Newsletter February 2011 Edition Volume 27
Centre for IPE Located @ University Health Network Med West Medical Centre 750 Dundas St. West, Suite 3-302, Post Office Box 18 Toronto, Ontario M6J 3S3 EMAIL: ipe.info@utoronto.ca TEL: 416-603-5800 X 2577 FAX: 416-603-5580 Website: ipe.utoronto.ca Director Maria Tassone Associate Director Lynne Sinclair Associate Director Dante Morra Manager Belinda Vilhena Financial Analyst Angela Elia Education Coordinator Caitlin Brandon Faculty Lead: Curriculum Susan Wagner Faculty Lead: Clinical & Professional Development Mandy Lowe Faculty Lead: Simulation Jennifer Macauley Senior Advisor, Systems Integration Ivy Oandasan Evaluation Advisor Kathryn Parker Research Advisor Scott Reeves IPE Listserv The Centre for IPE is developing a listserv to be used for sharing information regarding IPE and IPC. Faculty can subscribe by sending an e-mail message to ipe.info@utoronto.ca In the subject line type: Subscribe firstname lastname	Ehpic 2011 Advancing the Future of Healthcare Through Interprofessional Learning A certificate course for Health Professionals, Educators & Leaders Sponsored by the Centre for Interprofessional Education University of Toronto June 20 - 24, 2011  The University of Toronto Conference Centre Toronto, Ontario For more information:  Brochure Abstract Submission:  Website Deadline to apply is April 1^st, 2011!
IPE Curriculum/Program Update The new year has been very busy with curriculum offerings. As capacity in the curriculum is expanded quantitatively, in terms of both sessions and students per session, the quality continues to provide rich IPE learning experiences to University of Toronto (UT) students. Many thanks to all academic and clinical faculty and students involved in growing the curriculum and engaging in this interprofessional learning, as students develop the knowledge, skills/behaviours and attitudes required for engaging in successful interprofessional collaboration upon graduation! Elective Learning Activities: Intimate Partner Abuse: This session was held on January 17^th and featured an interprofessional group from physical therapy (PT), occupational therapy (OT), social work (SW) and speech-language pathology (SLP) actively engaging students in clinical scenarios from the Responding to Domestic Violence in Clinical Settings on-line program as well as discussing case scenarios from their own practice. Thanks to Anne Fourt (OT and Academy Associate, Peters-Boyd Academy), Karen Gold (SW and IPE Clinical Lead) and Chandra Farrer (PT) from Women’s College Hospital and to Elana Aziza (SLP and Academy Associate, Peters-Boyd Academy) for providing valuable knowledge and allowing reflection on the team-related issues involved in identifying and intervening with individuals experiencing intimate partner abuse. Due to popular demand, this session will be given again on February 15^th. Assistive Technology in a Special Needs Setting: This unique session on February 3^rd, involved students attending the Ontario Institute for Studies in Education (OISE)/UT Chapter of the Council for Exceptional Children talk given by Lindsey McKenna on the use of assistive technologies with special needs patients/clients/students.  Lindsey is a graduate of the Master of Arts in Child Study and Education program at OISE.  She is currently a Grade 1 teacher at Bloorview School Authority and educational facility that provides innovative school programs to children and youth with special needs. Students then participated in an interprofessional on-line de-briefing discussion board on Blackboard.  Health Care Team Challenge (HCTC): The UT HCTC, held on February 3^rd, involved a large interprofessional student audience providing insightful confirming and developmental feedback to three teams competing to develop the best interprofessional plan for a complex two-part case. Student feedback allowed teams to consider other facets of the case and to enhance their presentations. See the note below on the teams competing and the outcome of the session. Ethics: Frank Wagner (Bioethicist, Toronto Central Community Care Access Centre; UT Joint Centre for Bioethics and Department of Family and Community Medicine, Faculty of Medicine) and Rosanna Macri (Academic Fellow, UT Joint Centre for Bioethics) provided a comprehensive introduction to ethics in interprofessional life on January 11^th. The session focused on describing the nature of reasoning and ethical justification prior to applying ethical reasoning to interprofessional practice case scenarios utilizing an ethical decision-making tool. Students also heightened their self-awareness of their own value system and their sensitivity towards the