The document discusses a reflection model for developing sustainable inter-professional working structures and cultures through reflective case discussion forums. The model aims to enhance cultural understanding between uni- and inter-professional groups by exploring the diverse sources of knowledge in reflective practice and how professional cultures influence relationships and responses. The reflection model is structured in four stages: presentation of a case, group discussion, whole group discussion, and reflection on the model itself, and is grounded in theories of psycho-dynamics, systems, social construction, and reflective practice.

1. Developing sustainable inter-professional working structures and cultures: the role of reflective case discussion forums Gillian Ruch

2. The IPW Context Uncertainty Risk Complexity Structure Culture

3. Reflective Practice Up-side-down, inside-out knowing Uni- and inter-professional understanding Scope for RP to contribute to enhanced cultural understanding

4. The Reflection Model - Aims the diverse sources of knowledge comprising reflective practice how this 'knowledge' shapes the different professional responses/practice the influence of professional cultures on IPW and inter-professional relationships the contribution of reflective cultural and structural opportunities to enhanced inter-professional understanding and working

5. The Reflection Model - Theoretical Foundations Psycho-dynamic theory Systemic and social construction theory Reflective practice

6. The Reflection Model - Structure Stage One - Presentation (c.10 mins) Stage Two - Group Discussion (c. 25 mins) Stage Three - Whole Group Discussion (c. 15mins) Stage Four - Reflection on the model (c. 10 mins)