On interprofessional

1. Interprofessional Education
(IPE) and Collaborative Practice
(IPCP) in family medicine
Professor Janko Kersnik, MD, MSc, PhD
President of EURACT
Head of Family Medicine Department, Medical School
Maribor, Slovenia
Head of Research Department, Department of
Family Medicine, Medical School Ljubljana
Professor of Health care systems and Organisation of
nursing services at postgraduate programme School of
nursing Izola

2. Content of the presentation
 Contribution to definition of Interprofessional
Collaborative Practice.
 Is there a difference between inter- and
multiprofessional collaborative practice?
 Why Interprofessional Collaborative Practice?
 What makes Interprofessional Collaborative
Practice work?
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4. Operational Definitions*
Interprofessional collaborative practice:
“When multiple health workers from different
professional backgrounds work together with
patients, families, carers, and communities to
deliver the highest quality of care” (WHO, 2010)
Interprofessional education:
“When students from two or more professions
learn about, from and with each other to enable
effective collaboration and improve health
outcomes” (WHO, 2010)
*Core Competencies for Interprofessional Collaborative Practice, 2011, http://www.aacn.nche.edu/education-
resources/ipecreport.pdf
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5. Lingusitics* (1/2)
 Isolation: Each profession organizes its own
teaching and is unaware of what is taught or
learned in other professions
 Sharing: Two professions plan and implement
joint teaching, with interaction between the
professions in one part of a course. The
remainder of the course has a uniprofessional
focus
* AMEE Medical Education Guide No 12., 2011, http://www.aacn.nche.edu/education-
resources/ipecreport.pdf
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6. Lingusitics* (2/2)
 Multiprofessional: The emphasis in the course is
on multiprofessional education. Each profession
looks at themes from the perspective of their own
profession
 Interprofessional: Each profession looks at the
subject from the perspective of their own and
other professions
 Transprofessional: The multiprofessional
education is based on the experience of the real
world which provides a filter for the students’
learning
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7. Towards interprofessional
collaborative practice definition
 WHO: multiple health workers from different
professional backgrounds working together (team
work)…
 FOR WHOM: patients, families, carers,
communities… (daily routines)
 AIM(S): to deliver the highest quality of care… (I
dare to say – normal work)
 WHICH TERM: (does not matter if we agree the
contents)
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8. What would Hippocrates say?
 Are we serious about
it, or just chewing
fancy stuff?
 Is there a financial
issue behind the
scene? – government
and / or professions
 Is it about patient
safety and better
care?
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9. Why interprofessional …*
 Opportunities for health professions students to
engage in interactive learning with those outside
their profession as a routine part of their
education. The goal of this interprofessional
learning is to prepare all health professions
students for deliberatively working together
with the common goal of building a safer and
better patient-centered and community/population
oriented U.S. health care system.
*Core Competencies for Interprofessional Collaborative Practice, 2011,
http://www.aacn.nche.edu/education-resources/ipecreport.pdf
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“SWOT analysis” of IPCP/E
 S: practice experiences, actual needs
 W: interprofessional barriers, lack of good
practice examples
 O: population and health service needs
 T: disillusioned, lack of motivation, stubborn

11. What is not IPCP?
 A battle between
professions
 A struggle to keep
prime role
 A panacea for health
poclicy and / or
financial problems
 A completely new
continent in the health
care world
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12. What does interprofessional … offer*
 By embracing cooperation rather than competition
… through a process of mutual respect as well
as shared knowledge and decision-making,
health care professionals are able to make
positive change.
 Greater collaboration among health professionals
can result in better work environments … and the
delivery of improved health care to patients and
their families can be achieved.
*http://www.interprofessionalcare.mcgill.ca/default.htm
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14. Why do we encourage IPCP/E?
 To assure and improve mutual respect
 To share knowledge, skills and attitudes
 To enable shared decision-making
 To guarantee accountability
 That makes better work environment
and
 Assures delivery of good (improved) patient care
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15. What makes IPCP work?
 Market, poromote,
popularise…
 Change attitudes…
 Teach concepts,
skills, good practice…
 Support
interprofessional
practice in clinical
settings...
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16. Four strategies to facilitate IPE/C*
 A professional development program … to
develop attitudes, knowledge, and skills required
for interprofessional practice
 Building learning resources to teach
interprofessional practice.
 Integrating interprofessional education and
practice into the curriculum.
 Enabling interprofessional practice in clinical
settings...
* http://www.interprofessionalcare.mcgill.ca/default.htm
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17. Conclusions
 IPCP - It is not how we name it, but how we
practice it.
 If family medicine holds confidence in its own
profession then there is not any problem to
embrace other disciplines on the same level of
co-existence, collaboration and mutual learning.
 IPCP deserves support of all FM bodies.
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