Working together-Learning Working together-Learning together: Improving workforce together: Improving workforce readinessreadiness

Merrilyn Walton Merrilyn Walton Professor of Medical EducationProfessor of Medical EducationSydney School of Public HealthSydney School of Public Health

What does working together- learning together mean?

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Deliver patient centred care

Active member of multidisciplinaryteams

Report and learn from errors

Apply evidenced based health care

Ethical practice

Use quality improvement approaches

Use information technology

Competent practitioners New knowledge & skills required

Partnerships with patients Partnerships with patients & carers& carers

TeamworkTeamwork

Risk communicationRisk communication

Data collectionData collection

Adverse eventsAdverse events

Professional responsibilityProfessional responsibility

Professional accountabilityProfessional accountability

Is professional knowledge enough ?

Being prepared for safe practice

Why do our professionals graduate unprepared for work?

Some observations about current learning in the workplace

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How is the NPSEF structured?

3 Learning Domains in each Learning Topic

Communicating effectively

Using evidence

Adverse events

Working safelyBeing ethical Teaching &

Learning

7 Learning Categories

22 Learning Topics

Specific issues

Knowledge - Skills - Behaviours

Underpinning/applied knowledge – Performance elements

What preparation should professionals have?

What preparation should professionals have?

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Patient centred learning principles

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Patient centred principles

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How learners learn safely

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The educational conceptual frameworkDavis & Dixon

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Usually achieved in well designed

programs

Much more difficult to achieve

Minimising harm to patients

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AttitudesPre-contemplation

Adverse events are preventable

KnowledgeContemplation

Skill to assess errors, how to change practice & systems

Health practitioners change their system and implement changes on permanent basis

Teaching peers, supervisors, trainees & patients

Knowledge about how to prevent mishaps

When all patients receive treatment without AEs-

SocietalNorms/Maintenance

Patient experienceOutcome of action

BehaviourAction

SkillsPreparation

Preparing health professionals for work requires:-

We need to:

Resources & Web sites

› Runciman B, Merry A, Walton M Safety and Ethics in Health Care: A Guide to getting it Right, Ashgate , 2007.

› National Patient Safety Education Framework

http://www.health.gov.au/internet/safety/publishing.nsf/Content/C06811AD746228E9CA2571C600835DBB/$File/framework0705.pdf

› Australian Curriculum Framework for Junior Doctors

http://www.cpmec.org.au/curriculum/index.cfm

› The Patient Safety Education Project (PSEPTM) ( USA)

http://www.northwestern.edu/aging/projects.htm#psep

› WHO Patient Safety Curriculum Guide for Medical Schools

http://www.who.int/patientsafety/activities/technical/medical_curriculum/en

› Health Professionals for a new century: transforming education to strengthen health systems in an interdependent world

http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673610618545.pdf?id=e16241398b8eb460:3bb166fc:12db655013c:-2841295848133237