PNC Interprofessional Experience

Course Director: Brian Sick, MD

Summary: This is a zero-credit, certificate-earning course focusing on learning the skills you need to work better on interprofessional teams.  The Phillips Neighborhood Clinic (PNC) is an excellent learning lab for interprofessional clinical work, but it is entirely experiential without the background and structure to make it optimally useful.  Faculty and students from the schools of medicine, nursing, pharmacy, physical therapy, public health and social work have come together to plan a course, which, when taken in conjunction with your volunteer work in the PNC, will give you this background and structure.  What you learn about working interprofessionally will be presented to the board to help change the structure and function of the clinic so future students may benefit from your input.

Enrollment: limited to 30 students with a mixture of 1st and 2nd year volunteers with ideally 5 students from each of the 6 schools.  If more than 30 students are interested, students will be chosen by lottery.

Commitment: 20 hours of instruction time, 4.5 hours of additional clinic time, time to read textbook (quick read).  There will be 8 activities from October 2011 - May 2012.  Many of the classroom sessions will be at night.  Most of the activities will include a Classroom and a Clinic component.  See details below.

Textbooks: Lencioni’s “Five Dysfunctions of a Team” will be loaned to you.

Syllabus (draft):

Activity 1:  October 2011 (week of 17th)          Instructor: Brian Sick

Prework:  Attend clinic orientation October 15 to learn structure and function of the clinic members.  – Overview of the board and job descriptions for all of the clinic roles. (part of PNC committment).  Complete anonymous online submission of stereotypes.  Reading:  Lencioni – “Five Dysfunctions of a Team”

Classroom (2 hours):

Intro to course.

What does a high functioning team look like? Discussion of stereotypes of the different health professions and the values and beliefs we all hold.

Clinic:  Observe team structure in the PNC.  How does it look like a team?  How does it not look like a team?  Are all of the team members being utilized to their full capabilities? (usual clinic shift)

 

Activity 2:  November 2011 (early)         Instructor:  Tricia Todd

Prework:  Complete Emotional Intelligence prework.  (1 hour)

Classroom:   Emotional Intelligence discussion (2 hour).

Clinic:  Attend a board meeting or go to clinic and ask students from other professions about their beliefs about the various professions (1.5 hours)

Activity 3:  Dec 1, 2011         Instructor: Laura Bloomberg from the Center for Integrative Leadership staff

Prework:  View clips from University of Toronto Centre of IPE and reflect on what was seen (1 hour)

Classroom:  Communicating through disagreement (2 hours).  Taught by faculty in the Center for Integrative Leadership.

Clinic:  During a clinic shift explore,“How do students from different schools approach the same case?” (usual clinic shift)

Activity 4:  January 2012         Instructor:  Jeanne Lojovich

Clinic:  Go and observe another clinic setting (i.e., not the PNC) paying attention to the team members and their roles. (2 hours)

Classroom:  Share those experiences with the group. (2 hours)

 

Activity 5:  February 2012         Instructor:  All Faculty for observations

Classroom:  Interprofessional team cases in the SimCenter (3 hours) with immediate debrief

Activity 6:  March 2012         Instructor:

Classroom:  Debrief from SimCenter.  Did you feel appropriately included as part of the team?  Would you do anything differently next time?  What constructive feedback do you have for other team members? (1 hour)

Each team of students (5 teams of 6 students) will pick a real life case from the PNC and solve it from the perspective of all health professionals from each of the 6 schools with attention to solving the program from the viewpoint of the patient, the clinic and the community.  Use class time to pick a case and to begin to make a plan.  Student encouraged to use faculty as consultants. (1 hour)

 

Activity 7: late April 2012

Classroom:  Capstone project - report on their solutions to the cases. (3 hours)

Evaluation:  group grade of capstone project (grading mechanism to be developed)

Activity 8: May 2012

Classroom:  Reflect on the process and the learnings.  Make suggestions for changes that could be made in the PNC to increase interprofessional interactions and learning. Take end of course survey.  (2 hours)

Clinic: Present findings to the board and formulate plans for making changes. (1 hour)