Institutional changes unrelated to PPHE. The medical center encountered a number of unexpected changes in personnel, including changes in faculty members participating in the project. These changes required reassignment of some responsibilities. Scheduling. After adjusting to organizational and curricular changes, the team’s primary challenge was scheduling. To offset this challenge, the team presented lectures in multiple locations at different times and posted them on the residents’ secured web site. Parent- partners hosted more than one resident at a time and spoke with residents at off-campus clinics. Several residents visited off-campus sites together. .
