‘We might as well be speaking different languages’: an innovative interprofessional education tool to teach and assess communication skills critical to patient safety

IntroductionAll practicing health professionals must be able to communicate effectively with their colleagues around the care of patients. Better communication between health professionals not only improves patient outcomes, but also cuts down on costly and unnecessary tests or healthcare services. At New York University (NYU), we have addressed the need for interprofessional education (IPE) by incorporating a set of interprofessional objective structured clinical examinations (OSCEs) cases into our performance-based assessment programme to expand the educational tools for interprofessional collaborative (IPC) practice, assessment and feedback.MethodsWe identified and operationalised IPC competencies to create an assessment tool for use in IPC clinical cases, delineating core domains and then identifying observable behaviours that represented the broader competencies. IPC cases (for use in OSCEs) were designed in a way that required medical students and residents to collaborate effectively with a health professional from another discipline (standardised registered nurse (RN)) in order to provide quality care to a (standardised) patient. Feedback from the standardised RN and the participants was content analysed and our own experience in implementing was described.ResultsThis method demonstrates that IPC practice can effectively be incorporated into medical education training and assessment, at the undergraduate and graduate level. We found high internal consistency among items within each of the core IPC competency domains (Cronbach's α 0.80–0.85). Based on both standardised RN and faculty feedback, the cases were effective in discriminating among learners within and across undergraduate medical education (UME) and graduate medical education (GME) levels, and within learners, in identifying individual strengths and weaknesses. Learners found these cases to be realistic, challenging and stimulating.ConclusionsOSCE-based IPC training is a feasible and useful methodology. Ultimately, IPC OSCE cases are training tools that provide learners with a safe environment to practice, receive feedback and develop the critical skills needed for our evolving healthcare system. The next steps are to expand the scope of IPE cases to include more team members, and team work to also incorporate faculty development to ensure that our teachers and role models are effective in providing feedback on IPC practice.

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Interprofessional education challenges in medical education of Iran

10.21203/rs.2.9933/v1 ◽

2019 ◽

Author(s):

Soleiman Ahmady ◽

Zohrehsadat Mirmoghtadaie ◽

Davood Rasouli

Keyword(s):

Medical Education ◽

Interprofessional Education ◽

Qualitative Content Analysis ◽

Qualitative Approach ◽

Team Work ◽

Structured Interviews ◽

Cultural Challenges ◽

Educational Challenges ◽

Barriers And Challenges ◽

System Methodology

Abstract Background Interprofessional education is one of the most important educational methods for developing team work encounter with many challenges, especially in developing countries. The purpose of this study was to identify the important challenges of Interprofessional education in Iran's medical educational system. Methodology The qualitative content analysis was used to explain the perception and experience of 15 professors and experts regarding the challenges of Interprofessional education with semi structured interviews. The interviews were analyzed with Graneheim and Lundman qualitative approach in the MAXQDA software V.12 interviews were completed. Findings According to the participants, the important challenges to designing and implementation of Interprofessional education was: 1) educational challenges, 2) structural challenges and 3) cultural challenges. Conclusion Because of the importance of Interprofessional education to enhancing medical education, policymakers need to understand the importance of IPE and address the barriers and challenges they face. Also the Structures must be created and attitudes change.

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EXEMPLARINESS AND THE AMERICAN REVOLUTION

The Historical Journal ◽

10.1017/s0018246x97007759 ◽

1998 ◽

Vol 41 (1) ◽

pp. 303-310

Author(s):

CHRISTOPHER CLARK

Keyword(s):

