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Interprofessional Education & Collaborative Practice
Issues for Allied Health
Virtual day of Allied Health & RehabilitationDecember 03 2015
John H.V. Gilbert, C.M., Ph.D., FCAHSPrincipal & Professor Emeritus, College of Health Disciplines,
University of British Columbia.Adjunct Professor, The National University of Malaysia
Adjunct Professor, Dalhousie UniversityCo-Chair, Canadian Interprofessional Health Collaborative
Overview of Presentation
The WHO (2010) Study Group Report Interprofessional Education
Collaborative Practice Health & Education Systems
Improved Health
Outcomes
Health & Education Systems
Local Context
Present & Future
Health Workforc
e
OptimalHealth
ServicesCollaborative
PracticeCollaborative
Practice-Ready
Interprofessional Education
Local Health Needs
Strengthened Health System
FragmentedHealth System
HealthWorkforce
Present & Future Health
Workforce
Collaborative Practice-Ready
Health Workforce
Interprofessional Education
High Level IPE Strategy 1“Interprofessional”
Use the right word - Use the word rightIPE
A three-part definition
“Learning With, From and About,For the purposes of collaboration,To improve the quality of care”*
Quality: Structure, Process, Outcome**
*WHO (2010) Framework for Action on Interprofessional Education & Collaborative Practice – following the CAIPE definition (2002)
**Donabedian A. Evaluating the quality of medical care. Milbank Memorial Fund Quarterly, 1966, 44: 166–206.
Present & Future Health
Workforce
Collaborative Practice-Ready Health
Workforce
Staff trainingChampions
Institutionalsupport
Assessment
Learningoutcomes
Logistics &scheduling
Programmecontent Compulsory
attendanceContextual
learning
Adult learningprinciples
Sharedobjectives
Interprofessional Education
Managerialcommitment
EDUCATOR (TEACHER) MECHANISMS
CURRICULAR (LEARNER) MECHANISMS
Learningmethods
High Level IPE Strategies 2Framing IPECP for Teaching & Learning
High Level IPE Strategies 3
• Design and implement system-wide;• Build knowledge about what works
in specific situations and contexts;• Develop adult learning competency
based approaches to IPE e.g.: PBL, CBL, Simulation
Curricular Reform A Lesson Learned
“Changing a college curriculum is like moving a graveyard - you never know how many friends the dead have until you try to move them.”
(Variously attributed to either Calvin Coolidge or Woodrow Wilson)
Collaborative Practice-
Ready Health Workforce
Optimal Health
Services
CollaborativePractice
Collaborative Practice-Ready
Health Workforce
Optimal Health
Services
Governancemodels
Structuredprotocols
Shared operatingresources
Shared decision-making processes
Supportivemanagement
practices
Facilities
Spacedesign
Personnelpolicies
Collaborative Practice
Communicationsstrategies Built
environment
Conflictresolutionpolicies
ENVIRONMENTAL MECHANISMS
INSTITUTIONAL SUPPORT MECHANISMS
WORKING CULTURE MECHANISMS
COLLABORATIVE PRACTICE
Collaborative Practice
Strategies 1
The PatientNot Just
Another Hockey Puck
• People• Process• Technology• Information
Patient Care Quality Improvement B.C. 2013-2014
IPECP Collaborative Strategies 2Understand the Patient’s Concerns
IPECP Collaborative Practice Strategies 3
• Design and implement system-wide.• Build as a key health workforce
strategy.• Develop coordinated collaborative
connections between all educational & practice partners.
IPECP Collaborative Practice Strategies 4
• Design appropriate space, and complete administrative support.• Build a clear work plan. • Develop equitable funding, and
accountability.
IECP Collaborative Practice Strategies 5Set teaching, learning and practice
in an appropriate framework.•Evaluate and measure.•Monitor outputs, outcomes, and impacts.
•Assign responsibility appropriately and effectively.
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IPECP Collaborative Strategies 6Practice Education (PE)
An Old Idea - A Central Tenet?
“For the things we have to learn before we can do them, we learn by doing them.”
(Aristotle, Nicomachean Ethics (350 B.C.E))
IPECP Collaborative Strategies 7Engage, encourage, and reward
The Practice Educator
Facilitator
Assessor EvaluatorCommunicator
FragmentedHealth System
Strengthened Health System
Health & EducationSystems
FragmentedHealth System
Strengthened Health System
Remunerationmodels
Riskmanagement
Accreditation Regulation
Professionalregistration
Capitalplanning
Financing Commissioning
Fundingstreams
Health & EducationSystems
HEALTH SERVICES DELIVERY MECHANISMS: Structure & Process
PATIENT SAFETY MECHANISMS: Outcomes
Interprofessional Collaborative PracticeSome Real Problems
• interpersonal differences e.g. age, gender, culture• fear of change e.g. place, time, persons• stereotypic rivalry e.g. me, him/her, them• power, income and status e.g. salary vs. fee-for-service• language e.g. gender, profession, social class, jargon• models of practice e.g. medicine, nursing, social work• management structures e.g. acute care, community• management priorities e.g. money, space, people
IPECP: The Global Network• The American Interprofessional Health Collaborative (AIHC),• The Australasian Interprofessional Practice and Education
Network (AIPEN),• The Centre for the Advancement of Interprofessional Education
(CAIPE), • The Canadian Interprofessional Health Collaborative (CIHC),• The European Interprofessional Education Network (EIPEN) • The Japan Association for Interprofessional Education, (JAIPE)
and • The Nordic Interprofessional Education Network (NIPNET).
What we have learned