2012-09-13 Session 1 Pharmaceutical Education-Prof Dr Irawan Yusuf

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    Developing Interprofessional Education

    In Indonesia Health Care TeamIrawan Yusuf

    Faculty of Medicine Hasanuddin University

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    INTRODUCTION

    What is Interprofessional Education (IPE)

    When students from two or more professions learnabout, from and with each other to enable effectivecollaboration and improve health outcomes (WHO,

    .

    What is interprofessional collaboration (IPC)

    When multiple health workers from different professionalbackgrounds work together with patients, families, and

    communities to deliver the highest quality of care (WHO,2010).

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    INTRODUCTION

    Why interprofessional education? Patients and community have complex health needs;

    healthcare professionals working in interprofessional teams canbest communicate and address these complex and challengingneeds;

    . In Indonesia, the evidence shows, however, that the health

    professionals do not collaborate well together.

    Fundamental premise of IPE If health professions students learn together at the beginning of

    and throughout their training they will be better prepared todeliver and integrated model of collaborative care after enteringpractice.

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    Its no longer enough for health workers

    to be professional. In the current complex

    and global climate, health workers also

    need to be interprofessional

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    Three types of professional competencies

    CommonCompetencies

    InterprofessionalCollaborativeCompetencies

    IndividualProfessional

    Competencies

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    INTERPROFESSIONAL CORE COMPETENCY

    Values/Ethics for Interprofessional Practice

    Roles/Responsibilities

    Interprofessional Communication

    Teams and Teamwork

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    Area and Component of competeciesNo AREA OF COMPETENCIES COMPONENTS OF COMPETECIES

    1 Values/Ethics for

    Interprofessional Practice

    -Place the interests of patients and communities at the center of

    IP health care delivery.

    -Respect the dignity and privacy of patients.

    - Embrace the cultural diversity and individual differences.

    -Respect the unique cultures, values, roles/responsibilities, and

    expertise of other health profession.

    2 Roles Responsibilities -Communicate ones roles and responsibilities clearly to patients,

    families, and other professionals.

    -Recognize ones limitations in skills, knowledge, and abilities.

    - Explain the roles and responsibilities of other care providers and

    how the team works together to provide care

    -Engage in CPD and CID to enhance team performance.

    -Use unique and complementary abilities of all members of the

    team to optimize patient care.

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    Area and Component of competeciesNo AREA OF COMPETENCIES COMPONENTS OF COMPETECIES

    3 Interprofessional

    Communication

    -Choose effective communication tools and techniques to

    facilitate discussions and interactions to enhance teamwork.

    -Express ones knowledge and opinions to team members

    involved in patient care with confident, clarity, and respect

    -Listen actively, and encourage ideas and opinions of other team

    members.

    -Communicate consistentl the in ortance of teamwork in atient-center and community-focused care.

    4 Teams and Teamwork -Describe the process of team development and the roles and

    practices of effective team.

    -Engage other professionals- appropriate to specific care situation

    in shared patient-centered problem solving.

    - Share accountability with other professions, patients and

    communities for outcome relevant to prevention and health care.- Apply leadership practices that support collaborative practices.

    - Perform effectively on teams and in different teams roles in a

    variety of setting.

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    BENEFITS OF IPE

    Improve access to health care,

    Enhance patient safety,

    Reduce lengths of hospital stay,

    Improve quality of life for patients and families,

    Facilitate recruitment and retention of health care

    professionals.

    Improved health outcome

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    Improved

    Health

    Outcome

    HEALTH AND EDUCATION SYSTEM

    Collaborative

    PracticeCollaborative

    Strengthened

    Health System

    Optimal

    Health

    NATIONAL CONTEXT

    Health and Education

    System

    Inter-

    professional

    Education

    NATIONAL HEALTH NEEDS

    Fragmented

    Health System

    Present and

    Future Health

    Workforce

    Health

    Workforce

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    Two Best Practice Models of IPE

    Community-based experience

    Interprofessional patient-based experience

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    Two Best Practice Models of IPE

    Community-based experience

    Students from medicine, nursing, public health,

    physiotherapy and pharmacy work together for 2 months

    in rimar care facilities They learned about how health care system works, how

    their knowledge was used to help the meet the needs of

    community and how they better understand them as a

    result of this activity;

    How they work as a teamwork.

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    Two Best Practice Models of IPE

    Interprofessional patient-based experience

    Students from medicine, nursing, public health,

    physiotherapy and pharmacy collaborate to provide

    ur ent care to atients The cases involve the most prevalent diseases in

    population that need interprofessional care;

    The objectives of case-based are both formative and

    summative, allowing participants to practice thecompetencies.

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    HOW TO INTEGRATE IPE INTO THE HEALTHEDUCATION SYSTEM

    Develop guiding principles to inform the health

    professional institutions to development of

    standards, criteria and evaluation/assessment

    . Resources that help them to better understand the

    context of interprofessional collaborations.

    Include IPC in the standard of competency.

    Translate it to educational program or curriculum.

    Included into accreditation instrument.

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    tudent centredtudent centredSS

    PP

    II

    roblemroblem/Patients/Patients basedbased

    ntegratedntegrated

    CC

    EE

    SS

    ommunity basedommunity based

    lective drivenlective driven

    ystematicystematic

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    COMMON BARRIERS TO IPE

    Organizational barriers

    Barriers at the team level

    Barriers faced by individual team members

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    OVERCOMING BARRIERS TO IPE

    Understanding the philosophy of IPC and patientcare;

    Learn about other professions;

    Develop trust between members;

    Establish a system for IPC in the healthcareinstitutions;

    Be willing to work continuously on overcomingbarriers.

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    CONLUSION

    Interprofessional education... is an opportunity to

    not only change the way that we think about

    educating future health workers, but is an

    traditional means of healthcare delivery. I think that

    what were talking about is not just a change in

    educational practices, but a change in the culture of

    medicine and health-care.

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    THE SIGNIFICANT PROBLEMS WE FACE CANNOT BE SOLVEDTHE SIGNIFICANT PROBLEMS WE FACE CANNOT BE SOLVEDATAT THE SAME LEVEL OF THINKING WE WERE AT WHEN WETHE SAME LEVEL OF THINKING WE WERE AT WHEN WE

    CREATED THEMCREATED THEM Albert EinsteinAlbert Einstein

    IF MOST OF YOUR PEOPLE KEEP DOING WHAT WORKED IN

    THE PAST YOURE PROFESSION GOING TO FAIL

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