Interprofessional Education

Education Symposium in Palliative and End of Life Care

November 3, 2007

Tools & Signs

RulesCommunityDivision of Labour

Sense

Meaning

Action

Engström 2004

Each profession has a “cognitive map”

Learning Theory:Cognitive Psychodynamic

Societal- cultural; material environment- interaction, reflection- building on existing wisdom

Acquisition process

Interaction Process

Tension Triangle: Illeris, 2004

Tools & Signs

RulesCommunityDivision of Labour

Sense

Meaning

Action

Engström 2004, Illeris 2004

Tools & Signs

Rules Community Division of Labour

Sense

Meaning

Action

Each profession has a “cognitive map”

Each person has a unique “cognitive map”

“...quite literally, two opposing disciplinarians can look at the same thing and not see the same thing…..”

H.G. Petrie, J Aesthetic Educ 1976

Knotworking….

Components of IPE• Decentering

– point of view of other– self-reflect

• Communicating• Facilitating core membership & broker

functions (Wenger, Communities of Practice)

• Preserving professional cultures– L. Dahlgren (2006)

Mechanism of Decentering• Learning from others

– Additional & transformative learning• Making own knowledge visible

• Learning about others– Transformative (changes perspective)– Dismissing myths

• Learning with others– Transposition

• Integrating cultures; negotiating meanings, perspectives, priorities

L. Dahlgren et al (2006)

The Adult Learner & IPE (Petrie, 1976, D’Eon, 2005)

Cooperative learning Experiential learning

Active

Idea Dominance

Domains & levels…• Cognitive

• Psychomotor Skills

• Attitudinal

• Relational • Level 1

• Level 2

• Level 3

• Level 4

7 Essential Elements for Collaboration (Way & Jones reference)

Wrap Up

7 Essential Elements for Collaboration (Way & Jones reference)

Phase of Group Role of facilitator Faciltation tasks

Forming - Directing

- Convening

a. Plan ahead

b. Convene group

c. Define goals for structure

d. Atmosphere for learning

e. Clarify roles, expectations

Storming - Coaching a. ID group’s issues, validate concerns

b. Facilitate communication; get input

c. Tension is normal

Norming - Supporting a. Offering resources & ideas

b. Listen & reinforce; be available

Performing - Supporting a. Focus group on task

b. Question; summarize & synthesize

Adjourning - Separating a. Support in letting go, saying good-bye

b. Evaluate how group was for them all

GROUP PROCESS

7 Elements Checklist

During your discussions:• What do you observe:

– in yourself?– in the others?

7 Elements1) Cooperation

2) Assertiveness

3) Responsibility

4) Communication

5) Autonomy

6) Coordination

7) Trust & Respect

Assessment of Professional Behavior in Small Group Session

• Respect

• Communication Skills

• Responsibility

• Self-Awareness/Self Evaluation

Northern Ontario School of Medicine

P-EOL Care Topics for IPE• Assessment of total pain

• Grief and loss

• Advance care planning

• Spirituality and health

• Attitudes and beliefs about E-O-L

• Cultural awareness

• Communication skills