Fernandes Alisha Rebecca, Palombella Andrew, Salfi Jenn, Wainman Bruce
Faculty of Health Sciences, Department of General Surgery, McMaster University, Hamilton, Ontario, Canada.
Faculty of Health Sciences, Education Program in Anatomy, McMaster University, Hamilton, Ontario, Canada.
Anat Sci Educ. 2015 Jul-Aug;8(4):305-16. doi: 10.1002/ase.1517. Epub 2015 Jan 16.
Healthcare delivery is reliant on a team-based approach, and interprofessional education (IPE) provides a means by which such collaboration skills can be fostered prior to entering the workplace. IPE within healthcare programs has been associated with improved collaborative behavior, patient care and satisfaction, reduced clinical error, and diminished negative professional stereotypes. An intensive interprofessional gross anatomy dissection course was created in 2009 to facilitate IPE at McMaster University. Data were collected from five cohorts over five years to determine the influence of this IPE format on the attitudes and perceptions of students towards other health professions. Each year, 28 students from the medicine, midwifery, nursing, physician's assistant, physiotherapy, and occupational therapy programs were randomly assigned into interprofessional teams for 10 weeks. Sessions involved an anatomy and scope-of-practice presentation, a small-group case-based session, and a dissection. A before/after design measured changes in attitudes and perceptions, while focus group data elaborated on the student experience with the course. Pre- and postmatched data revealed significant improvements in positive professional identity, competency and autonomy, role clarity and attitudes toward other health professions. Qualitative analysis of intraprofessional focus group interviews revealed meaningful improvements in a number of areas including learning anatomy, role clarity, and attitudes towards other health professions.
医疗服务依赖于团队协作的方法,而跨专业教育(IPE)提供了一种在进入职场之前培养此类协作技能的途径。医疗保健项目中的IPE与改善协作行为、患者护理及满意度、减少临床错误以及减少负面职业刻板印象相关联。2009年创建了一个强化跨专业大体解剖 dissection课程,以促进麦克马斯特大学的IPE。在五年内从五个队列中收集数据,以确定这种IPE形式对学生对其他健康专业的态度和看法的影响。每年,来自医学、助产、护理、医师助理、物理治疗和职业治疗项目的28名学生被随机分配到跨专业团队中,为期10周。课程包括解剖学和执业范围介绍、小组案例讨论以及解剖 dissection。前后设计测量态度和看法的变化,而焦点小组数据详细阐述了学生对该课程的体验。匹配前后的数据显示,在积极的职业认同、能力和自主性、角色清晰度以及对其他健康专业的态度方面有显著改善。对专业内焦点小组访谈的定性分析显示,在包括学习解剖学、角色清晰度以及对其他健康专业的态度等多个领域有有意义的改善。