New York ◽

South Carolina ◽

Cultural History ◽

American Revolution ◽

Role Models ◽

Cultural Construction ◽

Columbia University ◽

New York University ◽

University Of South Carolina ◽

Historical Episode

Devising liberty: preserving and creating freedom in the new American republic. Edited by David Thomas Konig. Stanford, Calif.: Stanford University Press, 1995. Pp. xiv+383. £35.00. ISBN 0-804-72536-5Benjamin Lincoln and the American revolution. By David B. Mattern. Columbia: University of South Carolina Press, 1995. Pp. xii+307. $39.95. ISBN 1-570-03068-5The devious Dr. Franklin, colonial agent. Benjamin Franklin's years in London. By David T. Morgan. Macon, Ga.: Mercer University Press, 1996. Pp. xii+273. $34.95. ISBN 0-865-54525-1General Richard Montgomery and the American revolution: from redcoat to rebel. By Hal T. Shelton. New York: New York University Press, 1994. Pp. xiv+245. $45.00. ISBN 0-814-77975-1The role of instructive, heroic, and exemplary themes in accounts of great national events has a complex history of its own. American independence and its aftermath provide rich examples. Ever since the events themselves, conventional and popular accounts have either featured individuals as heroes or role models, or dwelt on the struggle for values such as liberty and democracy. These traditions became so deeply rooted in patterns of discourse that academic historians have never been able to avoid engaging with them. Countless studies have embodied or responded to some kind of patriotic or hagiographic purpose, and such concerns to different degrees underlie the works under discussion here. The ‘new’ cultural history, however, has sparked a fresh interest in the ‘exemplary’ as a cultural construction in itself, and an increasing number of scholars are engaged in tracing the creation of image and identity, reputation and memory. All the works here touch on this concern, too, though they fall short of embracing the new agenda fully. Taken together, they illustrate the instability of what might be called the ‘traditional exemplary’: certainty that a historical episode or figure can illustrate an ideal principle or characteristic.

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NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽

10.1542/peds.31.3.528 ◽

1963 ◽

Vol 31 (3) ◽

pp. 528-530

Keyword(s):

New York ◽

Medical Education ◽

Premature Infants ◽

San Antonio ◽

Medical Center ◽

Information Contact ◽

New York University ◽

Children's Hospital ◽

Children’S Hospital

Annual Teaching Conference The Children's Hospital of the Santa Rosa Medical Center, San Antonio, Texas, will present its First Annual Teaching Conference on March 9 and 10, 1963, in Memorial Hall. Dr. Saul Krugman, Professor of Pediatrics at New York University, will be the speaker. All physicians are welcome. There is no registration fee. For further information, contact the Director of Medical Education, Santa Rosa Medical Center. Seminar on the Care of Premature Infants

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Renewing primary care: the bottom-up experience of an Italian health professional movement

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1283 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

G Sessa ◽

C Milani ◽

G Occhini ◽

G Marini ◽

A Sarro

Keyword(s):

Public Health ◽

Primary Care ◽

Health Care ◽

Medical Education ◽

Primary Health Care ◽

Learning Environments ◽

Health Professionals ◽

Interprofessional Education ◽

Training Session ◽

Primary Health

Abstract Sustainability of the National Health Systems (NHS) has been facing different challenges. A community-oriented Comprehensive Primary Health Care (CommOr C-PHC) could help its survival. Such a framework, focused on health promotion, primary prevention, not communicable disease management, requires new capabilities among health professionals. Considering teamwork and interprofessional collaboration (IPC) as PHC core elements, there is growing recognition of the need of interprofessional education (IPE). Nevertheless, italian medical education is distant from other disciplines and mainly based on hospital care settings. Since this situation represents an obstacle to implement a CommOr C-PHC model of health service, new ways of training students and retraining actual health workers should be developed. The aim of the project is to design IPE programs and to improve IPC within the C-PHC framework, shared learning environments placed in the community were developed. At the end of 2017 a group of young italian health professionals (public health resident, young general practitioner, social assistant, nurse, medical anthropologist, etc) founded the Campaign “2018 Primary Health care: Now or never”, a cultural movement of public health advocacy. Its goals are: The creation of a common cultural background through the study of PHC evidence and best italian and international practices. Organization of workshops all over Italy: peer education training session, site-visits, lectures with Italian and foreigner health professionals, based on need assessment methods. Individuation of learning environments placed in the community and in a primary care setting where students can apprehend social determinants of health, exercise critical thinking and develop transprofessional knowledge. Key messages Young health professionals from Italy, starting from the need for a different educational framework, based on IPE, created a movement to defend the NHS and promote PHC principles. The success and large participation of a national campaign sustaining PHC and aimed at promoting interprofessional education shows the need for a change in the medical education field.

