Interprofessional Education and Practice:

Creating Leaders and Opportunities

for Clinical Learning

Edi Purwanto
Learning outcomes

Define both interprofessional education and

interprofessional practice
Demonstrate an understanding of the education/practice
continuum
Examine the evidence for interprofessional education
Advancing interprofessional
education and practice

Interprofessional Interdependent Interprofessional

Education Practice

( University of Toronto ehpic, 2013)

Romanow (2002)

If health care providers

are expected to work
together and share
expertise in a team
environment, it makes
sense that their education
and training should
prepare them for this type
of working arrangement.
The cartoon CIHC Campus: How
can they work together if they
dont learn together? (CIHC,
2008)
Framework for action on interprofessional
education and collaborative practice
Improved
Health
Outcomes
Local Context
Strengthened
Health & Education Systems Health
Systems

Collaborative
Practice
Present & Collaborative
Future Optimal
Practice-Ready
Health Health
Workforce Services
Health
Workforce
Interprofessional
Education

Fragmented
Health Systems

Local Health
Needs (WHO, 2010)
Interprofessional education (IPE)

occurs when two or

more professions learn
about, from and with
each other to enable
effective collaboration
and improve health
outcomes...

(WHO, 2010)
Interprofessional practice (IPP)

occurs when multiple health workers from different

professional backgrounds provide comprehensive health
services by working with patients, their families, carers &
communities to deliver the highest quality of care across
settings...

and,

partnership between a team of health providers and a

client in a participatory, collaborative and coordinated
approach to shared decision making around health and
social issues
(WHO, 2010)
 Practice spectrum

Uniprofessional Multiprofessional Interprofessional Transprofessional

How do multiprofessional, interprofessional and

transprofessional practice differ from each other?
 Education spectrum

Uniprofessional Multiprofessional Interprofessional

How do multiprofessional and interprofessional education

differ from each other?
Why now?
 Shortage of
4.3 million health workers
world-wide

(Framework for Action on Interprofessional

Education & Collaborative Practice. WHO, 2010)
Global networks

Canadian
American Interprofessional Interprofessional Health
Health Collaborative Collaborative

AIPPEN
Australiasian Nordic
Centre For The Interprofessional Practice Interprofessional
Advancement of and Education Network Network
Interprofessional
Education (UK)
The Network Japanese
Toward Unity for Association for
Health Interprofessional Education

European
Interprofessional Education INTERED
Network in Health & Social The International Association
Care for Interprofessional
Education & Collaboration
Interprofessional practice (IPP)

occurs when multiple

health workers from
different professional
backgrounds provide
comprehensive health
services by working with
patients, their families,
carers & communities to
deliver the highest quality
of care across settings

(WHO, 2010)
across all settings
( University of Toronto ehpic , 2013)

Acute Primary Rehabilitation

Care Care Care
Evidence for interprofessional
education
Increased understanding of others role, skills &
responsibilities, overlap in knowledge & skills
Altered stereotypical views
Enhanced team working skills
Better sense of how interprofessional collaboration &
communication skills grow & develop

(Cooper et al., 2001, Reeves et al., 2008)

 Evidence for interprofessional
practice
Greater continuity of care Increased level of critical thinking
(less fragmented services) among health professions

Better access to services & shorter Higher levels of well-being

waiting times amongst staff, greater retention

Collaborative decision-making with Better communication

patients and family
Reduction in duplicity of service,
Better patient outcomes, safety and procedures and assessment
satisfaction
Reduced hospital admissions
More appropriate referrals

Improved safety and quality in

health care delivery

(WHO, 2010)
 Quality healthcare

Safe - avoiding injuries to patients

Effective - providing services based on scientific knowledge
Patient-centered - providing care that is respectful of, and
responsive to, individual patient preferences, needs, and values
Timely - reducing waits and sometimes harmful delays
Efficient - avoiding waste
Equitable - providing care that does not vary in quality because
of personal characteristics

(Crossing the Quality Chasm. IOM, 2001)

 National Chronic Disease Strategy

Integrated care means that health services

work collaboratively with each other, and

with patients and their families and carers,
to provide person centred optimal care

The report National Chronic Disease Strategy (NHPAC, 2006)

The report National Health Workforce Innovation and The report Framework for Action on Interprofessional Education
Reform Strategic Framework for Action 2011-2015 (HWA, & Collaborative Practice (WHO, 2010)
2011)
Reality in Indonesia

Client, student & facilitator stories

Example from Canada

Capturing the Cultural Shift.mp4

Thank You