value systems of others. This session was repeated, again due to popular demand, on February 2 and will be given again on March 29^th as well. Mental Health Case: Anne Fourt and Karen Gold led an informative session on January 18^th. Small group case-based discussion focused on aboriginal, addiction and mental health issues. Stroke Case: The stroke team from Providence Healthcare introduced students to the many facets of interprofessional collaboration involved with this population on January 20^th. A rich case discussion in small groups allowed students to develop an interprofessional collaborative management approach. Pediatric Burns: The dynamic pediatric burns team, led by Dr. Joel Fish, plastic surgeon, from the Hospital for Sick Children provided an intensive introduction to burns and their treatment that included the roles of team members on January 25^th. Illustrative cases were then discussed in small group and presented to the whole. Interprofessional Teams in Chronic Care: The Arthritis Program (TAP) from Southlake Regional Health Centre, represented by Lorna Bain and Dr. Carter Thorne, presented an overview of this chronic disease and its treatment and how their team delivers services in a unique interprofessional way to patients/clients/ families on February 1^st. This award-winning team has been recognized locally (UT Centre for IPE 2009 Award of Merit for Outstanding Role Modeling of Interprofessional Collaboration for Patient-Centred Care to Learners), nationally and internationally for their ground-breaking work in program development to teach other professionals the knowledge, skills and attitudes required for effective interprofessional collaboration in chronic condition management. Health Care Team Challenge: The UT HCTC was held on February 3rd and three teams of interested students participated in determining a collaborative management plan for a complex two-part case that included four questions.  Teams were given an orientation to the process along with part one of the case and accompanying two questions, three weeks in advance. They were then given the second part of the case and the remaining two questions following the presentation of their plans to the first questions on the evening of the learning activity.  Therefore, all teams needed to think on their feet and be ready to deliver collaborative and creative responses on the spot. All teams made effective collaborative presentations focusing on the client/patient.  A large audience of students also participated by providing feedback to the teams following each question.  Hearty congratulations to the team receiving the best score for their efforts, as determined by a five-member panel of judges, who now go on to represent the UT at the National Health Care Team Challenge on Friday, March 11 as part of the National Health Sciences Students’ Association (NaHSSA) Conference in Toronto: Amber Purins - Chiropracty Evgenia Erenburg - Occupational Therapy Katy Morrow – Social Work Isabella Cheng – Occupational Therapy, Sunnybrook Health Sciences Centre Faculty Mentor The other teams participating included: Anthony Vo - Pharmacy Charmody Leppington – Chiropracty Emily Burnham – Nursing Wendy Flanagan – Medical Radiation Sciences, Faculty Mentor Christopher Owens – Nursing Katherine Kovler – Speech-Language Pathology Veny Li – Medical Radiation Science Johnny Nie - Medicine Vivian Law – Pharmacy Olivia Ng - Pharmacy Roxanne Power – Social Work, Faculty Mentor Our esteemed panel of judges included: Andrea Cameron - Pharmacy, Faculty, UT Luciano Di Loreto - Chiropracty, President, National Health Sciences Students’ Association (NaHSSA) Alice Eriks-Brophy - Speech-Language Pathology, Patient/Client, UT  Heidi Hunter - IPE Clinical Lead, Occupational Therapy, Providence Healthcare Brian Simmons - IPE Assessment Expert, Faculty and Community, Medicine, Sunnybrook Health Sciences Centre Special thanks to Luciano Di Loreto for his ground-breaking work in developing the HCTC through a summer studentship at the Centre for IPE and implementing it across Canada!!!  Special thanks as well to Caitlin Brandon from the Centre of IPE for all her work in coordination! Three cheers and thanks to all for your efforts and achievement! Introduction to Systems Thinking and Problem-Solving: Everything is a system, and understanding the “system” in which we work is critical to making improvements in it. Led by Jason Coke and an intrepid student team from the UT chapter of the Institute for Healthcare Improvement – Annie Leung, Kavita Patel, Margaret Saari, Sara Omar, Cindy Shen and Muhammad Saeed - students experienced and applied some of the basic tools used in lean/process improvement on January 31^st.  