Multiprofessional Medical Education Round Table 8th Nordic Conference for University Hospitals and Faculty Deans August 2004,Turku, Finland

Participants Pekka Kääpä, prof., Medical Education Research and Development Centre, Turku Kristjan Erlendsson, Vice Dean, Reykjavik Stein A. Evensen, Dean, Oslo Ralf Peter Hemmingsen, Dean, Copenhagen Anna Kiesling, Head, Center for Clinical Education, Stockholm

Definitions Multiprofessional education: two or more professions learn side by side for whatever reason Interprofessional education: two or more professions learn from and about each other to improve collaboration and the quality of care (CAIPE 1997)

Turku Objectives Multiprofessional education should start early in the medical undergraduate curriculum This form of education should form a continuum throughout the basic medical education and continuing professional development Development of the own professional role Better understanding of different professional roles and the role of patients Better interaction and communication between different professionals Improved patient care

Turku Initiatives (core) Year 1: Physiology of Circulation and Respiration Together with nursing students Small, mixed group teaching (4 hours/student) ECG, blood pressure measurement, heart and lung auscultation organized in 3 years improves communication and interaction skills

CARDIOVASCULAR TRACK – SPECIAL STUDY MODULES Year 2: Interprofessional teamwork and prevention of circulatory disturbance 1.5 ECTS Together with nursing students PBL learning tutorials Year 3: Prevention of Cardiovascular Problems in Children Lectures, small group teaching Practical exercise with school children improved understanding of the professional roles

Other Electives Year 3: Interprofessional Approach to Planning of Clinical Patient Care: 1.5 ECTS In cooperation with students of nursing science Lectures Seminars based on patient cases

ASKLEPIOS- programme Man, Health and Culture – Programme 15 ECTS A joint programme for medical and humanist students Lectures, seminars, projectwork  The Frontiers of Health Care  Medicine and Cultural Challenges  Healing and Art  Health and Life Cycle

Future Clinical courses: core and electives Interprofessional Approach to Pain in the Patients In cooperation with students of nursing science Interprofessional education track

Barriers to effective interprofessional medical education Timetabling problems Different working practices and academic policies in different health care professions Institutional constrains Variation in learner´s ages, educational levels and experiences The power of the medical profession The effects of historical rivalries between professions; fear of possible loss of identities and resistance to change

Goals of interprofessional medical education Improvement of patient care Better understanding of different professional roles Development of the own professional role Better communication between different professionals More efficient teamworking Better understanding of the role of the patient Better awareness of the ethical aspects in health care

Steps to multiprofessional learning Each profession organizes own separate teaching Awareness of other programmes, no contact Consultation between teachers Teaching related to work of other professions included Time tabling to allow same learning experiences Joint teaching in part Multiprofessional consideration of topics in sessions Multi- and uni-professional teaching side-by-side Multiprofessional approach, own perspective Own perspective and that of the other professions