project ideas. They function as "boundary objects", facilitating interdisciplinary dialogue, knowledge creation, and cooperation. Despite their significance, challenges arise due to the differing perspectives and creative behaviors of scientists in this field. This commentary addresses the question of how prototypes can foster collaboration across disciplines in applied food R&I. Scope and approachOur study explores the application of prototypes within the disciplines of innovation management, consumer and sensory science, and food science and technology. We provide an overview of the diverse roles of prototypes in the R&I process and elucidate their function of bridging interdisciplinary gaps and facilitating knowledge exchange. Furthermore, we analyze the use of prototypes across those disciplines, emphasizing their role as communication facilitators and mutual learning tools. Key findings and conclusionsWhile prototypes are indispensable in applied food R&I, they are predominantly employed in distinct phases according to the discipline, with a lack of interdisciplinary collaboration. However, we observed that prototypes often serve similar purposes across disciplines. Thus, we propose a wider integration of prototyping into research processes, to facilitate communication, improve mutual learning and knowledge exchange, and make research outputs easily transferable. Experienced facilitators should holistically manage diverse prototypes, fostering an iterative project model that transcends disciplinary boundaries. Our commentary emphasizes the transformative potential of prototypes advocating for their informed usage across disciplines to advance cross-disciplinary collaboration and align research outcomes with societal needs, thus supporting responsible applied food R&I.

Digital Collage Design Through The Concept of Linear Time in The Documentary Film "Nasida Ria: Sun Stage" (2023) by Wisnu Candra

Not only recording reality, the form of documentary films today has undergone significant development. One of the drivers of development is the digital phenomenon. Digitalization is not an impact, but a phenomenon that must be adapted as best as possible and addressed as wisely as possible. The purpose of this development is to provide innovation in the form of documentary films that are more innovative and creative. Qualitative method is used as the epistemology of data collection through research to validate the truth of the subject. Meanwhile, the principle of cross-disciplinary collaboration between film directors and digital collage artists is used as a foundation to produce a visual identity for the film to be more innovative and creative. As a result, the short film "Nasida Ria: Sun Stage" is not only a film that records the history of Nasida Ria, but also a contribution to the evolution of the documentary film form. Through an archive of texts, photos and videos arranged using digital collage techniques and moved linearly.

FOSTERING CROSS-DISCIPLINARY COLLABORATION IN OFFSHORE PROJECTS: STRATEGIES AND BEST PRACTICES

In the realm of offshore engineering projects, the integration of diverse professional expertise is essential for successful planning and execution. This paper explores strategies and best practices for fostering cross-disciplinary collaboration in offshore projects, aiming to enhance project outcomes and mitigate risks. The abstract begins by highlighting the significance of cross-disciplinary collaboration in addressing the complex challenges inherent in offshore endeavors. It delineates the various strategies proposed for effective collaboration, including establishing clear project objectives, creating a collaborative culture, implementing robust communication channels, promoting mutual understanding, and encouraging interdisciplinary training. Furthermore, it outlines best practices such as forming cross-functional teams, utilizing integrated project management tools, holding regular interdisciplinary meetings, and embracing diversity. Through the analysis of case studies and examples, this paper illustrates the application of these strategies and best practices in real-world offshore projects, emphasizing successful outcomes and key lessons learned. The abstract concludes by emphasizing the importance of fostering cross-disciplinary collaboration in offshore engineering projects and suggests avenues for future research to further enhance collaboration methods and outcomes in this critical field.
 Keywords: Cross-Disciplinary Collaboration, Offshore Projects, Integrating Diverse Professional Expertise, Planning, Execution, Offshore Engineering Projects.

Considering the human-animal bond in developing One Health guidelines and standards for companion animals in humanitarian crises

Abstract Establishing international One Health guidelines and standards for the evacuation and care of small companion animals in humanitarian crises is essential to protect the overall well-being of people and pets impacted, improve efficacy and safety of response operations, safeguard public health and biosecurity, and mitigate the impacts of free-roaming pets on the environment and biodiversity. Given predictably larger scale and more frequent crises due to climate change and human conflict or violence, it is increasingly important to consider and plan for the impacts that invariably result when both people and pets are displaced. One Health impact statement Currently, there is a prominent focus on One Health approaches to plan for and respond to emerging infectious disease threats as they impact human physical and public health. Much less attention has been paid to all-hazards disaster preparedness and planning (DPP) that comprehensively addresses the myriad additional ways humans, other animals, and the environment are impacted by co-displacement of pets and people. If applied, One Health approaches to DPP for humanitarian crises would address a broader range of risks and harms and build the cross-disciplinary collaborations and platforms necessary to truly plan and prepare for “all hazards.” This approach also provides an exceptional opportunity to elevate One Health understanding among both professionals and the public when disaster planning initiatives are developed with, and shared among, communities around the world.

Identifying barriers to engage with soundscape standards: Insights from national standards bodies and expertsa).

This study explores the engagement of national standards bodies and practitioners with the ISO 12913 series on soundscape. It reveals critical challenges in stakeholder engagement, communication, competence, and practical application. A strategic roadmap, aligned with the normalization process theory, is proposed, comprising meaningful stakeholder engagement, building workability and integration, and community building and reflective monitoring. Results underscore the influence of national priorities, communication gaps, limited resources, and the need for practical guidance. Future efforts should focus on promoting cross-disciplinary collaboration and developing tools to quantify the societal and economic impact of soundscape interventions, addressing the multifaceted barriers identified.

