Interprofessional and Team-Based Continuing Education For Health Professionals
Abstract
The benefits of implementing interprofessional and teambased programs are well recognized. However, for interprofes sional education to be effective and broadly implemented, the health professions, policymakers, insurers, academic institutions, health care providers, and regulatory bodies should embrace and adopt a new, interprofessional education framework. These stakeholders should create a shared value and vision for interprofessional health professions’ educa tion, research, and practice. This vision should be patientoriented and contain a measurable component across the entire educational continuum, from admission into a health professional program through retirement. Such a framework would maximize and value the strengths of individual professions in the integrated delivery of high quality care. Finally, in creating a successful model, a series of questions should be considered: how best can team competence be measured, how should individual behavioral changes be documented when we think of individual rather than teamlevel changes, how do we create and measure performance criteria based on shared understanding and experience in the practice setting? Within academic settings, there are more specific barriers including a lack of administrative support, financial and human resources for interprofessional education, conflicts in schedules and health professions’ curricula, and limitations to the time required to plan and implement faculty development for interprofessional learning. Finally, despite progress, there remain regulatory and professional barriers to achieving full and meaningful implementation of effective models. Recom mendations which are given emphasize that investing in research to evaluate the efficacy of continuing education and its impact on patient outcomes and the healthcare delivery system is inherent in this process.
References
Apker J, Propp KM, Zabava Ford WS, Hofmeister N. “Collaboration, credibility, compassion, and coordination: professional nurse communication skill sets in health care team interactions”. J Prof Nurs. 22(3) 2006:180189.
Baldwin DC, Baldwin MA. “Interdisciplinary education and health team training: A model for learning and service.” In A.D. Hunt & L.E. Weeks (eds). Medical Education Since 1960: Marching to a Different Drummer (pp. 190221). East Lansing, MI: Michigan State University Foundation. Reprinted in 2007 in the Journal of Interprofessional Care, 21(S1) (2007):5269.
Barr H, Freeth D, Hammick M, Koppel I, Reeves S.“The evidence base and recommendations for interprofessional education in health and social care”. J Interprofes Care. 20(1) (2006): 7578.
Charney E, Kitzman H.“The childhealth nurse (Pediatric Nurse Practitioner) in private practice”. New England Journal of Medicine.
(24), 1971:13531357.
Salas E, DiazGranados MS, Weaver S J, King H. “Does team training work? Principles for health care”. Academic Emergency Medicine.
(2008):10021009.
Halstead LS. “Team care in chronic illness: A critical review of the literature of the past 25 years”. Archives of Physical Rehabilitation and
Medicine. 57 (1976): 507511.
Headrick LA.“Learning to improve complex systems of care”. In: Collaborative Education to Ensure Patient Safety. Washington, DC: HRSA/Bureau of Health Professions. (2000): 7588.
Ho K, JarvisSelinger S, Borduas F, Frank B, Hall P, HandfieldJones R et al.“Making Interprofessional Education Work: The Strategic
Roles of the Academy”. Academic Medicine. 83(10) (2008):934940.
King HB, Battles J, Baker DP, Alonso A, Salas, E, Webster J, Toomey L, Salisbury M. “TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety”. Available at: http://www.ahrq.gov/downloads/pub/advances2/vol3/AdvancesKing_1.pdf. Accessed July 30, 2009.
Lingard L, Regehr G, Orser B, Reznick R, Baker GR, Doran D, Espin S, Bohnen J, Whyte S.”Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication”. Arch Surg. 143(1) (2008):127.
Steinert Y, Cruess S, Cruess R, Snell L.“Faculty development for teaching and evaluating professionalism: from programme design to curriculum change”. Med Educ. 39(2) (2005):127–136.
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