問題一覧
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When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes
Interprofessional education
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Key teaching and learning points for IPE
Respect for human dignity as a moral compass, Understanding our collective interprofessional social contract, Moving beyond behavioral obejctives to development of habits or dispositions
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Designed to measure student attitudes towards and readiness for participating in interprofessional experiences
RIPLS
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Composed of 3 subscales related to teamwork, professional identity, and roles and responsibilities
RIPLS
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Responses are recorded on a six-point Likert scale
IEPS
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Comprises of 4 subscale measures related to competence and autonomy, perceived need for cooperation, actual cooperation, and understanding others’ value
IEPS
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Consists of 21 self-reported questions designed to compare attitudes of different members of health care teams
Attitudes toward health care teams scale
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Divided into 2 subscales: Quality of care/Process subscale and Physician Centrality subscale
Attitudes toward health care teams scale
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Consists of stations coverung five common consultations in general medical practice
TOSCE
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Each station involves student completion of four tasks, including history, examination, diagnosus, and patient management plan
TOSCE
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Teams of 5 students typically rotate through the 5 stations, allowing interaction and application of various roles in direct interaction with the simulated patient and the other health care professionals on the team
TOSCE
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Research indicated that learning experiences based on characteristics of adult learners and involving elements of self-direction, choice and active, practice-based learning in teams result in positive outcomes
Teaching-Learning Methods for IPE
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Cooke recommends that pedagogies involve clinical integration that allows progressive development of skills and attitudes
Teaching-Learning Methods for IPE
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Educators must consider disciplinary preparation level of the learner and whether learning experiences will be mandated or elective in nature
Teaching-Learning Methods for IPE
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Use of technology may facilitate IPE
Teaching-Learning Methods for IPE
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Several programs have been described in the educational and research literature that serve as models for institutions that ate interested in facilitating IPE
Program Development in IPE
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Programs vary by specific content offered, the combinations of participating professions, and the type and duration of learning experiences
Program Development in IPE
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Physical therapists play an important role in modeling team-based competencies and educators will need to develop learning experiences and assessment strategies that fit with their institution’s mission and purposes in order to achieve success
Program Development in IPE
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A powerful portal to professional life where students begin their formation of professional identity and habits of mind
Interprofessional education
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Key strategies for addressing common barriers
Foster organic development of interprofessional interaction, Foster connections between educator and administration levels, Build educational expectations for students, Encourage wider educator option
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Begin where interprofessional interaction occurs naturally, and allow educator efforts to develop in areas such as community-engaged learning in medically underserved communities where health-related concerns typically exceed the needs capacity of any single discipline to help
Foster organic development of interprofessional interaction
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Administrative authority is a critical factor for success, and it must include the right combination of educators capabke of the grassroots collaboration fundamental to IPE and IPP
Foster connections between educator and administration levels
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Linked to curricular and course-related outcomes, and include a visible reqard structure such as certification programs or awards that reflect participation or mastery
Build educational expectations for students
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Reinforcing conditions for IPE should be reflected in the educator role and reward structure, such as promotion and tenure documents, internal grant guidelines, and specific interprofessional awards not only to incentivize IPE but also to ensure that educators may successfully meet scholarship requirements
Encourage wider educator adoption
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A health progessional working independently to care for a patient
Unidisciplinary
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Students from 2 or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes
Interprofessional education
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Multiple health workers from different professional backgrounds working together with patients, families, caregivers, and communities
Interprofessional collaborative practice
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Level of cooperation, coordination and collaboration that are central to relationships between professionals in patient-centered care
Interprofessional teamwork
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Integrated enactment of knowledge, skills and values/attitudes that define working together across professions, with other health care workers, with patients, families, and communities to improve health outcomes
Interprofessional competencies in health care
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Various disciplines are brought together to understand a particular problem or experuence and offer different perspectives on the problem.
Multiprofessional education
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Materials are collected and offered to educators for study on individual basis
Self study
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Can be synchronous or asynchronous session that uses technology to offer a development session
Webinar
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A workshop is held and facilitated by an expert
Workshops with internal or external speakers
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Educators are invited as a whole to development sessions to address a particular topic
Voluntary educator development sessions
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Select educators are invited to one or more sessions that addresses a particular topic
Invited educators development sessions
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A trainer develops a cohort of educators who become the trainers for select groups
Train the trainer
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Health professional team members become familiar enough with the concepts and approaches of colleagues that thet can “blur the lines” and the team can focus pn collaborative analysis and decision-making
Transdisciplinary
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Those expected of health professionals and are sometimes overlapping
Common competencies
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This is an additive approach, not an integrative approach
Multiprofessional education
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Apply relationship-building values and the principles pf team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe, timely, efficient, effective and equitable
Teams and teamwork
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Works with individuals of other professions to maintain a climate of mutual respect and shared values
Values and ethics
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Communicate with patients, families, communities and other health professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease
Communication
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Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needw of the patients and populations served
Roles and responsibilities
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Topics for educator development on IPE
Interprofessional roles and responsibilties, Professionalism, Communication, Pedagogy, Assessment
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Educators choose professional conferences to attend that focus on interprofessional education
Attendance at conferences
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May produce interprofessional tension at tumes because they are not identified as exculusive to a specific profession’s scope of practice
Common competencies
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Augment of improve the outcomes of other professions involved in providing care
Complementary competencies
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Skills that members of each profession need in order to function with others at a broader level, beyond interaction with other healthcare practitioners
Collaborative competencies
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Consists of 19 items anchored on a five-point Likert scale
RIPLS
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Is an 18-item self-report of attitudes toward interprofessional teamwork
IEPS