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      Interprofessional education: evaluation of a radiation therapy and medical physics student simulation workshop

      research-article
      , MHlthSc, BAppSc 1 , , , PhD, MSc 2 , , PhD, BTech 2 , , PhD, BappSc(Hons) 1
      Journal of Medical Radiation Sciences
      John Wiley and Sons Inc.
      Interprofessional education, medical physics, radiation therapy, student education

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          Abstract

          Introduction

          Interprofessional education (IPE) involves two or more professions engaged in learning with, from and about each other. An initiative was undertaken to explore IPE for radiation therapy (RT) and medical physics (MP) students through a newly developed workshop based around simulated learning. The aims of this study were to explore RT and MP students’ perceptions of working as part of a collaborative team and of their own and the other group's professional roles. Student perceptions of the simulation education tool, the virtual environment for radiotherapy training (VERT) system, were also investigated.

          Methods

          RT and MP students were invited to participate in a 4‐hour interprofessional workshop. Pre‐ and post‐workshop surveys were employed to collect demographic data, students’ perceptions of interdisciplinary education (interdisciplinary education perception scale (IEPS)) and workshop evaluation (bespoke questionnaire).

          Results

          Fifteen students attended the workshop (RT, n = 8; MP, n = 7). Thirteen pre‐ and post‐questionnaires were returned (Pre‐questionnaire: RT, n = 6, response rate, 75%; MP, n = 7, response rate, 100%; post‐questionnaire: RT, n = 7, response rate, 87.5%; MP, n = 6, response rate 85.7%). For both student groups combined, IEPS scores ranged from 64 to 108 and 71 to 108 in the pre‐ and post‐questionnaires, respectively, with insignificant differences in the mean scores post‐intervention ( Z = −1.305, P = 0.192). Satisfaction with VERT as a simulation tool was high for both student groups.

          Conclusions

          The interprofessional student workshop served to promote interprofessional collaboration for RT and MP students. VERT was reported as an appropriate education tool for this purpose, enabling access to virtual clinical equipment common to both student groups. It is suggested that IPE continues to be offered and investigated in RT and MP students, in order to improve effective interprofessional strategies which may enrich future professional collaboration.

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          Most cited references18

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          Key elements of interprofessional education. Part 2: factors, processes and outcomes.

          In the second paper of this two part series on Key Elements of Interprofessional Education (IPE), we highlight factors for success in IPE based on a systematic literature review conducted for Health Canada in its "Interprofessional Education for Patient Centred Practice" (IECPCP) initiative in Canada (Oandasan et al., 2004). The paper initially discusses micro (individual level) meso (institutional/organizational level) and macro (socio-cultural and political level) factors that can influence the success of an IPE initiative. The discussion provides the infrastructure for the introduction of a proposed framework for educators to utilize in the planning and implementation of an IPE program to enhance a learner's opportunity to become a collaborative practitioner. The paper also discusses key issues related to the evaluation of IPE and its varied outcomes. Lastly, it gives the reader suggestions of outcome measurements that can be used within the proposed IPE framework.
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            The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students

