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ADevelopmentalApproachtoInterprofessionalCompetence

AlanDow,MD,MSHAAsstVPofHealthScienceforInterprofessionalEduca?onand

Collabora?veCareVirginiaCommonwealthUniversity

Objec?ves

•  Definesomebehaviorsofcompetentinterprofessionalteammembers

•  Discussapproachestoassessinginterprofessionalbehaviors

•  Considertheapplica?onoftheseinsightstocraGingcurriculum

Agenda

•  Introduc?onandseHlingin(10mins)

•  Groupac?vity:Definingthebehaviorsofinterprofessionalcompetence(40mins)

•  Developmentalobjec?veframeworkandapplica?onatVCU(10mins)

•  Discussionandapplica?ons(15mins)

Forming

Competency-basedEduca?onModel

HealthneedsHealthsystems

CompetenciesOutcomes Curriculum

Assessment

(Frenketal.,2010)

(InterprofessionalEduca?onCollabora?veExpertPanel,2011)

InterprofessionalCollabora?vePrac?ceCompetencies

Values/Ethics(n=10)

Roles/Responsibili?es

(n=9)

Inter-professional

Communica?on(n=8)

TeamsandTeamwork(n=11)

DiggingDeeper:BuildingonYourExper?se

•  Howdowemovefromcompetenciesandprogramoutcomestoactualcurriculumandassessment?

•  Whataretheintermediatelinksbetweenthelearnerandtheoutcomes?

DiggingDeeper:GroupWork•  Step1:Withyourteam,createalistofthebehaviorsof

someonewhoiscompetentininterprofessionalprac:ce.– Whatshouldaninterprofessionalprac??onerdo?–  Howdoyouknowsomeoneisinterprofessionallycompetent?

•  Step2:Withyourteam,developsomeofthebehavioralstepstoreachinterprofessionalcompetence.– Whatdoesalearnerneedtobeabletodemonstratetomovetowardinterprofessionalcompetence?

– Whataretheknowledge,skills,aatudes,andbehaviorsthatleadtocompetence?

ADevelopmentalApproach

Novice AdvancedBeginner Competent Proficient Expert

Dreyfus à Benner (and beyond)

Newtoareabut

mo?vatedtolearnmore

Learningbasicstepsinarea;needssupervision

Abletoperforminareawithoutsupervision

Abletoperforminareaacrosscontexts

Abletoperformintui?vely

acrosscontexts

Mydaughterwantstomakeicecream.

Mydaughtercanmakeicecreamwitharecipeandmy

help.

Mydaughtercanmakevanillaicecreambyherself.

Mydaughtercanmakedifferent

kindsoficecreambyherself.

Mydaughtercreatesnewwaysof

makingicecream.

DiggingDeeper:GroupWork•  Step1:Withyourteam,createalistofthebehaviorsof

someonewhoiscompetentininterprofessionalprac:ce.– Whatshouldaninterprofessionalprac??onerdo?–  Howdoyouknowsomeoneisinterprofessionallycompetent?

•  Step2:Withyourteam,developsomeofthebehavioralstepstoreachinterprofessionalcompetence.– Whatdoesalearnerneedtobeabletodemonstratetomovetowardinterprofessionalcompetence?

– Whataretheknowledge,skills,aatudes,andbehaviorsthatleadtocompetence?

DEBRIEF

Integra(veDomain

Communica(onDomain

Roles&Responsibili(esDomain

TeamsDomain

Lead&followincontext

Understandtheperspec?vesofothers(listening)

Expressviewswithclarity

Formteamgoals

Givefeedback(individual&team)

Respondtofeedback

(individual&team)

Fulfillyourrole&responsibili?eson

teamsKnowtheroles&responsibili?esofyourprofession

Knowtherolesandresponsibili?esofotherprofessions

UsingQImethodstoimproveteamperformance

Recognizeyourpersonal&professionallimita?ons

Usestrategiestoovercomeyour

personallimita?ons

Voiceconflic?ngopinions

Resolveconflictsuccessfully

Solveproblemsinterprofessionally

EngageinsharedproblemsolvingRecognizethe

valueofsharedproblemsolving

Changesystemsofcaretoleverageinterprofessional

teams

Knowprinciplesofeffec?veteams

Adaptwithinateamframework

Novice Competent Proficient ExpertAdvancedBeginner

Pre-CurricularExperiences

EarlyLearnersFounda:onalExperiences

AdvancedLearners

Profession-SpecificExperiences

Prac::onersContext-SpecificExperiences

ConceptualFrameworkatVCU




Formteamgoals


Respondtofeedback

(individual&team)







personallimita?ons







teams




EarlyLearners

IPEC501:AssessmentApproach

Majorcomponents•  Peerevalua?ons•  Facultygradingofteamworkproducts•  Knowledgescores

Minorcomponents•  AHendance•  Comple?onofassignments

Notcomponents•  Facultyevalua?onsofindividuals

AssessmentApproach

Understand the perspectives of others (listening)

Express views with clarity

Form team goals

Give feedback (individual & team)

Know the roles & responsibilities of your profession

Know the roles and responsibilities of other professions

Recognize your personal &

professional limitations

Voice conflicting opinions

Engage in shared problem solving Recognize the

value of shared problem solving

Know principles of effective teams

Knowledgescores

Facultygradingofteamworkproducts

Peerevalua:ons

Novice CompetentAdvancedBeginner




Formteamgoals


Respondtofeedback

(individual&team)







personallimita?ons







teams




AdvancedLearners

Profession-SpecificExperiences:InterprofessionalVirtualCase

•  Homegrown case system for asynchronous collaboration

•  ~600 participants annually from medicine, nursing, pharmacy, social work

•  Three years of internal data

•  Several external users

Dow et al. Acad Med. 2015.

IPAssessmentApproach

Majorcomponents•  Peerevalua?ons•  Caseac?vity•  Qualityofinterac?onsasratedbyfaculty

Formteamgoals


Respondtofeedback

(individual&team)


teams




personallimita?ons



Engageinsharedproblemsolving



CompetentAdvancedBeginner

Peerevalua?ons

Caseac?vity

Qualityofinterac?ons

OtherApplica?ons

•  Acommonvocabulary•  Definedlevelsoflearner•  Coordinatedassessmentacrosssmallerprojects

•  Astrategyforoverallcurricularintegra?on

IndividualReflec?on

•  Howcouldyouthinkdifferentlyabout:–  Interprofessionaleduca?oninyourseang?–  Interprofessionalprac?ceintheclinicalenvironment?

– Yourownapproachtocollabora?on?

Ques?onsandDiscussion

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