Interprofessional collaboration and education wonca 2013

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Interprofessional Education (IPE) and Collaborative Practice (IPCP) in family medicine

Professor Janko Kersnik, MD, MSc, PhDPresident of EURACTHead of Family Medicine Department, Medical School Maribor, SloveniaHead of Research Department, Department ofFamily Medicine, Medical School LjubljanaProfessor of Health care systems and Organisation of nursing services at postgraduate programme School of nursing Izola

Content of the presentation

Contribution to definition of Interprofessional Collaborative Practice.

Is there a difference between inter- and multiprofessional collaborative practice?

Why Interprofessional Collaborative Practice?

What makes Interprofessional Collaborative Practice work?

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Operational Definitions*Interprofessional collaborative practice:“When multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care” (WHO, 2010)

Interprofessional education: “When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” (WHO, 2010)*Core Competencies for Interprofessional Collaborative Practice, 2011, http://www.aacn.nche.edu/education-resources/ipecreport.pdf

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Lingusitics* (1/2) Isolation: Each profession organizes its own

teaching and is unaware of what is taught or learned in other professions

Sharing: Two professions plan and implement joint teaching, with interaction between the professions in one part of a course. The remainder of the course has a uniprofessional focus

* AMEE Medical Education Guide No 12., 2011, http://www.aacn.nche.edu/education-resources/ipecreport.pdf

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Lingusitics* (2/2) Multiprofessional: The emphasis in the course is on

multiprofessional education. Each profession looks at themes from the perspective of their own profession

Interprofessional: Each profession looks at the subject from the perspective of their own and other professions

Transprofessional: The multiprofessional education is based on the experience of the real world which provides a filter for the students’ learning

* AMEE Medical Education Guide No 12., 2011, http://www.aacn.nche.edu/education-resources/ipecreport.pdf

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Towards interprofessional collaborative practice definition WHO: multiple health workers from different

professional backgrounds working together (team work)…

FOR WHOM: patients, families, carers, communities… (daily routines)

AIM(S): to deliver the highest quality of care… (I dare to say – normal work)

WHICH TERM: (does not matter if we agree the contents)

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What would Hippocrates say? Are we serious about

it, or just chewing fancy stuff?

Is there a financial issue behind the scene? – government and / or professions

Is it about patient safety and better care?

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Why interprofessional …* Opportunities for health professions students to

engage in interactive learning with those outside their profession as a routine part of their education. The goal of this interprofessional learning is to prepare all health professions students for deliberatively working together with the common goal of building a safer and better patient-centered and community/population oriented U.S. health care system.

*Core Competencies for Interprofessional Collaborative Practice, 2011, http://www.aacn.nche.edu/education-resources/ipecreport.pdf

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“SWOT analysis” of IPCP/E S: practice experiences, actual needs W: interprofessional barriers, lack of good

practice examples O: population and health service needs T: disillusioned, lack of motivation, stubborn

What is not IPCP? A battle between

professions A struggle to keep

prime role A panacea for health

poclicy and / or financial problems

A completely new continent in the health care world

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What does interprofessional … offer* By embracing cooperation rather than competition

… through a process of mutual respect as well as shared knowledge and decision-making, health care professionals are able to make positive change.

Greater collaboration among health professionals can result in better work environments … and the delivery of improved health care to patients and their families can be achieved.

*http://www.interprofessionalcare.mcgill.ca/default.htm

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Why do we encourage IPCP/E? To assure and improve mutual respect To share knowledge, skills and attitudes To enable shared decision-making To guarantee accountability

That makes better work environmentand

Assures delivery of good (improved) patient care

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What makes IPCP work?

Market, poromote, popularise…

Change attitudes… Teach concepts,

skills, good practice… Support

interprofessional practice in clinical settings...

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Four strategies to facilitate IPE/C* A professional development program … to

develop attitudes, knowledge, and skills required for interprofessional practice

Building learning resources to teach interprofessional practice. 

Integrating interprofessional education and practice into the curriculum.

Enabling interprofessional practice in clinical settings...

* http://www.interprofessionalcare.mcgill.ca/default.htm

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Conclusions IPCP - It is not how we name it, but how we

practice it. If family medicine holds confidence in its own

profession then there is not any problem to embrace other disciplines on the same level of co-existence, collaboration and mutual learning.

IPCP deserves support of all FM bodies.

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