            Background Collaborative interprofessional practice is an important means of providing effective care to people with complex health problems. Interprofessional education (IPE) is assumed to enhance interprofessional practice despite challenges to demonstrate its efficacy. This study evaluated whether an IPE programme changed students’ attitudes to interprofessional teams and interprofessional learning, students’ self-reported effectiveness as a team member, and students’ perceived ability to manage long-term conditions. Methods A prospective controlled trial evaluated an eleven-hour IPE programme focused on long-term conditions’ management. Pre-registration students from the disciplines of dietetics (n = 9), medicine (n = 36), physiotherapy (n = 12), and radiation therapy (n = 26) were allocated to either an intervention group (n = 41) who received the IPE program or a control group (n = 42) who continued with their usual discipline specific curriculum. Outcome measures were the Attitudes Toward Health Care Teams Scale (ATHCTS), Readiness for Interprofessional Learning Scale (RIPLS), the Team Skills Scale (TSS), and the Long-Term Condition Management Scale (LTCMS). Analysis of covariance compared mean post-intervention scale scores adjusted for baseline scores. Results Mean post-intervention attitude scores (all on a five-point scale) were significantly higher in the intervention group than the control group for all scales. The mean difference for the ATHCTS was 0.17 (95 %CI 0.05 to 0.30; p = 0.006), for the RIPLS was 0.30 (95 %CI 0.16 to 0.43; p < 0.001), for the TSS was 0.71 (95 %CI 0.49 to 0.92; p < 0.001), and for the LTCMS was 0.75 (95 %CI 0.56 to 0.94; p < 0.001). The mean effect of the intervention was similar for students from the two larger disciplinary sub-groups of medicine and radiation therapy. Conclusions An eleven-hour IPE programme resulted in improved attitudes towards interprofessional teams and interprofessional learning, as well as self-reported ability to function within an interprofessional team, and self-reported confidence, knowledge, and ability to manage people with long-term conditions. These findings indicate that a brief intervention such as this can have immediate positive effects and contribute to the development of health professionals who are ready to collaborate with others to improve patient outcomes. Electronic supplementary material The online version of this article (doi:10.1186/s12909-015-0385-3) contains supplementary material, which is available to authorized users.
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              The Interdisciplinary Education Perception Scale (IEPS): an alternative remodelled sub-scale structure and its reliability.

              The original 4 sub-scale version of the Interdisciplinary Education Perception Scale (IEPS) was published by Luecht et al. (1990, Journal of Allied Health, 181 - 191). There appears however to be a lack of evidence of the stability of the original instrument and of the test-retest reliability of the items and sub-scales when used with undergraduates. Given that during its development only 143 subjects completed the questionnaire which contained 18 items the generalizability of the instrument should perhaps have been investigated further. The Interprofessional Learning Group (IPL) at Glasgow Caledonian University has been using both the IEPS and the Readiness for Interprofessional Learning Scale (RIPLS) (Parsell & Bligh, 1999, Medical Education, 33, 95 - 100) to monitor changes in attitudes and perceptions of undergraduate students from eight different health and social care programmes. This paper reports the development of an alternative sub-scale model for the IEPS based on a sample of 308 students. Various aspects of the reliability of this revised model based on a subsequent data set of 247 students are also reported. This revised model appears to be stable for use with undergraduate students yielding Cronbach Alpha values for two of the sub-scales greater than 0.80 and test-retest weighted kappa values for items being fair to moderate.
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                Author and article information

                Contributors
                yobelli.jimenez@sydney.edu.au
                Journal
                J Med Radiat Sci
                J Med Radiat Sci
                10.1002/(ISSN)2051-3909
                JMRS
                Journal of Medical Radiation Sciences
                John Wiley and Sons Inc. (Hoboken )
                2051-3895
                2051-3909
                23 January 2018
                June 2018
                : 65
                : 2 ( doiID: 10.1002/jmrs.2018.65.issue-2 )
                : 106-113
                Affiliations
                [ 1 ] Faculty of Health Sciences The University of Sydney Lidcombe New South Wales Australia
                [ 2 ] Institute of Medical Physics School of Physics University of Sydney Sydney Australia
                Author notes
                [*] [* ] Correspondence

                Yobelli A. Jimenez, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe, New South Wales 1825, Australia. Tel: +61 2 9036 7431; Fax: +61 2 9351 9146; E‐mail: yobelli.jimenez@ 123456sydney.edu.au

                Author information
                http://orcid.org/0000-0001-5036-3967
                Article
                JMRS256
                10.1002/jmrs.256
                5985983
                29359415
                0a7bce7f-e76c-43c7-8ebc-76b64652d18d
                © 2018 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 21 August 2017
                : 06 December 2017
                Page count
                Figures: 0, Tables: 4, Pages: 8, Words: 5982
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                jmrs256
                June 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.4.0 mode:remove_FC converted:04.06.2018

                interprofessional education,medical physics,radiation therapy,student education

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