Theme: 4JJ Interprofessional education 1
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A model of interprofessional education (IPE) at Udonthani Rehabilitation Department.
Authors: sunee sethasathien M.D. Institutions: Udonthani medical education center - Rehabilitation department
 
Background

      Interprofessional education (IPE) help to prepare readiness for collaborative work with patient who has multiple problems including rehabilitation patients.But there were no IPE curriculum for rehabilitation students in Thailand, so we tried to develop an IPE model for our undergraduated rehabilitation students.

 

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Summary of Work

Workplace based IPE  was conducted for the fourth-year medical ,physiotherapy ,occupational therapy and nursing students from different universities when they studied concurrently at rehabilitation department. Groups of six to eight  mixed students and one facilitator worked collaboratively with real patients,following by group presentation  and panel discussion. Students’ satisfaction and performance were evaluated.Problems and suggestions were discussed for improvement of the consecutive session.

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Summary of Results

      86 mixed students were included in four IPE sessions.No students had IPE experience, 95.35% strongly agreed that IPE  increased understanding in interprofessional role and collaborative practice,100.0% agreed that IPE was suitable for rehabilitation topics,88.37% strongly agreed to continue IPE in other topics .But lower number of medical students satisfied with professional knowledge gained and nursing students showed  lower level of readiness for IPE. 89.53% of students could play proper role during session.Satisfaction scores rised up when multi-professional facilitators were included,and short lecture was added at the end.Attending staffs reported no extra workload.

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Conclusion

Workplace-based IPE  with multi-professional facilitators in combination  with short lectured- based learning was a satisfied IPE model for our rehabilitation students. Medical  students required more professional knowledge and nursing students required more self confidence for active participation.

Take-home Messages

Workplace based IPE is a simple way to start IPE in rehabilitation medicine.

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Background

Table 1: Training duration for bachelor degree of health professions in Thailand.

 

Medical doctor

Nurse/Physical therapist

Occupational therapist
  • preclinic
  • clinic

 

Total 4 yrs.

3 yrs.

3 yrs.

Total 6 yrs.

Many universities in Thailand had training program for bachelor- degree  health professions.The training program of each profession was managed by different departments and their own committee of the universities.  Udonthani rehabilitatioann department taught rehablitation  subject for the fourth year medical students from Khon kaen university and served workplaced traing for physical therapy ,occupational therapy and nursing students from many universities that came with their own schedules many groups per year.So we could set IPE only if the students came concurrently at our department and we selected groups of medical students who already get clinical experince from internal medicine ward.

Summary of Work

Lesson Plan

Topic: Rehabilitation in Cerebrovascular accident

Teaching method: Interprofessional Education

Duration: 210 min.

activity

Duration(min.)

1.Teacher explain IPE activities and objectives.

10

2. Every student introduce herself  to group.

10

3. Group work with real patient .

60

4.Group presentation

15min./group(3gr.)

5. Panel discussion

40

6. Feed back

15

Short demonstration of IPE session in rehabilitation medicine,Udonthani Medical Education Center see http://www.youtube.com/watch?v=XLfXavxg-PE&feature=youtu.be

Assessment at the end of session focus on

- Student‘s Satisfaction----------by self administrative questionaire

- Student‘s Performance----------by observer

- Staff‘s Satisfaction-------------by interview

The resuts were analyzed at the end of each session for improvement of the consecutive one. Some minor changes were done each time according to the students'feedback ie. short lecture was added in the second session,more facilitators were added in the third session and multi-professional facitators attended in the last session. 

 

 

 


 
Summary of Results

Table 2.1: Level of student’s satisfaction

Group of students

(freq.)

1. Feeling of    

readiness for IPE

 

2.↑Understanding of Interprofessional role

3.↑Professional knowledge

3*

 

2*

 

1*

 

0*

 

3*

 

2*

 

1*

 

0*

 

3*

 

2*

 

1*

 

0*

 

MD. (31)

21

(67.74)

10 (32.26)

0

0

30

(96.7)

1

(3.23)

0

(0)

0

(0)

12

(38.70)

17

(54.84)

1

(3.23)

1

(3.32)

PT (34)

 

19

(55.88)

 

14

(41.18)

1

(2.94)

0

33

(97.06)

1

(2.94)

0

(0)

0

(0)

31

(38.7)

3

(8.82)

0

0

OT (8)

6

(75.0)

2

(25.0)

0

0

8

 (100)

0

0

(0)

0

(0)

8

(100)

0

0

0

Nurse (13)

3

(23.08)

 

9

(69.23)

 

1

(7.69)

0

11

 (84.62)

2

(15.38)

0

(0)

0

(0)

8

(61.54)

4

(30.77)

1

(7.69)

0

Total(86)

49

 (56.98)

35

(40.70)

2

(2.33)

0

(0)

82

(95.35)

4

(4.65)

0

(0)

0

(0)

59

(68.60)

24

(27.91)

2

(2.33)

1

(1.16)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3* = Good/Strongly agree         2* = Fair/agree       1* = Poor/Ambiguous        0* = Unacceptable/disagree

 

 

Table 2.2: Level of student’s satisfaction (continued)

Group of Students

(freq.)

4.Enough Time

5.↑Willing to Continue IPE

 

3*

 

2*

 

1*

 

0*

 

3*

 

2*

 

1*

 

0*

 

MD. (31)

27

(87.10)

4

(12.90)

0

0

26

(83.87)

5

(16.13)

0

0

PT (34)

25

(73.53)

9

(26.47)

0

0

33

(97.06)

1

(2.94)

0

0

OT (8)

8

(100)

0

0

0

8

(100)

0

0

0

Nurse (13)

8

(61.54)

5

(38.46)

0

0

9

(69.23)

4

(30.77)

0

0

Total(86)

68

(79.07)

18

(20.93)

0

0

76

(88.37)

10

(11.63)

0

0

3* = Good/Strongly agree             2* = Fair/agree          1* = Poor/Ambiguous        0* = Unacceptable/disagree

 

 

Table 3: overall students’satisfaction scores comparing among 4 IPE sessions.

Group of

students

 

1st. session

12 Jun.12

2nd.session

31 Aug.12

3rd.session

23 Nov.12

4th.session

22 Nov.13

number

of

students

Mean

Score

 (%)

Number

of

students

mean

score

(%)

Number

of

students

Mean

Score

 (%)

Number

of

students

Mean

score

(%)

MD.

8

84.38

7

82.14

8

87.5

8

90.63

PT

5

90.00

9

90.00

10

92.50

10

94.47

OT

2

100.00

2

100.00

2

100.00

2

100.00

Nurse

8

84.38

5

90.00

0

n/a

0

n/a

Total

23

86.96

23

90.22

20

91.25

20

91.25

 

Table 4 Performance during IPE                                      

Students(frequency)

Performance

(frequency/percentage)

 

Proper

Should Improve

MD(31)

28(90.32)

3(9.68)

PT  (34)

32(94.12)

2(5.88)

OT (8)

8(100.0)

0(0)

Nurse(13)

9(69.23)

4(30.77)

Total(86)

77(89.53)

9(10.47)

 
Conclusion
Take-home Messages
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A model of interprofessional education (IPE) at Udonthani Rehabilitation Department.
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