In this chapter, the major concepts from program planning in adult education will be applied to health professions education (HPE). Curriculum planning and program planning will be differentiated, and program development and planning will be grounded in a systems thinking approach.

Five indicators of failure suggest mistakes in program design or delivery: aborted planning, insufficient enrollment, negative reactions, unattained objectives, and incomplete transfer of learning. Learning from these mistakes requires deliberate reflection and systematic analysis. (SK)

Interviews with 32 adult education practitioners elicited success/failure factors. Practice-related observations included (1) reflecting on success/failure helps clarify values and assumptions; (2) new ways of perceiving, planning, and evaluating are stimulated; (3) integrating past experiences with changing demands promotes flexibility; (4)…

Four types of program failure are (1) termination before implementing a planned program; (2) insufficient enrollment; (3) failure to meet participant expectations; and (4) failure to achieve objectives. Speculations about probable causes of failure can lead to principles for improving practice and to theories about program failure. (SK)

The best HIV prevention programs--those that effect change on a multiplicity of levels by changing knowledge, attitudes, and behaviors and that are sustained over time--are also those that place HIV-positive people at the center of program design, implementation, and evaluation.