Interprofessional Education for Collaborative Patient-Centered Chronic Disease Care



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6. Project Objectives

The overall objective of the project is to develop a sustainable model of health care education which will equip students to work in interprofessional teams in patient centred practice, through simulated care experiences for patients with chronic disease in various stages of the disease, and practicum experience. This will provide students with valuable experience in how interdisciplinary teams interact along the continuum of care, as well as how such teams work at a specific point in the illness trajectory.


In order to achieve this overall objective the programme is structured to increase capacity for delivery of IPECPCP, provide students with exposure to concepts of interprofessional practice and with experience of patient centred practice through interdisciplinary teams.
Specific Objectives are

Objective # 1: To facilitate and increase the capacity for health educators to deliver the interprofessional education model (IPECPCP).


Objective # 2: To increase the competencies of students and health professionals across disciplines to deliver interprofessional health care

Objective # 3: To provide opportunities for students and health professionals across disciplines to apply their IPECPCP program on interprofessional team work.


Objective # 4: Evaluation of strategies for an effective IPECPCP programme and identification of better practices

Specifically, in terms of the objectives of the Health Canada IPECPCP initiative:


The project will promote and demonstrate the benefits of interprofessional education for collaborative patient centred care by demonstrating the change in self-efficacy, attitude towards the patient’s role, and perception of professional roles by students. The continuing education programme will directly promote the benefits of collaborative practice in the health practice setting place.
The programme will stimulate networking and sharing of best practices through publications in scholarly journals and conference presentations, and constructing faculty development and curricula packages which may be used by other sites.
The programme will increase the number of health professionals trained in collaborative patient centred practice by integration of this material into upper year undergraduate and college education programmes and through a post-licensure continuing education programme for in-practice professionals who have not previously had access to this type of education. All students will take part in the workshop simulation described in section 5.
The programme will increase the number of educators prepared to teach from an interprofessional, collaborative practice patient centred care perspective through a faculty development programme. This will be developed into a training package for educators at other sites following the completion and assessment of the pilot offering of the programme.
The programme will facilitate interprofessional collaboration in both education and practice by modeling this in the structure of the programme. This will be achieved, for example, by including students from at least three core programmes, and pre and post-licensure professionals from other disciplines; by using college instructors, university faculty, and clinical instructors as educators; and through the structure of its steering committee (section 6.4).

7. Tentative Timelines
The following provides tentative timelines for the broad phases of the programme. Detailed timelines for activities related to the specific objectives described above (section 6) are given in the work plans attached as an appendix to this application.

May 2006 to August 2006 Phase I: Resource Identification


Research on best practices

Hiring of Facilitators

Establish steering committee

Consultation with patients and IPECPCP programmes

September 2006 to December 2006: Phase II Pt 1: Faculty Development, orientation and awareness

Development and Implementation of the Evaluation Framework for Faculty/Educator Development

Introduction to IPECPCP Concepts and Benefits for Faculty and Educators (Workshops)

Identification of learning objectives

Identification of working groups

January 2007 to April 2007: Phase II Pt 2: Faculty development, joint curriculum development

Interdisciplinary working group curriculum development

Working group development of interdisciplinary practice scenarios

Consultation with patients
May 2007 to August 2007 Phase II Pt3: Faculty Development, Curriculum materials and reports

Finalization of curriculum and schedule, and curriculum materials production

Summary of results for phase II evaluation

September 2007 to December 2007: Phase III, IPECPCP implementation


Logic model and evaluation materials for IPECPCP implementation

Pilot delivery of the IPECPCP curriculum including interdisciplinary cross-links and capstone workshop



January 2008 to June 2008: Phase IV, Final report and Evaluation


Data analysis and evaluation.

Refinement of the curricula materials and workshop materials for incorporation into the partners’ education and training programmes

Preparation of professional development and curriculum packages for delivery at other sites.

Presentation of findings to patient, educator and learner groups

Dissemination of findings through conference presentations and article submission to scholarly journals

Completion and submission of the final report




8. Evaluation




Evaluation Phase I: Identification of Better Practices to Inform the Program Design and Evaluation Framework (May 2006- August 2006)

The initial project phase will involve identification of promising practices related to the development, delivery and review of interprofessional educational programs within the health sector. The outcomes of the proposed data-gathering activities will assist in refining the design and evaluation framework for the IPECPCP sponsored by Health Canada. This aspect of the endeavour involves the completion of five key components: a Literature Scan, Key Expert Interviews, Formulation of Promising Practice Statements, Creation of a Project Logic Model and Elaboration of the Evaluation Framework, and Development of Evaluation Instruments.



a) Literature Scan (May-June 2006)

Members of the project team will undertake a scan of the literature to identify evidence-based-practices related to the design, implementation and evaluation of interprofessional educational health programs. A minimum of five databases will be used (e.g. PsycInfo, EMBASE, Pubmed or Medline, CINAHL, ERIC, Social Sciences Index, and CDSR – Cochrane Database of Systematic Reviews) to complete this scan. Bibliographies of relevant documents and articles will also be searched. Journals that are frequent sources of articles will be hand-searched. Research documents retrieved as a result of such searches will include peer-reviewed journal articles and research monographs. Gray literature, including government reports, public reports, and contract research reports, will be retrieved through searches of departmental websites. The outcomes of this scan will provide the basis from which to complete a concise literature summary. It is anticipated that this document will be approximately 8 to 10 pages in length.


b) Key Expert Interviews (May-June 2006)

In conjunction with the literature review, interviews will be conducted to seek the advice of key provincial and national experts who have had background experience and direct involvement in the development, delivery and evaluation of interprofessional educational health programs. For this evaluation activity University and Regional Health Authority Ethics forms will be completed outlining the specific data collection and ethics procedures required to meet the standards defined by the Tri-Council Policy Statements on Ethical Conduct for Research Involving Humans. Once ethics clearance has been granted, then data collection will proceed.

For this evaluation activity, key experts may represent practitioners, policy makers and researchers. Expert experience will ideally provide plausible advice and serve to confirm conclusions reached through the literature review. Key experts will be identified through consultation with Health Canada and other provincial and national groups currently involved in the delivery of interprofessional educational programs. It is anticipated that approximately 15 in-depth phone interviews will be completed with key experts, representing perspectives from researchers, practitioners and policy-makers. Initial contact will be made with the key experts to review the purpose of the research program and their potential participation in this aspect of the project. Upon obtaining their consent, individual interview times will be arranged.
Interviews will be conducted by telephone in either French or English, given the preference and regional considerations of the interviewee. A semi-structured interview will be undertaken with a range of open-ended, as well as more focused questions. Interviews with key experts will be recorded. Upon transcription of relevant interview data, the responses for each area of inquiry will be merged, and content analysis will be used to analyze the main themes emerging from the outcomes of the interviews. Relevant documentation identified by the key experts will also be examined and used to elaborate upon the key informant interview data. The results of this data-gathering effort will provide the basis from which to complete a research summary of the key expert interview outcomes. This summary should be approximately 5 to 7 pages in length.
c) Formulation of Promising Practice Statements (June 2006)

This aspect of this pre-project phase will involve an analysis of the key practices and lessons learned from the literature scan and expert interviews. Areas of convergence from these two data-gathering efforts will be documented and form the basis for the development of concise statements outlining promising practice related to the development, delivery and evaluation of interprofessional educational health programs. The outcomes of this research effort will facilitate the completion of a final document incorporating the literature scan, key expert outcomes and a list of promising practice statements. The final document will be approximately 20 pages in length.





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