Advancing the decadal plan for the science of nutrition: Progressing a framework for implementation.

In 2019, the Australian Academy of Science in collaboration with the nutrition community published the decadal plan for the science of nutrition. This article aims to review progress towards each of its pillar goals (societal determinants, nutrition mechanisms, precision and personalised nutrition, and education and training) and two enabling platforms (a national data capability and a trusted voice for nutrition science), prioritise actions, and conceptualise program logic implementation models. This process also brought together public health nutrition researchers to reflect on societal determinants of health, and advise how the next 5 years of the decadal plan could reflect contemporary issues. Two engagement events, in 2023, brought together experienced and mid- and early-career nutrition professionals for co-creation of implementation logic models. One hundred and nine early and mid-career professionals were involved. A revised model for the decadal plan pillars emerged from synthesis of all logic models. This new model integrated the precision and personalised nutrition pillar with nutrition mechanisms pillar. These combined pillars build towards the national data capability enabling platform and created new cross-cutting themes for education and training. The need arose for greater focus on respectful engagement with Aboriginal and Torres Strait Islander communities and sustained effort to build cross-disciplinary collaboration to realise the plan's societal determinants goals. A new alliance for nutrition science is proposed to become a unified advocacy voice and build trust in nutrition professionals. A programmatic approach provides a road map for implementing the decadal plan for the final 5 years.

Maternal and child oral health barriers and solutions: Case studies from South Africa, Brazil, and Indonesia.

The World Federation of Public Health Associations (WFPHA) has introduced a maternal oral health framework and launched its Global Maternal and Child Oral Health Initiative, advocating for maternal and child health as a strategic entry point for oral health to be integrated into primary healthcare systems. This article delves into maternal oral health initiatives in South Africa, Brazil, and Indonesia, exploring challenges and proposing context-specific solutions aligned with the WFPHA maternal oral health framework and its Global Maternal and Child Oral Health Initiative. The apartheid legacy in South Africa has led to the gross health inequalities, including oral health disparities characterized by maldistribution of dental facilities and dental professionals in the public sector. The proposed objectives focus on effective leadership, human resource capacity building, and integration of maternal and child oral health policy into existing health policies. Brazil faces challenges in reaching pregnant women, especially pregnant teens, due to workforce shortages. Brazil's Oral Health National Program mandates all pregnant women undergo at least one dental appointment, but a shortage of oral health teams persists and impedes timely access to dental care during pregnancy. Dental students' outreach to vulnerable pregnant teens can enhance the future oral health workforce's sensitivity to maternal oral health matters. In Indonesia, the Antenatal Care Innovative (iANC) Project has introduced a co-training model for midwives and oral health professionals addressing oral health needs of mothers and their spouses and fostering a comprehensive understanding of the interplay between oral health and maternal well-being. These country cases demonstrate the importance of tailored policies, health promotion, and care delivery interventions in maternal oral health. All cases highlight the importance of workforce training and distribution, fostering cross-disciplinary collaboration and future oral health workforce who can promote health beyond treatment delivery.

Effect of Scientific Collaboration on Interdisciplinarity in Climate Change From a Scientometric Perspective

Insights into the interdisciplinary response to scientific collaboration remain scarce in interdisciplinary fields. The present work focuses on the effect of scientific collaboration on disciplinary diversity in the field of climate change using multiple statistical methods. The results show that research collaboration at the author and country/region levels has significantly positive effects on variety and DIV (an integrated diversity indicator), although these effects are limited. Additionally, the associations between the values of variety, disparity, and DIV and the number of departments are significantly positive, and similar results are found regarding relationships between these indicators and the number of countries/regions at the country/region and integrated levels. However, scientific collaboration has a negative effect on the balance of references at all levels. This study can improve our understanding of how scientific collaboration affects the multidimensional aspects of interdisciplinary research, and facilitate cross-disciplinary collaboration in the future.

Learner Assessment and Program Evaluation: Supporting Precision Education.

Precision education (PE) systematically leverages data and advanced analytics to inform educational interventions that, in turn, promote meaningful learner outcomes. PE does this by incorporating analytic results back into the education continuum through continuous feedback cycles. These data-informed sequences of planning, learning, assessing, and adjusting foster competence and adaptive expertise. PE cycles occur at individual (micro), program (meso), or system (macro) levels. This article focuses on program- and system-level PE.Data for PE come from a multitude of sources, including learner assessment and program evaluation. The authors describe the link between these data and the vital role evaluation plays in providing evidence of educational effectiveness. By including prior program evaluation research supporting this claim, the authors illustrate the link between training programs and patient outcomes. They also describe existing national reports providing feedback to programs and institutions, as well as 2 emerging, multiorganization program- and system-level PE efforts. The challenges encountered by those implementing PE and the continuing need to advance this work illuminate the necessity for increased cross-disciplinary collaborations and a national cross-organizational data-sharing effort.Finally, the authors propose practical approaches for funding a national initiative in PE as well as potential models for advancing the field of PE. Lessons learned from successes by others illustrate the promise of these recommendations.