Introduction In 2014, the National Institutes of Health (NIH) invested in the Building Infrastructure Leading to Diversity (BUILD) initiative to enhance diversity in the biomedical research workforce. As one of ten grantees nationwide, the BUILD EXITO project at Portland State University established an institutionally and geographically diverse consortium including local community colleges, a research-intensive medical institution, and universities and community colleges around the Pacific Rim. The goal of this collaboration was to support comprehensive research training for undergraduates from backgrounds historically underrepresented in the biomedical workforce. This manuscript aims to provide insights into creating and sustaining a large-scale multi-institutional consortium. Methods Using a collaborative and reflective approach, this study presents a collective account of developing and sustaining a decade-long equity-focused partnership. The authors, all deeply involved in the partnership, participated in a series of semi-structured conversations designed to elicit strategies and lessons learned for building and sustaining multi-institutional collaborations. Results Three main themes arose from the reflections on core strategies for creating and maintaining the partnership: 1) having a robust framework for diverse, equitable, and inclusive partnership, 2) equitable, flexible opportunities for goal setting and program implementation, and 3) planning for sustainability from the beginning. Obstacles faced throughout the decade-long partnership include the retention of all partners and the tension between institutional buy-in and the pursuit of external funding. Finally, the Partners defined two lessons learned from the EXITO experience: 1) the importance of a critical mass of stakeholders, and 2) the need to expand institutional leadership teams for partner sustainability. Discussion While working across institutional boundaries may present challenges, multi-institutional partnerships allow for a broader reach to diverse student populations and create meaningful access to opportunities that may not otherwise exist. The EXITO infrastructure serves as a model for developing and sustaining partnerships for equity-focused student programs.
Gray et al. (Wed,) studied this question.