Building Interprofessional Frameworks Through Educational Reform

Karim, Rahim

doi:10.7899/1042-5055-25.1.38

Cited by 11 publications

(15 citation statements)

References 13 publications

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“…34,57 Chiropractic educators are now participating in the development of interprofessional education. [58][59][60][61] Thus, chiropractic educators now make contributions that add to the betterment of health professions education and patient care everywhere.…”

Section: Educationmentioning

confidence: 99%

Looking back at the lawsuit that transformed the chiropractic profession part 8:Judgment impact

Johnson¹,

Green²

2021

Journal of Chiropractic Education

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Objective This paper is the eighth in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this paper is to discuss the possible impact that the final decision in favor of the plaintiffs may have had on the chiropractic profession. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 papers following a successive timeline. This paper is the eighth of the series that discusses how the trial decision may have influenced the chiropractic that we know today in the United States. Results Chiropractic practice, education, and research have changed since before the lawsuit was filed. There are several areas in which we propose that the trial decision may have had an impact on the chiropractic profession. Conclusion The lawsuit removed the barriers that were implemented by organized medicine against the chiropractic profession. The quality of chiropractic practice, education, and research continues to improve and the profession continues to meet its most fundamental mission: to improve the lives of patients. Chiropractors practicing in the United States today are allowed to collaborate freely with other health professionals. Today, patients have the option to access chiropractic care because of the dedicated efforts of many people to reduce the previous barriers. It is up to the present-day members of the medical and chiropractic professions to look back and to remember what happened. By recalling the events surrounding the lawsuit, we may have a better understanding about our professions today. This information may help to facilitate interactions between medicine and chiropractic and to develop more respectful partnerships focused on creating a better future for the health of the public. The future of the chiropractic profession rests in the heads, hearts, and hands of its current members to do what is right.

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Section: Educationmentioning

confidence: 99%

Looking back at the lawsuit that transformed the chiropractic profession part 8:Judgment impact

Johnson¹,

Green²

2021

Journal of Chiropractic Education

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“…8 Interprofessional education has been found to confer an improved understanding of healthcare roles and responsibilities, to increase mutual respect, and to promote effective communication. [9][10][11] There is a paucity of literature on the professional relationship between undergraduate medical students and PAs. However, there is a rich body of literature exploring the views of medical students about other healthcare professions.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Evaluation of Medical Students' Perspectives Regarding Collaboration with Physician Assistants

Shachar¹,

Rubin²,

Kazevman³

et al. 2022

J Physician Assist Educ

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Introduction Physician assistant (PA) is a burgeoning profession in Canada, with several accredited training programs. Because the scope of practice for PAs in Ontario, as delineated by the province, stipulates that all tasks they perform must be delegated by a supervising physician, it is expected that medical students will increasingly encounter and work alongside PAs in clinical environments. There has been a paucity of research to date investigating how medical students experience this professional relationship. This current study aimed to investigate the attitudes and perspectives that medical students have about working with PAs. Methods Medical students from the University of Toronto (n = 11) in various stages of training participated in 3 focus groups. The focus groups used a semi-structured interview guide to explore medical students’ general opinions of the profession, their understanding of the interprofessional relationship, and their experiences working with PAs. Qualitative methods with a phenomenological underpinning were used to analyze the focus groups. Results The findings show that medical students have observed or collaborated with PAs in clinical environments but are generally unaware of the profession’s scope of practice and responsibilities. Medical students also viewed PAs as beneficial to patient care and expressed a desire to discover more about the profession through formal education. Discussion This call for interprofessional education should be heeded by medical faculty to better prepare medical students for future collaboration with PAs.

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“…Within the framework of the community-based integrated care system, interprofessional education has been the focus of increasing attention 9 , 10 , 11 ) . Interprofessional discussions concerning patient care planning are commonly facilitated within the Japanese long-term care insurance system 12 ) .…”

Section: Introductionmentioning

confidence: 99%

Interprofessional case conferences to bridge perception gaps regarding ethical dilemmas in home-based end-of-life care: a qualitative study

et al. 2020

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Objective: The aim of this study was to examine the effectiveness and efficiency of interprofessional case conferences on home-based end-of-life care to bridge perceptions gaps regarding ethical dilemmas among different healthcare professionals and analyze essential issues extracted the interprofessional discussions. Patients and Methods: The participants could spend only a limited amount of time after their working hours. Therefore, we shortened and simplified each of three case scenarios so that the discussions do not last longer than 90 minutes. For the case conferences, we selected 3 cases, which entailed the following ethical dilemmas pertaining to home-based end-of-life care: refusal of hospital admission, passive euthanasia, and emergency transport. Participant responses were audio-recorded, transcribed, and analyzed using qualitative content analysis and Jonsen’s four topics approach. Results: A total of 136 healthcare professionals (11 physicians, 35 nurses, and 90 care workers) participated in the case conferences. The physicians, nurses, and care workers differed in their perceptions of and attitudes toward each case, but there were no interprofessional conflicts. Despite the short duration of each case conference (90 minutes), the participants were able to discuss a wide range of medical ethical issues that were related to the provision of appropriate home-based end-of-life care to older adults. These issues included discrimination against older adults (ageism), self-determination, an unmet desire for caregiver-patient communication, insufficient end-of-life care skills and education, healthcare costs, and legal issues. Conclusion: The physicians, nurses, and care workers differed in their perceptions of and attitudes toward each case, but there were no interprofessional conflicts.

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Building Interprofessional Frameworks Through Educational Reform

Cited by 11 publications

References 13 publications

Looking back at the lawsuit that transformed the chiropractic profession part 8:Judgment impact

Looking back at the lawsuit that transformed the chiropractic profession part 8:Judgment impact

A Qualitative Evaluation of Medical Students' Perspectives Regarding Collaboration with Physician Assistants

Interprofessional case conferences to bridge perception gaps regarding ethical dilemmas in home-based end-of-life care: a qualitative study

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