Specifically, they learned how to process map, perform root-cause analysis, and understand value versus waste in processes in a novel simulation and with an interprofessional case scenario. Health Mentorship Program: This unique program is continuing this spring and involves small interprofessional groups of students meeting with health mentors (i.e., patients/clients with a variety of chronic illnesses such as multiple sclerosis, ALS, rheumatoid arthritis, stroke, etc.) who share their thoughts regarding the impact of chronic illness in their lives, their experiences with the health care system, and ethical issues regarding their treatment choices.  Students meet with a health mentor for three 60-90 minute sessions from November 2010 to March 2011. Students also participate in three facilitated interprofessional discussions, two of which are in an on-line format. Perspectives Developmental Disabilities On-Line Case – Help Mateo: This session repeated starting on January 31^st as the third of four groups participating in a six-week on-line case focusing on developmental disabilities. Help Mateo is an exciting interprofessional education (IPE) initiative designed to assist health science students experience the positive impact that interprofessional collaboration can have on children with autism spectrum disorder and their families. Students participate in an on-line case study discussion with a group of health science students from across the Greater Toronto Area. They gain new knowledge, skills and abilities in interprofessional education and collaboration; develop a new perspective on developmental disabilities and autism and learn more about health careers in the field of developmental disabilities. These cases were developed with HealthForceOntario funding through the Centre for Addiction and Mental Health and Surrey Place Centre. Cheers and enjoy our Canadian winter! Susan ___________________ Ehpic 2011 (3-Day) Course – University of Virginia, Charlottesville, VA ~ January 14 – 16, 2011 As part of a grant entitled “A Continuing Interprofessional Education Initiative (IPEI) to Improve Sepsis Care by Enhancing Healthcare Team Collaboration”, the University of Virginia (UVA) engaged thirty-five participants in a three-day modified version of the successful five-day Ehpic (educating health professionals for interprofessional care) course held in June in Toronto each year. Course participants included UVA physician and nursing faculty, and UVA physicians, nurses, acute care nurse practitioners and respiratory therapists in emergency medicine and critical care settings at the UVA Hospital. The course was aimed at developing health professional leaders in interprofessional education who have the knowledge, skills and attitudes to teach both learners and fellow colleagues the art and science of working collaboratively for patient-centred care. A secondary goal was to provide instruction regarding the use of simulation as an IPE teaching strategy. Course facilitators from the Centre for IPE included Mandy Lowe, Ivy Oandasan and Belinda Vilhena. University of Virginia Ehpic 2011 (Some participants were unavailable for photography) ___________________ Research Rounds - Interprofessional Education & Practice Sponsored by The Wilson Centre and the Centre for IPE The Development of IPE at Japanese Universities Ø Dr. Nagai from Niigata University Ø Dr. Naishiro from Sapporo Medical University Ø Dr. Murohashi from Saitama Prefectural University Ø Dr. Ohshima from Tokyo Metropolitan University Monday, February 28, 2011, 4:30 – 5:30 pm Toronto General Hospital, 200 Elizabeth Street 1^st floor Eaton North Room 429 [Library area] For more information or to RSVP: 416-340-3646 mariana.arteaga@uhn.on.ca ___________________ 2011 IPC Community of Practice (CoP) Meetings Meetings will be held on March 9^th, May 4^th and June 8^th from 5pm – 7:30pm at Toronto General Hospital. The March 9^th Meeting will include two presentations: Scott Reeves - “Why We Need to Problematize the Academic Work We Undertake in the Interprofessional Field” Gary Kapelus & Kate Gies - “Understanding Disabilities - Something We Can Learn Together” We are seeking presenters for our 2011 schedule of meetings. If you have suggestions, wish to present to the IPC CoP, or you wish to join the community, please contact Belinda.Vilhena@uhn.on.ca. ________________________ On January 23 – 25, 2011, the Ontario Interprofessional Health Collaborative hosted its third annual Ontario IPE conference. The conference was co-chaired by Lesley Beagrie (York University) and Maria Tassone (University of Toronto) and this year’s theme was “Leading Cultural