Post on 26-Sep-2018
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Canada & IPE/IPP/IPC Five Inevitable Questions Two Wicked Problems
J O H N H . V . G I L B E R T , C . M . , P H . D . , L L D . , F C A H S
S E N I O R S C H O L A R , W H O C O L L A B O R A T I N G C E N T R E O N H E A L T H W O R K F O R C E P L A N N I N G & R E S E A R C H , D A L H O U S I E U N I V E R S I T Y .
P R O F E S S O R E M E R I T U S , U N I V E R S I T Y O F B R I T I S H C O L U M B I A .
D R . T M A P A I E N D O W M E N T C H A I R I N I N T E R P R O F E S S I O N A L E D U C A T I O N & P R A C T I C E , M A N I P A L U N I V E R S I T Y .
A D J U N C T P R O F E S S O R , U N I V E R S I T Y O F T E C H N O L O G Y , S Y D N E Y
F O U N D I N G C H A I R , C A N A D I A N I N T E R P R O F E S S I O N A L H E A L T H C O L L A B O R A T I V E
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 1
Why?
Need for clear and coherent arguments for IPE/IPP/IPC.
Need to understand that participants are both informants and champions.
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 2
Who? Understanding new roles for: Faculty Students Staff Practice colleagues Senior administrators Patients/Clients
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 3
When? Evidence for: Exposure Pre-licensure Immersion Pre-licensure Mastery Post-licensure, life-long learning … through informed consultation between governments, campus, community – and patients.
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Learning is like riding a bicycle- Stop peddling and you fall off
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 4
Where? Theories & Models for: Campus based learning. Community based learning e.g.
Primary care Tertiary Public & Preventative Health Health Promotion
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 5
How? Operationalizing the definition: “learning with, from and about; collaboration; quality of care”
Knowledge Skills Attitude Behaviour?
… and evaluation at all stages
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
A poor way to learn about team functioning
11
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Question 6
What? Politics and Policy
Regulation
Competences
Accreditation
Legislation
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Legislation for IPE On April 10, 2008, the British Columbia Minister of Health introduced the Health Professions Regulatory Reform Act, Section 10 (f) introduces a change to the bylaws of all Regulatory Colleges in B.C. that will require each College:
“to promote and enhance the interprofessional collaborative practice between its registrants and persons practicing another health profession.”
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
Two Wicked Problems*
1) What is the policy coherence between the education sector and the health sector?
2) What is the return on investment (ROI) for IPE/IPP/IPC?
“Wicked problems are difficult or impossible to solve. Their solutions depend on incomplete, contradictory and changing requirements that are often difficult to recognize. And they are confounded by complex interdependencies between actors and agents.” (*Rittel and Webber (1973))
WHO/PAHO Collaborating Centre on Health Workforce Planning & Research
“Interprofessional” - Establishing the
Definition The Soundbite Problem
The struggle to be heard takes precedence over the accuracy of what is
being said