ByWiwik Kusumawati

WHY IPE???Patient safety (Institute of Medicine, USA 2001)Most errors are due to poor communication and collaboration among health professionals This means - we are putting patients at risk by not collaborating better!Research shows that inter professional education can improve IP collaboration and improve patient outcomes (Barr 2005, Reeves 2008)

WHY IPE???Much patient care is complexImproved health outcomes usually lie outside the scope of any one practitioner. (Headrick et al. 1998)

Introduction Integration of education and practiceDemand relationship between health professionals and both goverment and patientComplexity of patient problems

Introduction IPENorth America and Europe (40 years ago)WHO (1998)

Improving Health requires Team-work

Team Training during Professional training? Training during / at workplace? Mostly No!!

Goal of MPEImproved quality of careIncreased patient satisfactionImproved working relationships integrated learning practiceEconomic efficiencyGreater centralised control

.....goal of IPE(WHO)Develop the ability to share knowledge and skills collaborativelyEnable students to become competent in teamworkDecompatementalise curriculaIntegrate new skill adn area of knowledgesEase interprofessional communicationGenerate new rolesPromote interprofessional researchImprove understanding and cooperation between educational ans researc institutionsPermit collective consideration of resource allocation according to needEnsure consistency in curriculum design

Multi-professional education

The educational experience shared by members of different health professions and Achieved by the process in which a group of students/ workers with different educational backgrounds learn together during certain periods of their education, with interaction as an important goal

What is Inter-Professional Education?

Occasions when two or more Professionals learn from each other and about each other in order to cultivate collaboration and professional insights (Barr, 2001)

DIMENSION OF MPECurriculum goalsLearning contextsMPE strategies

The key to all of the issues surrounding IPE is what does it do for patients and the public? How does it improve patient care?

What about the content of IPE?EpidemiologyHealth promotionEthicsCritical apprisal skillsClinical skillsDecision makingCare planing Communication

What about the learning method?PBL (the first choice)Exchange based learningAction based learning Observation based learningSimulation based learningPractice basedE-learningBlended learningReceived or didactic learning

Important notes Principle of adult learningAssigning leadership rather than individual studentDifferent professionDifferent learning style

PREPARING OF MPE SESSIONCommon contentSpecialist contentComparative content (the bridge)

Recurrent contact modelCommonthemesmedicinenursing

PHASES OF MPE INTEGRATIONIsolationismAcknowledgementContent exchange Teacher exchangeShared premisesJoint teachingIntegrated activityCurricular overhaulOrganisational blendingCultural integration

Barrier to implement MPE Problems in making Time-table Different working practices and academic policies in different Health Care Professionals Variation in learners ages Fear of loss of identities The power of the medical profession Resistance to change

MPE The Continuum

SUMMARY/CONCLUSIONMPE/ IPE Contributes to: Development of own professional role Better understanding of different professionals roles Better interaction and communication between different professionals Improved patient / health care

Journal of Interprofessional Care