creative, interdisciplinary collaboration in clinical education
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Creative, Interdisciplinary Collaboration in Clinical Education. Jack Pickering, Ph.D., Professor of CSD Provisions, College of Saint Rose October 23, 2012 With thanks to Erin R. Embry, M.S., Associate Director, Graduate Program, New York University. Collaboration. - PowerPoint PPT PresentationTRANSCRIPT
Creative, Interdisciplinary Collaboration
in Clinical Education
Jack Pickering, Ph.D., Professor of CSDProvisions, College of Saint Rose
October 23, 2012
With thanks to Erin R. Embry, M.S., Associate Director, Graduate Program, New York University
Collaborationcollaboration (kəˌlæbə
ˈreɪʃən) — n (often foll by on, with, etc )
1. the act of working with another or others on a joint project
2. something created by working jointly with an other or others
World English Dictionary
Why interdisciplinary collaborations?
They are becoming the new societal norm in light of advances in technology, global learning and economic challenges
They mirror the real world, in both medical and educational settings
Research in health care suggests they enhance patient care
They broaden students’ understanding and experience
They provide opportunities for interdisciplinary scholarship
Mark Ylvisaker writes…
Effective assessment and intervention in SLP are:o Contextualizedo Functional o Person-centeredo Collaborativeo Interdisciplinary
Ylvisaker, M. & Feeney, T. (1998)Collaborative Brain Injury Intervention: Positive Everyday Routines.
On Neurorehabilitation: A Conversation with Mark Ylvisaker,
PhD (IBIA, 2007)
Exceptional teams: Learn from one another;
share skills Do not function in a
pecking order or a sense of hierarchy.
Understand that many of the critical needs of the people we serve are not discipline-specific
Are willing to blur professional boundaries and respect one another
The WHO Framework for Action (2010)
The Challenges Strober (2011):
o Higher education tends to reward individual, disciplinary achievement
o There tends to be insufficient funding
o Talking across disciplines can be difficult
o Interdisciplinary collaboration is difficult to evaluate
The Challenges Education in
CSD:o Programs are
generally organized in silos
o Coursework tends to be disorder-specific
o Clinical and academic education are separated in the curriculum
Enhanced Collaboration
Interprofessional Education (IPE) in Health Care
Student-practitioners learning together with intention, mutual respect, and commitment; IPE requires continuous interaction, coordinated effort and sharing of knowledge – “enhanced collaboration”.*
Consistent with Ylvisaker’s characteristics of an exceptional team.
*Alberto, J. & Herth, K. (2009, March 31) and ASHA (2008, June)
Examples of Interprofessional
Education Nurse Education
(Alberto & Herth, 2009)
Physician Education (MMC-Tufts; Harvard Medical School)
In CSD, the Rockcastle Project (Page, 2010; Page & Morris, 2012):
Core Competencies (2011)
Competency Domains Values/Ethics for
Interprofessional Practice
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork
Our Creative Collaborations
Mocktails and Iron Chef
A course that promotes interdisciplinary, collaborative approaches to care
Focus narrowed to swallowing issues and impacts on nutrition
Team approach fostered in classroom, lab and hospital setting
Students are from CSD and Nutrition programs
Mocktails and Iron Chef
Small number in class + application process results in a very dynamic, motivated group
Modeled after problem-based learning approach; instructors serve as “facilitators”
Assignments/projects functional, applicable and fun
Diverse backgrounds, one common vision
Mocktails and Iron Chef
Exposure to real-world experiences through:o Observation of modified barium swallow
studies at NYU Langone Medical Center (supervised by NYUMC speech-language pathologists)
o Active participation in a mock "team rounds" with resident and attending physicians at Rusk Institute (Physical Medicine & Rehabilitation)
“Top Chef/Iron Chef” Cooking competition:o Students create a dysphagia
meal individualized to their patients’ needs
o Judged on appearance, creativity, nutritional and texture appropriateness and taste
Mocktails and Iron Chef
Idea supported by students, department, administration and affiliated medical community
This course serves as a model for other developing courses in Steinhardt and the medical school
Open lines of communication related to this course have had direct and positive impacts on patient care services at NYUMC/Rusk
Communication and Counseling
A program providing clinical services for individuals in the transgender community
An initial focus on voice was expanded to include communication and counseling
Group supervision promotes active dialogue about the program, not just student performance
Communication and Counseling
A team approach is fostered with opportunities for collaborative decision making
An apprenticeship model is applied: supervisors, counselors, and clients serve as coaches, “master craftspeople”
Goals are functional and individualized, even in the group setting
Mindfulness is integrated into the sessions
Communication and Counseling
Classroom presentations (Counseling for SLPs and Multicultural Counseling) provide opportunities for practice and client-led instruction
Recent project provided an interdisciplinary focus on counseling skills for SLPs
A student in Multicultural Counseling takes part in the group
Communication and Counseling
The program has support from students, faculty, administrators and mental health counselors (our primary referral source)
The program facilitated community engagement with the local LGBTQ community center
The group has become an important recruiting tool
Views into the VoiceAn SLP-ENT collaboration: Facilitated by a .3 FTE
consulting position in an otolaryngology private practice
Two laryngologists and a neurotologist actively support student learning
The SLP roles include laryngeal vidoestroboscopy, voice evaluation and intervention, with a recent addition of dysphagia services to the practice
Views into the VoiceMultiple learning opportunities: Collaborative,
interdisciplinary classroom case presentations
Student observations of videostroboscopy
A one-credit, advanced “rotation” with the ENTs
Research
A nice bonus: One of the ENTs is a member of our CSD Advisory Board
Considering Collaboration
Cultivating creative interdisciplinary collaboration
Do a careful environmental scan (internal and external) to see what is available
Find a colleague with whom you can work
Identify a shared vision and tap into individual strengths
Consider the Core Competencies document
Plan Carefully
Cultivating creative interdisciplinary collaboration
Engage constituents (students, colleagues, professionals, clients) in planning and evaluation
Get administrative support
Seek funding, consider grant opportunities
Share what you are doing:o Internally & externallyo Through public relations
& scholarship
One Final Thought “…collaborative efforts…,
result in a clearer vision of the seamless realities presented daily in our clinical lives and an enhanced capacity to serve whole individuals as they deserve to be served.”
