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http://dx.doi.org/10.17496/kmer.2017.19.1.1

Interprofessional Education in Medical Education: Can We Break the Silos?  

Han, Heeyoung (Department of Medical Education, Southern Illinois University School of Medicine)
Publication Information
Korean Medical Education Review / v.19, no.1, 2017 , pp. 1-9 More about this Journal
Abstract
For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.
Keywords
Interprofessional relations; Medical education; Professional education; Professional practice;
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1 Hean S, Craddock D, Hammick M, Hammick M. Theoretical insights into interprofessional education: AMEE guide no. 62. Med Teach. 2012;34(2):e78-101.   DOI
2 Oandasan I, Reeves S. Key elements for interprofessional education. Part 1: the learner, the educator and the learning context. J Interprof Care. 2005;19 Suppl 1:21-38.   DOI
3 Price S, Doucet S, Hall LM. The historical social positioning of nursing and medicine: implications for career choice, early socialization and interprofessional collaboration. J Interprof Care. 2014;28(2):103-9.   DOI
4 Barr H. Interprofessional education 1997-2000: a review. London: Centre for the Advancement of Interprofessional Education; 2000.
5 Shin JS. Active interprofessional collaborations between counseling professionals and police officers in protecting and supporting policies for victims of sexual crimes. Public Policy Rev. 2016;30(3):235-56.
6 Moon SW. A study of interprofessional team approaches for the ex-offenders rehabilitation. Sahoe Kwahak Nonchong. 1987;6(1):215-49.
7 Mayer D, Klamen DL, Gunderson A, Barach P; Telluride Interdisciplinary Roundtable. Designing a patient safety undergraduate medical curriculum: the Telluride Interdisciplinary Roundtable experience. Teach Learn Med. 2009;21(1):52-8.   DOI
8 Olson R, Bialocerkowski A. Interprofessional education in allied health: a systematic review. Med Educ. 2014;48(3):236-46.   DOI
9 Stephenson R, Richardson B. Building an interprofessional curriculum framework for health: a paradigm for health function. Adv Health Sci Educ Theory Pract. 2008;13(4):547-57.   DOI
10 Green C. The making of the interprofessional arena in the United Kingdom: a social and political history. J Interprof Care. 2014;28(2): 116-22.   DOI
11 D'Amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. J Interprof Care. 2005;19 Suppl 1:8-20.   DOI
12 Dickinson C. Contact is not enough: an inter-group perspective on stereotypes and stereotype change in interprofessional education. Newcastle upon Tyne: Newcastle University; 2005.
13 Smith CS, Gerrish WG, Weppner WG. Interprofessional education in patient-centered medical homes: implications from complex adaptive systems theory. Cham: Springer International Publishing; 2015.
14 Barr H. Toward a theoretical framework for interprofessional education. J Interprof Care. 2013;27(1):4-9.   DOI
15 Adams A. Theorising inter-professionalism. In: Colyer H, Helme M, Jones I, editors. The theory-practice relationship in interprofessional education. York: Higher Education Academy; 2005. p. 32-7.
16 Shakman L, Renu G, Obeidat A. Inter professional education in health care. Int J Nurs Educ. 2013;5(1):86-91.   DOI
17 Nisbet G, Lincoln M, Dunn S. Informal interprofessional learning: an untapped opportunity for learning and change within the workplace. J Interprof Care. 2013;27(6):469-75.   DOI
18 Nisbet G, Dunn S, Lincoln M. Interprofessional team meetings: opportunities for informal interprofessional learning. J Interprof Care. 2015;29(5):426-32.   DOI
19 Senge RM. The fifth discipline: the art and practice of the learning organization. New York (NY): Doubleday; 1990.
20 Harden RM. Multiprofessional education: the magical mystery tour. Med Teach. 1998;20(5):397-8.   DOI
21 Hammick M, Olckers L, Campion-Smith C. Learning in interprofessional teams: AMEE guide no 38. Med Teach. 2009;31(1):1-12.   DOI
22 Harden RM. AMEE guide no. 12: multiprofessional education: part 1-effective multiprofessional education: a three-dimensional perspective. Med Teach. 1998;20(5):402-8.   DOI
23 Bainbridge L, Wood VI. The power of prepositions: learning with, from and about others in the context of interprofessional education. J Interprof Care. 2012;26(6):452-8.   DOI
24 Pirrie A, Wilson V, Harden RM, Elsegood J. AMEE guide no. 12: multiprofessional education: part 2-promoting cohesive practice in health care. Med Teach. 1998;20(5):409-16.   DOI
25 Lutfiyya MN, Brandt B, Delaney C, Pechacek J, Cerra F. Setting a research agenda for interprofessional education and collaborative practice in the context of United States health system reform. J Interprof Care. 2016;30(1):7-14.   DOI
26 Kinsell S. Creating, implementing, and sustaining interprofessional education. San Francisco (CA): Interprofessional Education Consortium; 2002.
27 Hammick M, Freeth D, Koppel I, Reeves S, Barr H. A best evidence systematic review of interprofessional education: BEME guide no. 9. Med Teach. 2007;29(8):735-51.   DOI
28 Khalili H, Orchard C, Laschinger HK, Farah R. An interprofessional socialization framework for developing an interprofessional identity among health professions students. J Interprof Care. 2013;27(6):448-53.   DOI
29 Oandasan I, Reeves S. Key elements of interprofessional education. Part 2: factors, processes and outcomes. J Interprof Care. 2005;19 Suppl 1:39-48.   DOI
30 Abu-Rish E, Kim S, Choe L, Varpio L, Malik E, White AA, et al. Current trends in interprofessional education of health sciences students: a literature review. J Interprof Care. 2012;26(6):444-51.   DOI
31 Lapkin S, Levett-Jones T, Gilligan C. A systematic review of the effectiveness of interprofessional education in health professional programs. Nurse Educ Today. 2013;33(2):90-102.   DOI
32 Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev. 2013;(3):CD002213.
33 McCallin A. Interdisciplinary practice: a matter of teamwork: an integrated literature review. J Clin Nurs. 2001;10(4):419-28.   DOI
34 Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009;(3):CD000072.
35 Thistlethwaite J, Moran M; World Health Organization Study Group on Interprofessional Education and Collaborative Practice. Learning outcomes for interprofessional education (IPE): literature review and synthesis. J Interprof Care. 2010;24(5):503-13.   DOI
36 Lawlis TR, Anson J, Greenfield D. Barriers and enablers that influence sustainable interprofessional education: a literature review. J Interprof Care. 2014;28(4):305-10.   DOI
37 Gillan C, Lovrics E, Halpern E, Wiljer D, Harnett N. The evaluation of learner outcomes in interprofessional continuing education: a literature review and an analysis of survey instruments. Med Teach. 2011;33(9):e461-70.   DOI
38 Yoon BJ, Lee JH. A review study on interprofessional college education in health care sector. J Korean Soc Sch Health Educ. 2010;11(1):149-58.
39 DeVoe JE, Likumahuwa-Ackman S, Shannon J, Steiner Hayward E. Creating 21st-century laboratories and classrooms for improving population health: a call to action for academic medical centers. Acad Med. 2016 Sep 20 [Epub]. https://doi.org/10.1097/ACM.0000000000001385.   DOI