Solomon P., Orchard C., Baptiste S., Donio J., Hall, P., Luke R., Ruckholm E. THE INSTITUTE E-BASED LEARNING MODULES • Is a virtual learning center PRE-LICENSURE STREAM • Is a consortium of: McMaster University, Laurentian University, University of Western Ontario, University of Ottawa and the Council of Ontario Universities GOALS • To foster changes in attitude towards IPE • To increase the number of health professionals trained in IPE and collaborative patient-centered care • To create high quality interprofessional education curricula and increase the number of educators teaching IPE methods PROJECT PHASES PHASE 1: DEVELOPMENT: June 2005-December 2006 PHASE 2: IMPLEMENTATION: • Students from: medicine, nursing, physiotherapy, occupational therapy, audiology/speech pathology • Clinicians from various health professions from a variety of health settings • Interprofessional Education Facilitators (IPEFs) at each clinical site to facilitate IPE with teams members and learners. (teams) EDUCATIONAL SETTING Practice modules Generic modules • Communication Pt I • Communication Pt II • Evidence based practice • Ethical practice • Aboriginal Health • Community practice/Health promotion • Palliative care/end of life • Rural practice CLINICAL SETTING Team-based modules • Awareness of realities of project • Helping groups reconceptualize • Norms of practice • Evaluating team practices STUDENT •Student feedback form on modules-ongoing •Content analysis of dialogue-ongoing •Short answer/MCQ on Interprofessional Education-after module completion •Focus groups-after completion of project •Completion of Interdisciplinary Team Scale, Interdisciplinary Education Perception Scale-pre and post project completion •Project Evaluation-post project completion TEAM PHASE 3: •Completion of Collaboration and Satisfaction with Care Decisions Scale, Interdisciplinary Team Performance Scale and Attitudes Towards Health Care Scale-pre and post team development EVALUATION/SUSTAINABILITY: •Development of Team Specific Patient Outcomes by all teamspost team development January 2007-December 2007 IP TEAM WORK March 2007-April 2008 SCOPE OF PROJECT Participants: (students) PRACTICE STREAM EVALUATION E-BASED LEARNING MODULES • Problem based modules • Patient scenarios to illustrate concepts • Facilitated interactive discussions from an interprofessional perspective • Asynchronous learning experiences •Structured interviews with IPEFs and interviews with team members-pre and post team development ETHICS MODULE EXCERPT You have a new client – Zoë – who broke her femur when snowboarding with her family. She had surgery for internal fixation. The referral from the fracture clinic states “weight bearing as tolerated to full weight bearing”. Given her surgery was 10 days ago, you think this is unusual, but you are not familiar with this surgeon’s protocols. You try to get Zoë walking but she complains of a lot of pain. Her parents are very anxious and question how she can be expected to stand on her leg. Before Zoë’s next appointment, you decide to call the fracture clinic and check the orders. You are told you were sent the wrong orders due to a ‘clerical error’. Zoë should be feather weight bearing. Discuss online possible factors in the system or institution that might have contributed to the problem. In your interprofessional group, reason through what you would do using the Interprofessional Health Care Ethical Decision Making Model. An important aspect in ethical decision making about a dilemma is to use an intentional, step-by-step process. Some of the questions to consider during the process are: Should you tell the client? Who is to ‘blame’? Would it make a difference if no perceived harm occurred from the incident? What if the incident had a lethal result or caused permanent disability? Should the client receive an apology and/or compensation for the incident? •Project Evaluation-post team development FINDINGS/CHALLENGES •Modules needed for Francophone speaking clinicians •Acquiring support from sites has been challenging due to concerns for clinicians’ schedules •Need for development of on-line pedagogical techniques to facilitate IPE •Sequence of preferred learning may not always be feasible.
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