Change”. This year’s themes focused on: Theory Building, Research and Evaluation Impact and Sustainability At the Interface of Education and Practice Exploring Intraprofessional and Interprofessional Contexts We would like to express our congratulations to all presenters! The Centre for IPE would like to acknowledge Centre Team Members who presented workshops, oral and poster presentations: Mandy Lowe, Dante Morra, Ivy Oandasan, Kathryn Parker, Scott Reeves, Lynne Sinclair, Maria Tassone, Belinda Vilhena and Susan J. Wagner. Visit http://www.ipeontario2010.com/program.php for a copy of the full program. ________________________ News from Your IPE/IPC Community: Clinical Scholarship: Promoting Evidence-Informed Interprofessional Practice in Complex Continuing Care April 8, 2011 ~ Sutton Place Hotel, Toronto, ON Registration is now open! Click here to register now! Join us on April 8, 2011 to participate in this one-day conference which will bring together clinicians, physicians, managers and administrators to acknowledge and promote interprofessional clinical scholarship, disseminate innovations in practice and improvements to patient outcomes and discuss the challenges and future directions of Complex Continuing Care (CCC) in Ontario. Keynote speakers include: - Wayson Choy, Professor emeritus, Humber College, will focus on his 2009 book Not Yet: A Memoir of Living and Almost Dying and how he survived not one, but two brushes with death in 2001 and 2004. - Ken Uffen, Medical Director of the Complex Continuing Care Program and Attending Physician, will discuss how listening to patient's own stories, interprofessional team building and patient centred goal setting can, sometimes, simplify clinical decision making. - Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, will focus on strategies for making the interprofessional team work to enhance each member's performance and satisfaction to better meet patient and family needs. - Renee F. Lyons, Bridgepoint Chair in Complex Chronic Disease Research, TD Financial Group, will introduce the research and teams that the Bridgepoint Collaboratory for Research and Innovation is developing in complex chronic disease.  It will present the Bridgepoint study and other initiatives that are being mounted to understand complex chronic disease, elaborate a model of care, and address cares needs and dilemmas. This forum will be a first ever opportunity for individuals working in Complex Continuing Care to formally collaborate with one another as well as with our partners in acute care. Click here to download the brochure. For more information, contact Conference Services at 416-597-3422 ext.3693 or conferences@torontorehab.on.ca.  ________________________ The Arthritis Program (TAP) – Southlake Regional Health Centre The success of The Arthritis Program (TAP) at Southlake Regional Health Centre is serving as a model to train other health care teams across Canada. TAP has been helping those with arthritis since 1991, and due to its success, is now reaching out to other providers across the country. With the support of a Canadian Initiatives for Outcomes in Rheumatology Care (CIORA) grant, TAP has created a training program specifically designed to teach its model of care in a formal way. Lorna Bain, TAP Coordinator is pleased that TAP is now able to fill an important gap in IPC training by providing others with the tools to understand the principles of IPC that are embedded in this clinical model of care. This training is taught (so it can be) easily applied to the participants home based clinical setting. To develop the training program, a research team conducted an online survey involving 158 health care physicians and practitioners across Canada. The survey questioned participants about their challenges and barriers as well as current interprofessional efforts in an attempt to assess the current models of practice nationally. “The results showed that 30 percent of practitioners feel their teams are currently working within a collaborative practice model.” The training program was designed in four modules that can be taught individually or in a combined format. The training is delivered in a blended format of classroom work, e learning, on line network and independent studies. For more information, visit the Southlake Regional Health Centre web site at www.southlakeregional.org or email lbain@southlakeregional.org. ________________________ “Interprofessional Education and Collaboration within the Credit Valley Health Team” On January 19, 2011, members of the Credit Valley Health Team, family medicine residents, family doctors and other health care professionals participated in an