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There is More Wrong with Medical Education than Accreditation

International Journal of User-Driven Healthcare ◽

10.4018/ijudh.2012010114 ◽

2012 ◽

Vol 2 (1) ◽

pp. 88-93

Author(s):

Joachim P. Sturmberg

Keyword(s):

Medical Education ◽

Professional Education ◽

Health Professionals ◽

Role Models ◽

Meaning Making ◽

Core Values ◽

Human Condition ◽

Health Professional Education ◽

The Core ◽

Selection Of

The failures of health professional education are multi-faceted. The governance issues described by de Leeuw represent ‘the tip of the iceberg’ of the problems. Other, probably more important issues, are the loss of the ‘core values’ underpinning the healing professions, and a scientism-based approach to practice based on a naive view of evidence that fails to register ‘one’s delusion of certainty’. The selection of students lacking humanistic trades perpetuates the demise of the healing (meaning making whole again of all of the dis-ease domains) professions. The change required to achieve ‘balanced’ health professionals that treat the human condition of dis-ease with the scientific advances of managing disease is a change in core values and a selection of patient-centred role models. An example shows how patients can ultimately be our best allies in achieving these ‘long-overdue’ changes.

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Identification of Pediatric Oral Health Core Competencies through Interprofessional Education and Practice

Nursing Research and Practice ◽

10.1155/2015/360523 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

D. Hallas ◽

J. B. Fernandez ◽

N. G. Herman ◽

A. Moursi

Keyword(s):

New York ◽

Oral Health ◽

Interprofessional Education ◽

Core Competencies ◽

Primary Care Providers ◽

Pediatric Dentistry ◽

Evidence Based ◽

Care Providers ◽

New York University ◽

University College

Over the past seven years, the Department of Pediatric Dentistry at New York University College of Dentistry (NYUCD) and the Advanced Practice: Pediatrics and the Pediatric Nurse Practitioner (PNP) program at New York University College of Nursing (NYUCN) have engaged in a program of formal educational activities with the specific goals of advancing interprofessional education, evidence-based practice, and interprofessional strategies to improve the oral-systemic health of infants and young children. Mentoring interprofessional students in all health care professions to collaboratively assess, analyze, and care-manage patients demands that faculty reflect on current practices and determine ways to enhance the curriculum to include evidence-based scholarly activities, opportunities for interprofessional education and practice, and interprofessional socialization. Through the processes of interprofessional education and practice, the pediatric nursing and dental faculty identified interprofessional performance and affective oral health core competencies for all dental and pediatric primary care providers. Students demonstrated achievement of interprofessional core competencies, after completing the interprofessional educational clinical practice activities at Head Start programs that included interprofessional evidence-based collaborative practice, case analyses, and presentations with scholarly discussions that explored ways to improve the oral health of diverse pediatric populations. The goal of improving the oral health of all children begins with interprofessional education that lays the foundations for interprofessional practice.

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Perception regarding humanizing healthcare among the national healthcare service patients in Évora area - Portugal

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1718-11976-3-le.05spe201103 ◽

2011 ◽

Vol 5 (2) ◽

pp. 321

Author(s):

Ermelinda Do Carmo Valente Caldeira Batanete ◽

Maria Vitória Glórias Almeida Casas-Nova

Keyword(s):

