University of Texas Health San Antonio, San Antonio, TX, USA.
Brown University, Providence, RI, USA.
BMC Med Educ. 2020 Mar 23;20(1):85. doi: 10.1186/s12909-020-1992-1.
Interprofessional collaborative practice (IPCP) offers great potential to improve healthcare. Increases in IPCP will require educating learners in authentic IPCP settings and will generate opportunities and challenges.
In January 2015, we implemented an IPCP model called Collaborative Care (CC) for hospitalized adult medical patients. We explored learner perspectives regarding their educational experiences. We deductively coded transcripts from semi-structured interviews with medical learners. Data related to educational experiences were thematically analyzed.
Twenty-four of 28 (85.7%) medical learners rotating on CC from January to May 2015 completed interviews. Subsequent inductive analysis of these interviews identified four themes: Loss of Educational Opportunities during Rounds, Feelings of Uncertainty during New Situations, Strategies for Adaptation, and Improved Communication with Patients and the Team.
Increased implementation of IPCP will lead to a greater number of learners being exposed to authentic IPCP settings and will generate opportunities and challenges. Though learners perceived improved communication skills in an IPCP model, they also described loss of profession-specific learning opportunities and feelings of uncertainty. These findings corroborate the need for novel teaching methods aligned with IPCP clinical learning environments and educational assessment strategies that reflect attainment of both profession-specific and interprofessional competencies.
专业协作实践（IPCP）在改善医疗保健方面具有巨大潜力。要增加 IPCP，就需要在真实的 IPCP 环境中对学习者进行教育，并带来机会和挑战。
2015 年 1 月，我们实施了一种名为协作护理（CC）的 IPCP 模型，用于住院成年内科患者。我们探讨了学习者对其教育经验的看法。我们对与教育经验相关的半结构化访谈记录进行了演绎编码。对数据进行主题分析。
2015 年 1 月至 5 月在 CC 上轮转的 28 名医学生中有 24 名完成了访谈。对这些访谈的后续归纳分析确定了四个主题：查房时失去教育机会、新情况时感到不确定、适应策略、以及与患者和团队的沟通改善。
更多地实施 IPCP 将使更多的学习者接触到真实的 IPCP 环境，并带来机会和挑战。尽管学习者在 IPCP 模型中认为沟通技巧有所提高，但他们也描述了失去特定职业学习机会和感到不确定的情况。这些发现证实了需要与 IPCP 临床学习环境相一致的新教学方法，以及反映特定职业和跨职业能力的教育评估策略。