Interprofessional workshop at the Credit Valley Hospital. The workshop was organized and co-facilitated by Dr. Jean Hudson a community family doctor affiliated with Credit Valley Hospital and Jennifer Lake a Pharmacist at South East Toronto Family Health Team. The course objectives included: q To review the definitions for and rationale of interprofessional education and interprofessional collaboration in primary care - within the context of CanMeds Roles and changing health professional regulations q To feature interprofessional teamwork underscoring task and process using the case of Wayne q To  create a supportive environment to  discuss and reflect on current interprofessional practices within the Credit Valley Family Health Team The workshop proved to be interactive and collaborative. Dr. Hudson and Dr. Lake delivered the workshop material in a dynamic and engaging manner. Participants were able to identify the degree of overlapping scopes of practice between some professions and how to manage and optimize these overlaps. The workshop evaluations indicated a positive learning experience and suggestions to expand IPC workshops to all Credit Valley Hospital professionals and host further workshops on how to implement IPC/E. It became evident that the Credit Valley Health Team is a great example of a team that learns with, from and about each other and have a strong collaborative approach to patient centered care. For more information, email Jennifer Clifford jclifford@cvh.on.ca. _________________ Interprofessional Education (IPE) Student Placement, Nov - Dec 2010, Sunnybrook Health Science Centre Article Submitted By: Ana Bridgemongal, Social Work student; Meghan Burek, Nutrition student; Robert Dean, Medical Laboratory Technology student; Rick Gariepy, Chaplain Fellow; Phillip Howell, Physiotherapy student; Yasir Khalid, Radiation Therapy student; Jacklyn Ortiz, Ultrasound student; and Danny Wong, Radiological Technology student. Sunnybrook Health Sciences Centre, through the auspices of the University of Toronto, Centre for IPE, offered an enlightening and enjoyable IPE Placement Program. During our meetings we had numerous open discussions regarding various topics, concentrating in the areas of Medical Imaging and Oncology relating to the Odette Cancer Centre. This allowed us to witness various perspectives of each discipline on the different issues patients may experience during their care. Viewing these situations through a different lens allowed each of us a better understanding of the concerns patients may have during a hospital stay, and most importantly how it can allow for better patient-centered care. Topics covered in this placement were explored through presentations and tours at the Medical Imaging department, the Emergency department, and Critical Care Units. We were also familiarized with the areas of Radiation Oncology and its Programs and treatment facilities within the Odette Cancer Centre. Several collaborative competencies were highlighted during our program, pertaining to providing quality health care. This was sought by describing the roles and responsibilities of our professions, while recognizing and reflecting on the constraints of one’s role or professional discipline. We also discussed the areas of responsibility and competence perceived within the needs of a wider framework found in an interprofessional perspective. We read several journal articles which focused on the importance of developing working definitions of ‘interdisciplinary care’ terminology. An example for us was during a presentation from a Quality Assurance Specialist, who highlighted the importance of proper communication strategies, and noted 80% of all serious medical errors are caused by miscommunication. What we saw during this placement orientation is that over the years, even as the Canadian healthcare system has undergone various reforms as well as refinements, with financial restraints and the increasing demands on the system, the quality of care patients receive has been threatened. But we also feel with our experience in IPE that the interprofessional collaboration model can infuse a new direction in the current healthcare system, and ultimately bring patient-centered care to the forefront. Editor’s note: The November 2010, IPE structured placement was facilitated by Lisa Di Prospero, Manager, Research and Education, Radiation Therapy and Julie Sit, Clinical Coordinator and Team Leader in Nuclear Medicine. Sunnybrook offers 8-10 structured IPE placements per year. In addition, a flexible, self-directed IPE model is available to accommodate those students who are unable to participate in a structured placement. For