Health Care ◽

Health Professionals ◽

Consumer Satisfaction ◽

Healthcare Service ◽

Quality Care ◽

Healthcare Services ◽

Human Beings ◽

National Healthcare ◽

Short Period ◽

Provide Quality Care

ABSTRACTObjective: to ascertain the perception regarding humanizing healthcare among the National Healthcare Service (NHS) patients in the area of Évora - Portugal. Method: this is a descriptive study, exploratory, with a quantitative approach using a random sampling starting from the guiding question: What is the NHS patients’ perception on humanizing the care provided by the healthcare services? Data were collected with an informed consent questionnaire, administered between September and October 2010 to 62 individuals who were patients in the NHS, according to the approval of the Ethic Committee on Research Involving Human Beings, with the 203/2008 legal opinion. Results: concerning humanizing health care, the respondents of this study outlined as particularly important aspects the following: being attended by gracious professionals who facilitate the dialogue and provide quality care in a short period of time. The value placed on being able to select one’s doctor and nurse is explained by aspects that patients find important such as availability, confidentiality, competence as well as the continuity of care and trust for the health professionals. Conclusion: the results highlight the following aspects: communication; attitudes and competence of the health professionals; accessibility and exercise of autonomy. Descriptores: humanizing; health care; health systems; consumer satisfaction; perceptionRESUMOObjetivo: conhecer a percepção dos usuários do Serviço Nacional de Saúde (SNS) do conselho de Évora - Portugal acerca da humanização dos cuidados. Método: estudo descritivo, exploratório, de abordagem quantitativa com uma amostra acidental, a partir da questão norteadora: Como é que os usuários do SNS percepcionam a humanização dos cuidados prestados nos serviços de saúde? A colheita de dados foi realizada através de um questionário com consentimento livre e esclarecido, aplicado entre setembro e outubro de 2010 a 62 sujeitos usuários do SNS, conforme aprovação do Comité de Ética em Pesquisa Envolvendo Seres Humanos. Resultados: acerca da humanização dos cuidados de saúde os informantes deste estudo evidenciaram como aspectos particularmente importantes, um atendimento por profissionais simpáticos, que facilitem o diálogo e prestem cuidados de qualidade num curto espaço de tempo. A importância da escolha do médico e do enfermeiro de familia, pelos usuários do SNS, é justificada pela disponibilidade, a confidencialidade, a competência, assim como a continuidade de cuidados e a confiança nos profissionais de saúde. Conclusão: os resultados remetem-nos para um acentuado destaque dos seguintes aspectos: a comunicação; atitudes e competência dos profisionais de saúde; acessibilidade e exercício da autonomia. Descritores: humanização; cuidados; sistemas de saúde; satisfação dos consumidores; percepção.RESUMENObjetivo: conocer la opinión de los usuarios del servicio nacional de Saúde (SNS) del consejo de Évora- Portugal sobre la humanizácion de los cuidados. Método: estudio descriptivo, exploratório, de abordage cuantitativa con una muestra aleatoria, basando-se en la pregunta norteadora: ¿Cómo los usuarios del SNS percepcionan la humanizácion de los cuidados prestados por los servicios de salud? La cosecha de datos fue hecha utilizando un cuestionario con consentimiento libre y clarificado, aplicado entre septiembre y octubre de 2010 a 62 usuarios del SNS, con aprobación del Comité de Ética en la Investigación en Seres Humanos, con el dictamen legal 203/2008. Resultados: referente a la humanizácion de los cuidados de salud, los informadores de este estudio habían evidenciado particularmente como aspectos importantes, la atención de profesionales agradables que facilitan el diálogo y dan cuidados de calidad en poco tiempo. La seleccion del doctor y de la enfermera es justificada por la importancia que asume para los usuarios la disponibilidad, la confidencialidad, la competencia, así como la continuidad de cuidados y la confianza en los profesionales de salud. Conclusión: los resultados nos apuntan para la importancia de los aspectos siguientes: la comunicación; actitudes y capacidad de los profisionales de la salud; accesibilidad y ejercicio de la autonomía. Descriptores: humanizácion; cuidados; sistemas de salud; satisfacción de los consumidores; percepción.

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