The Interdisciplinary Team:

Improving the Care of Our Elders
(HMS 298)

 

Introduction: The needs of elders, especially the frail, will change the way we deliver healthcare in the next decade. There are two reasons for this. The first is found in the demographics of aging in America.  Because of the Òage waveÓ of 70 million Baby Boomers, in the not-so-distant future geriatrics will perforce become a major part of what all healthcare professionals do. The second reason is equally, if not more compelling:  The interdisciplinary team approach can provide good, comprehensive care that is cost effective.  It holds the promise of offering truly ÒholisticÓ care in the biopsychosocial-spiritual model, something no longer possible to provide (if ever it were) by one health-care practitioner, or even by a team working in separation.

 

One problem with the interdisciplinary team approach concerns the logistics of bringing such a team (which may consist of a nurse, physician, social worker, nutritionist, optometrist, dentist, pharmacist, physical and occupational therapists, chaplain, and others) together for the benefit of a patient. This is daunting, but not impossible.  Programs of All inclusive Care for the Elderly provide such interdisciplinary care in cost-effective ways.  And, nursing homes across the country all have functioning teams of this sort; they are necessary for good care, especially of the elder with multiple medical and psychosocial problems.

 

Despite the need and benefit of interdisciplinary healthcare teams in geriatrics and beyond, there is little education provided in healthcare professional training about how to work as a member of a team, much less an understanding of the work style and contributions of other team members.  This course is an attempt to offer such training.

 

Course goals:

  1. To provide an overview of the role of the interdisciplinary team in geriatric healthcare
  2. To provide exposure to the primary disciplines in geriatric interdisciplinary team Practice through field experiences
  3. To provide a framework for understanding the dynamics of interdisciplinary team practice
  4. To provide students with basic skills for participating in an interdisciplinary team

 

Course objectives:

 

By the end of this course, students will:

1.     Examine the purpose and function of the interdisciplinary team in geriatric healthcare

2.     Compare and contrast the unique perspectives, values, and contributions that healthcare professions bring to geriatric interdisciplinary teams

3.     Analyze the dynamics of interdisciplinary team practice, including its structure, maintenance, and management

4.     Articulate how to apply gained knowledge of interdisciplinary teams to their own professional practice
 

Course Information:

 

The Interdisciplinary Team: Improving the Care of Our Elders

UCB course #: HMEDSCI298 IND 013; Samuel Merritt Course #Õs: OT/PT700

Two units, Grade or Pass/Not Pass. (Please note: NO incompletes will be granted)

Room: 104 Dwinelle

Dates: February 6 thru April 30, 2008

Wednesdays 6:00 – 8:00 PM

Office hours: following each class from 8:00-8:30 PM and by arrangement

   

Students

   

Students from all professional disciplines may be involved in this course, including students in the UCB School of Social Welfare, the UCB – UCSF Joint Medical Program, the UCB School of Optometry, the School of Public Health (Nutrition), the UCSF Schools of Pharmacy and Nursing (Gerontology Nurse Practitioner Program), the Samuel Merritt Departments of Physical and Occupational Therapy, the Graduate Theological Union.

Course Requirements

 

Class attendance and participation is required; assigned readings are to be completed prior to each class. Students will be expected to complete structured field observation worksheets of two interdisciplinary team meetings, and  ÒshadowÓ two team members from a discipline other than their own. (see Assignment section below)  Following field observations, students will give class presentations about their observations, and lead a discussion. Finally, a five-page reflective paper based on field observations and experiences will be expected of each student.

 

Course Assignments and Grading

 

  • Class attendance and participation: 10% of grade.
  • ÒShadowingÓ of team members and Structured Field Observations of interdisciplinary team meetings: 50% of grade.
  • Reflective Paper: 20% of grade.
  • Class presentation and discussion: 20% of grade.

 

Assignments

 

Students will complete structured field observations of interdisciplinary team meetings and shadow team members (see below).  Based on these field experiences, students will submit a reflective paper, and make a class presentation about their experiences.

 

Attend Team Meetings (25 % of grade)

From the available long term care facilities and community agencies (hereafter called ÒagenciesÓ), students will elect to observe two meetings of the same interdisciplinary team in one agency OR to observe two meetings of interdisciplinary teams in two different agencies.  Prior to attending meetings, students will contact the designated person at each agency they select in order to notify the team of their expected attendance, and to confirm the time and location of the meeting.

 

Students may also elect to audio- and/or video-tape meetings to use for their class presentation if permitted by the agencies. Students should contact the designated person at each agency in order to discuss arrangements for taping including completing any release forms.

 

ÒShadowingÓ Team Members (25% of grade)

(ÒShadowingÓ is a training technique in which students directly observe individuals in their performance of their jobs in order to become familiar with individual styles of working, the role of the individuals in the organization, and how work tasks are carried out.)

 

Students are expected to shadow at least two members of the interdisciplinary team who are not from their own professional discipline.  Students will select team members from the attached agency list, and contact them directly in order to set up dates and times for your shadowing visits. These visits should be conducted in the agency and should include opportunities to observe the members in the normal course of their work routine with clients and staff. They should last for 1-2 hours depending on the availability of the team members.