further information on structured IPE placements or the self-directed flexible model, please contact Ruth Barker, Director of Health Professions and IPE/IPC, ext 5830 or via email ruth.barker@sunnybrook.ca. ________________________ One Health – Integrating Family and Veterinary Medicine in the Community Article Submitted By: Kate Hodgson, Office of Continuing Education and Professional Development, Faculty of Medicine, University of Toronto The One Health initiative in the community is dedicated to improving the health of all species - both human and animal through the integration of primary health care and veterinary medicine. One Health includes the prevention of zoonotic diseases (infections that can affect both humans and animals and zoonotic injury (dog bites, cat scratch and traumatic injury from other species) and the empowering of zooeyia (the human health benefits of pets.) Pets are a health benefit to their owners. Owning pets is associated with lowering blood pressure in patients with hypertension. Pets, especially dogs, encourage regular exercise and walking. Dogs have been effectively used as part of weight loss programs including regular diet and increased exercise. Pets can be important motivators to stop smoking. For older pet owners, having and caring for a pet, supports activities of daily living, including preparing and eating regular meals. Pets also provide emotional support to their owners. Pets, especially cats, are an emotional support to patients with chronic disease, including HIV. Pets can be social lubricants, especially for the elderly and for young independent adults. Sadly, sometimes pets are sentinels of abuse in some dysfunctional families. Practical Tools to Integrate Family and Veterinary Medicine A practical framework, which supports family-centered care, is the Family Life Cycle. Pets can be included in the family life cycle framework which creates a framework for both veterinarians and family physicians to offer appropriate preventive care, anticipate challenges, control the risk for zoonotic disease, and improve both pet and human health. Different companion animal species represent increased risks for different zoonotic diseases. A good way to capture information about the family in the medical record to ensure continuity of care among all the health care providers is to include pets in the family genogram. Standardized symbols have been developed for different companion species; breeds and age can be an added annotation. Cat is >C<; dog is ^D^, ;f for fish, h= for horse, (T) for turtle, m’’’ for pocket pets, ,S’ for snake, ‘r’ for rabbit, and B> for bird. New symbols can be developed for the exotic pet species. Establish interprofessional communication and collaboration: One straight forward way to initiate communication and collaboration between family physicians and veterinarians of your patients is to exchange business cards.
Calendar of Events: The 7th Annual NaHSSA Conference: Crossing the Bridges of Socioeconomic & Cultural Diversity in Healthcare March 11 – 13, 2011 ~ The Canadian Memorial Chiropractic College, Toronto, ON Visit http://www.nahssa.ca/conference for more information. Clinical Scholarship: Promoting Evidence-Informed Interprofessional Practice in Complex Continuing Care April 8, 2011 ~ Sutton Place Hotel, Toronto, ON 2011 Annual CACHE Conference April 14 – 15, 2011 ~ Fairmont Banff Springs Hotel, Banff, AB Visit http://www.cachecanada.org/1/ for more information. Canadian Evaluation Society Conference May 1 – 4, 2011 ~ Westin Edmonton, Edmonton, AB Visit http://www.evaluationcanada.ca for more information 1^st International Conference on Faculty Development in the Health Professions May 10 – 13, 2011 ~ Toronto, ON Visit http://www.facultydevelopment2011.com/ for more information. AMEE 2011 Conference August 27 – 31, 2011 ~ Vienna, Austria Visit http://www.amee.org/index.asp?pg=206 for more information. Abstract submissions due March 12^th, 2011. SAVE THE DATE! Collaborating Across Borders III: An American-Canadian Dialogue on Interprofessional Health Education & Practice November 19 - 21, 2011 ~ Tucson, Arizona at the Hilton El Conquistador Golf & Tennis Resort
Link of the Month: Academic Health Council – Champlain Region website is now accessible to all.  Please visit www.ahc-cas.ca.
IPE Listserv The Centre for IPE is developing a listserv to be used for sharing information regarding IPE and IPC. To subscribe to the list serve, please send an e-mail message to ipe.info@utoronto.ca In the subject line type: Subscribe firstname lastname
Please forward questions and comments to: 416-603-5800 x2577 or E-mail

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