Mark Ylvisaker, 1994
ReferencesAlberto, J. & Herth, K. (2009, March 31). Interprofessional collaboration within faculty roles:
Teaching, service and research. OJIN: The Online Journal of Issues in Nursing, 14(2).ASHA (2008, June). Why is greater emphasis being placed on interprofessional education in
health care? Access Academics and Research. Retrieved July 20, 2011, from http://www.asha.org/academics/questions/Interprefessional-Education.htm.
ASHA’s Research and Scientific Affairs Committee (n.d.). Interdisciplinary collaborations. Retrieved July 2, 2011, from http://www.asha.org/academic/interdis-collab/.
Durkin, T. & Vescovich, M. (November, 2011). The SLP: A valued member of the hospice interdisciplinary team. Paper presented at the 2011 Annual ASHA Convention, San Diego, CA.
Hagstrom, F. (2010). Establishing Interdisciplinary Collaborations for International Education. SIG 10 Perspectives, 13(1), p. 13-17.
Harvard Medical School (n.d.). Academics: Cambridge Integrated Clerkship. Cambridge Health Alliance. Retrieved on July 19, 2011, from http://www.challiance.org/academics/integrated_clerkship.shtml
Huff, E.G. (2009, November). Incorporating Medical Setting Interdisciplinary Experiences into a Graduate SLP Program, Paper presented at 2009 Annual ASHA Convention, New Orleans LA.
International Brain Injury Association. (2007). On Neurorehabilitation: A Conversation with Mark Ylvisaker, PhD., Retrieved June 16, 2011, from http://www.internationalbrain.org/?q=node/71.
ReferencesInterprofessional Education Collaborative Expert Panel. (2011). Core competencies for
interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative.
John-Steiner, V. (2006). Creative Collaboration. New York, NY: Oxford University Press.MMC/Tufts Medical School (n.d.). Milestone: About us. Maine Medical Center/Maine Health.
Retrieved July 19, 2011 from http://www.mmc.org/mmc_milestone.cfm?id=6239.Page, J.L. (2010, June). The Rockcastle Project: A Model for Interprofessional Clinical
Education in a Rural Medical Center. Access Academics and Research. Retrieved July 20, 2011, from http://www.asha.org/academics/questions/rockcastle-project.htm.
Page, J. L. & Morris, D. S. (2012, May 15). Whole Patient, Whole Team. The ASHA Leader.Perry, C., Hall, B., & Tiongco, C. (November, 2011). Interdisciplinary teamwork: Making IT
work. Paper presented at the 2011 Annual ASHA Convention, San Diego, CA. Pickering, J. Bloom, C., Luna, A., & Selmon, S. (November, 2011). The clinician-counselor
with transgender clients: An instructional video. 2011 ASHA Annual Convention, San Diego, CA.
Stemple, J.C. (2006). Personnel Shortages in Speech Language Pathology: Doctoral Collaborations. Retrieved June 16, 2011, from www.asha.org/uploadedFiles/slp/Stemple.pdf.
ReferencesStrober, M.H. (2011, January 2). Communicating across the academic divide. The Chronicle
of Higher Education. Retrieved June 16, 2011 from http://chronicle.com/article/Communicating-Across-the/125769/.
Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press. Published originally in Russian in 1930.
Weinstein, D. (2011, February 14). Students prepare for your final class! The Iron Chef challenge: NYU Steinhart News. Retrieved from http://steinhardt.nyu.edu/ataglance/2011/02/students_prepare_for_your_fina.html.
Wertheimer, J., Constantinidou, F., Raymer, A., Turkstra, L., & Paul, D. (2008, November). Promoting Effective Interdisciplinary Collaboration. Paper presented at the 2008 Annual ASHA Convention, Chicago, IL.
Williams, L., Marks, L., Barnhart, R., & Epps, S. (2011, November). ICF-CY: Basis for a conceptual model for interprofessional education. Paper presented at the 2011 Annual ASHA Convention, San Diego, CA.
World Health Organization (2010). Framework for Action on Interprofessional Education and Collaborative Practice. Geneva, Switzerland: World Health Organization Press.
Ylvisaker, M. (1994). Collaboration in assessment and intervention after TBI. Topics in Language Disorders, 15(1),
Ylvisaker, M. & Feeney, T. (1998). Collaborative Brain Injury Intervention: Positive Everyday Routines. San Diego: Singular Publishing, Inc.