Accompaniment in Practice

Engaging the Model

Ariel Arguelles, Giuliana Carozza, Matt Hing,
Darlene Kim, Thomas Rieth, Ava Stachelski

Project Objective
Construct an adaptable, educational
accompaniment training program that is
accessible as well as understandable for all
PIH employees

The Opportunity
Analyze successful existing training models
that promote core values
Integrate leadership with accompaniment
Engage new clinical volunteers in West
Africa
Create a formal training curriculum for PIH
employees

Comparative Analyses

70:20:10 Model
70:20:10 Model (Center for Creative Leadership)
o Experiential learning (70%), social learning (20%), and
formal learning (10%)
o Leadership is principally learned through doing, but
needs to be supplemented by other experiences as well
o Interactive case studies would be an effective way to
teach employees how to best apply the lessons of
accompaniment

American Express
American Express Quality Leadership (AEQL)
o Incorporates top management in training by
utilizing company executives as trainers
o In PIHs case, veteran staff members with extensive
experience working for the organization are the best
vehicles to convey what accompaniment is

Disney
Disneys Approach to Training
o
o
o

The importance of teaching values rather than just

providing objective instructions
Intentionally over-manages aspects of their
business to make intricate operations seem simple
Continous employee engagement

BRAC
BRAC Learning Division
o Provides case studies, role playing activities and
simulations of real life experiences to give the
employees an interactive experience
o Emphasize decision-making skills
o Trainers act more as facilitators than teachers

Mdecins Sans Frontires

MSFs Approach to Core Values
o Adapt to community contexts while maintaining
organizational principles
o Core values remain constantdiffer in execution
o Makes use of situational leadership principles

Notre Dame DAT Projects

From Aid to Accompaniment (Fall 2013)
o Take accompaniment from an abstract model to
something that can be understood and
conceptualized by a wider audience
o Accompaniment has a narrative more than it has a
definition
o PowerPoint Presentation

The Situation at PIH

Loosely structured accompaniment training methods
Subjectivity and variability in definition
Mixture of long-term and short-term employees
How can we move from awareness to application?

Leadership Bossiness Oppression

Ebola clinical volunteers

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Training Program
Instructor Manual
Three Modules
Feedback & Surveys

Module 1: Understanding
Accompaniment

Goal: Develop a working definition of the theory of

accompaniment & provide staff with the framework to
recognize accompaniment in their everyday experiences

Method: Instructive PowerPoint with Interactive Case

Studies

Feedback: Quantitative and Qualitative Survey

Module 2: Getting Personal

With Accompaniment

Goal: Build capacity of staff to recognize and engage

with accompaniment in their daily work & create a
collaborative environment among teams to foster
shared growth

Method: Discussion in Small Coaching Teams

Presentation Questions Recommendations

Feedback: 2 Minute Reflective Essay

Module 3: Practicing
Accompaniment

Goal: Engage accompaniment at multiple levels &

conclude the training curriculum with opportunities for
multiplier effect

Method: Coaching Team Presentations, Complex Case

Study, Multiplier Effect

Feedback: Quantitative and Qualitative Survey

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Experiential Accompaniment
Activities

Billboard Exercise: Place a board in a common area, on

which employees can write thoughts on accompaniment

Self-Evaluation: Have employees fill out a brief survey,

incorporated into existing employee evaluations.

Visual Reminder: Place or distribute images with simple

reminders of the values of accompaniment

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Accompaniment in
Practice

PIH Summer Interns

+ Full-time Staff +
New Employees

Full-time Staff

Ebola Clinical
Volunteers

3 Module Training

Experiential
Accompaniment
Activities

Volunteer Training
Supplement

Volunteer Ebola Training

Supplement (VETS)
Goal: Use current events and employees in
West Africa to exemplify and share experiences
of accompaniment
Method: Pre-departure Powerpoint, Journal
Prompts, Brief Presentation upon Arrival

Indicators of Success
Utility
Feedback from Training Sessions
Client (PIH) Assessment

Recommendations
Provide Ebola medical volunteers with VETS
before departure
Begin implementing experiential activities in
the office
Test-run and refine 3 module training
curriculum on summer PIH interns

"Accompaniment is something that can be

applied beyond the scope of health services. It
is not a goal but a process, a way of doing
everything we do that relates to our fellow
human beings.
-Dr. Hugo Flores, CES director