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Impact of entrepreneurship training on clinician engagement in innovation creation: an evaluation of the Johns Hopkins Hexcite programme
  1. Adler Archer1,2,
  2. Jasmine Mcneil1,
  3. Teresa Johnson3,
  4. Ewan Ferlie2,
  5. Paul Nagy1
  1. 1 Technology Innovation Center, Johns Hopkins Medicine, Baltimore, Maryland, USA
  2. 2 King's Business School, King's College London, London, UK
  3. 3 Informatics Education, Johns Hopkins Medicine, Baltimore, Maryland, USA
  1. Correspondence to Dr Adler Archer, Technology Innovation Center, Johns Hopkins Medicine, Baltimore, MD 21205, USA; adler{at}


Background Academic health science centres are an ideal location to translate innovative discoveries into clinical practice. However, increased cost, decreased time and encroaching technology are few of the challenges that academic clinicians face in an increasingly digitised healthcare industry. Academic health science centres have begun creating training to involve clinicians in developing and deploying innovative solutions. Few of these programmes engage clinicians in interactive and interdisciplinary activities.

Approach Hexcite is a 16-week entrepreneurship training programme at Johns Hopkins. During the programme, clinicians with innovative clinical software ideas learn how to launch start-ups. Clinicians accepted into the programme team up with a business expert, design expert and technical expert. Teams participate in 15 expert-led interactive 3-hour workshops, interview potential customers, regularly pitch their ideas to industry experts and iteratively refine their products.

Methods This report examined anonymous participant feedback, quantitative data from team productivity reports, and interview responses between 2015 and 2019. Outcomes were assessed using the Kirkpatrick Model.

Results and conclusion Many clinicians reported improved understanding of team building, design thinking and marketing communications as well as increased involvement in innovation. Many teams received funding after Hexcite. Outcomes from previous cohorts will guide more robust evaluation measures for future cohorts.

  • leadership assessment
  • clinical leadership
  • career development
  • curriculum
  • health system

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  • Contributors AA, JM and PN contributed to concept development, contributed to manuscript writing and made edits. AA developed evaluation measures and performed the data extraction. TJ and EF performed the data analysis, contributed to manuscript writing and made edits.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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