 

In preparation for these shadowing visits, students may want to think of some questions they have about the role of the team members, their styles of working, how work tasks are carried out in the organization, and/or other aspects of the team membersÕ work. Here are a few examples of the type of questions you might want to discuss during your shadowing visit. Please be sensitive to the timing and location of your discussions:

 

  • What training did you complete to qualify for your position?
  • How would you describe your primary role in the organization?
  • What kind of assessments do you perform with clients/participants/patients?
  • How would you describe your role on the interdisciplinary team?
  • What are the most satisfying aspects of your work?
  • What are the most challenging aspects of your work?

 

Reflective paper (20% of grade)

Due April 30; 5 pages in length.

 

The paper should discuss what you learned about interdisciplinary teams from your field and classroom experiences, and address at least the following points:

  • Team norms observed, including communication patterns, conflict, and decisionmaking.
  • The strengths and weaknesses of the team(s) observed.
  • Two or three significant ideas or concepts that you learned about interdisciplinary teams through the team meetings observed and your shadowing experiences.
  • How you will apply this learning to your own practice.

 

Class Presentation (20% of grade)

At the end of the course, students will give a class presentation about their field experiences and facilitate a discussion about them.  This should include a description of the agencies in which  your field observations occurred and background information about the team(s) observed, as well as the points covered in the reflective paper.  Scheduling of presentations will be done in the first weeks of class.


The Interdisciplinary Team:

Improving the Care of Our Elders (HMS 298)

 

COURSE SYLLABUS

 

February 6: Introduction to Teams

  • Course overview
  • Agency context of interdisciplinary teams
  • Characteristics of a team
  • Goals of interdisciplinary teams
  • Benefits of team practice
  • Types of teams

 

February 13: Team Dynamics

  • Development of teams
  • Team Culture & Behavior
  • Team roles
  • Team management

 

February 20: A Case-Based Look at Disciplines in Healthcare Teams (values, ethics, roles, tools)

  • Activities, OT, PT

 

February 27: A Case-Based Look at Disciplines in Healthcare Teams (continued)

  • Chaplaincy, Psychology/Psychiatry, Social Work

 

March 5: A Case-Based Look at Disciplines in Healthcare Teams (continued)

  • Medicine, Optometry, Pharmacy

March 12: A Case-Based Look at Disciplines in Healthcare Teams (continued)

  • Dentistry, Nursing, Nutrition, Speech

March 19: Elder, Family, and Staff Perspectives on Interdisciplinary Care Planning

March 26 – spring break

 

April 2: Interdisciplinary Team Videos

 

April 9, 16, and 23: Student Presentations

Based on shadowing experiences and team meetings observed, individual students or groups of students will present and facilitate class discussions.  Refer to Assignments section above for instructions.

 

April 30: Final discussion and Course Evaluation

 

Course Instructors:

 

Chaplaincy: Rev. Virginia Chase, MAR, MDiv, Associate Director of Field Education and Director of Contextual Learning, Pacific School of Religion. Contact information: vchase@psr.edu; 510-849-8261

 

Dentistry: Renato Salviato Fajardo, DDS, MS, PhD, MPH, BachelorÕs degree in Psychology, Sao Paulo University, School of Dentistry of Aracatuba, Assistant Professor in Prosthodontics and Peace Fellow 2006-2008, Rotary Foundation. Contact information: mailto:fajardo@berkeley.edu

 

Medicine: Guy Micco, MD, Clinical Professor, UCB-UCSF Joint Medical Program/ Director of UCB Center on Aging. Contact information: mailto:guym@berkeley.edu; and Claudia Landau, Associate Clinical Professor/Geriatric Curriculum Coordinator, PhD, MD, UCB-UCSF Joint Medical Program. Contact information: mailto:C.Landau@comcast.net

 

Nursing: Liz Macera, RN, PhD, NP-C, Assistant Clinical Professor, Gerontologic Advanced Practice Nursing Program, UCSF. Contact information: mailto:liz.macera@nursing.ucsf.edu

 

Occupational Therapy: Kate Hayner, Ed.D, OTR/L, Associate Professor, Chair Department of Occupational Therapy, Samuel Merritt College. Contact information: khayner@samuelmerritt.edu; 510-869-6511 x 4780 (office)

 

Optometry: Meredith Whiteside, OD, Assistant Clinical Professor, UCB School of Optometry.

Contact information: mailto:mwhiteside@spectacle.berkeley.edu

 

Pharmacy: Kirby Lee, PharmD, MA, Assistant Professor of Clinical Pharmacy, UCSF

 

Physical Therapy: Sharon Gorman, PT, MS, GCS, Assistant Professor, Samuel Merritt College, Department of Physical Therapy. Contact information: sgorman@samuelmerritt.edu;

510-869-6511 x 4720 (office).

 

Public Health- Nutrition: Kate McBurney, DrPH, RD, Lecturer, Dietetic Internship Program, UCB School of Public Health

 

Social Welfare: Barrie Robinson, MSW, Field Work Consultant/Lecturer, School of Social Welfare. Contact information: mailto:bkr@berkeley.edu; Juliet Rothman, PhD, Lecturer, UCB School of Social Welfare. Contact information: mailto:rothman@berkeley.edu; and Desi Owens, MS, MSW, LCSW, Campus Planner/Academic Coordinator, UCB Center on Aging, School of Public Health. Contact information: mailto:desiowens@berkeley.edu

 

 

 

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This page was updated February, 2008