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Topperzer MK, Roug LI, Andrés-Jensen L, Pontoppidan P, Hoffmann M, Larsen HB, Schmiegelow K, Sørensen JL. Twelve tips for postgraduate interprofessional case-based learning. MEDICAL TEACHER 2022; 44:130-137. [PMID: 33761309 DOI: 10.1080/0142159x.2021.1896691] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Based on developing, implementing, and evaluating postgraduate interprofessional case-based learning, we have written these twelve tips for health education planners who wish to apply case-based learning in the clinical setting. Interprofessional case-based learning engages participants in a structured manner towards uncovering decisions processes and patterns of action that resemble the clinical reality in which various healthcare professionals handle multifaceted tasks related to the optimal patient treatment. Postgraduate interprofessional case-based learning has the potential to break down traditional hierarchical structures as interactions generate respectful behaviour. We present two models of case-based learning to assist in standardising, structuring, and systematising postgraduate interprofessional case-based learning. We have created 12 practical tips for the design, implementation, and evaluation of successful postgraduate interprofessional case-based learning integrated into the existing clinical setting.
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Affiliation(s)
- Martha Krogh Topperzer
- Department of Paediatrics and Adolescent Medicine, Paediatric Oncology Research Laboratory, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Louise Ingerslev Roug
- Department of Paediatrics and Adolescent Medicine, Paediatric Oncology Research Laboratory, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Liv Andrés-Jensen
- Department of Paediatrics and Adolescent Medicine, Paediatric Oncology Research Laboratory, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Peter Pontoppidan
- Department of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Marianne Hoffmann
- Department of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Hanne Baekgaard Larsen
- Department of Paediatrics and Adolescent Medicine, Paediatric Oncology Research Laboratory, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Kjeld Schmiegelow
- Department of Paediatrics and Adolescent Medicine, Paediatric Oncology Research Laboratory, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
- Department of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
- Department of Clinical Medicine, Juliane Marie Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Jette Led Sørensen
- Department of Clinical Medicine, Juliane Marie Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Topperzer MK, Hoffmann M, Larsen HB, Rosthøj S, Fridh MK, Roug LI, Andres-Jensen L, Pontoppidan PEL, Schmiegelow K, Sørensen JL. Postgraduate Interprofessional Case-Based Learning in Childhood Cancer: A Feasibility Study. Cancers (Basel) 2021; 13:cancers13174314. [PMID: 34503122 PMCID: PMC8430868 DOI: 10.3390/cancers13174314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 08/04/2021] [Accepted: 08/24/2021] [Indexed: 11/16/2022] Open
Abstract
This paper presents a feasibility study assessing the acceptability, demand, implementation, and practicality of postgraduate interprofessional case-based learning in childhood cancer at Copenhagen University Hospital-Rigshospitalet. Healthcare professionals included nurses, doctors, social workers, physiotherapists, occupational therapists, pharmacists, pharmacologists, dieticians, nursing assistants, and professionals with a supportive function (teachers, secretaries, priests, and daycare workers). All participated in a postgraduate interprofessional case-based learning session. Feasibility was assessed using Bowen's focus areas of acceptability, demand, implementation, and practicality. Before and after the intervention session, three measurement tools were used 2-3 weeks before participation and 3-4 weeks after participation to collect data: Assessment of Interprofessional Team Collaboration Scale, Readiness for Interprofessional Learning Scale, and Safety Attitudes Questionnaire. Representing 13 occupational groups, 49 participants completed the case-based learning sessions, indicating acceptability and practicality. The pre- and post-intervention questionnaires were completed by 79% of the participants, 88% of whom rated the professional content as good or very good. A change over time was detected on all three scales measuring mean difference post-intervention scores. The outcome measures can be used to assess the effect of the intervention. Postgraduate interprofessional case-based learning in childhood cancer is feasible in terms of acceptability, demand, implementation, and practicality. Implementation requires leadership commitment at all levels.
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Affiliation(s)
- Martha Krogh Topperzer
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
- Correspondence:
| | - Marianne Hoffmann
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (M.H.); (P.E.L.P.)
| | - Hanne Bækgaard Larsen
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
- Department of Clinical Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark;
| | - Susanne Rosthøj
- Section of Biostatistics, Faculty of Health Sciences, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark;
| | - Martin Kaj Fridh
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
| | - Louise Ingerslev Roug
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
| | - Liv Andres-Jensen
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
| | - Peter Erik Lokto Pontoppidan
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (M.H.); (P.E.L.P.)
| | - Kjeld Schmiegelow
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark; (H.B.L.); (M.K.F.); (L.I.R.); (L.A.-J.); (K.S.)
- Department of Clinical Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark;
- Juliane Marie Centre, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
| | - Jette Led Sørensen
- Department of Clinical Medicine, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark;
- Section of Biostatistics, Faculty of Health Sciences, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark;
- Juliane Marie Centre, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
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Topperzer MK, Thellesen L, Hoffmann M, Larsen HB, Weibel M, Lausen B, Schmiegelow K, Sørensen JL. Establishment of consensus on content and learning objectives for an interprofessional education in childhood cancer: a Delphi survey. BMJ Paediatr Open 2020; 4:e000634. [PMID: 32342017 PMCID: PMC7173955 DOI: 10.1136/bmjpo-2019-000634] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 03/06/2020] [Accepted: 03/10/2020] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Complex treatment, care and rehabilitation require continuous healthcare professional development and maintenance of competencies in collaboration with other professionals. Interprofessional education in childhood cancer involves several groups of healthcare professionals with both general and specific knowledge and skills. OBJECTIVE To establish consensus on content and interprofessional learning objectives for an interprofessional education in childhood cancer. DESIGN A three-round Delphi survey in Scandinavian childhood cancer departments. PARTICIPANTS Healthcare professionals appointed by their head of departments and head nurses based on their profession and their involvement in continuing professional development. MAIN OUTCOME MEASURES A prioritised list of interprofessional learning objectives with a mean score of ≥3 on a five-point scale (1=not relevant, 5=extremely relevant). RESULTS 12 childhood cancer departments participated with 30 healthcare professionals: 11 nurses, 10 medical doctors, 5 social workers, 2 physiotherapists and 2 pedagogues. In total, 28 (93%), 25 (83%) and 22 (73%) completed the first, second and third round, respectively. In the first round, we asked open-ended questions and used directed content analysis to analyse 386 statements. We formulated 170 interprofessional learning objectives in six categories: (1) acute life-threatening situations, (2) gastrointestinal toxicities and side effects, (3) pain, (4) palliation, (5) play and activity, and (6) prescription and administration of medicine. The second round resulted in 168 interprofessional learning objectives receiving a mean score of ≥3 on a five-point scale. Final agreement in the third round resulted in a prioritised list of 168 learning objectives. CONCLUSIONS Consensus on content and interprofessional learning objectives for an interprofessional education in childhood cancer was established across five groups of healthcare professionals in three countries. Some learning objectives are generic and can be applied in settings other than childhood cancer, where healthcare professionals collaborate to provide patients and families optimal treatment and care.
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Affiliation(s)
- Martha Krogh Topperzer
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
| | - Line Thellesen
- Department of Obstetrics, Herlev Hospital, Herlev, Denmark
| | - Marianne Hoffmann
- Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
| | - Hanne Baekgaard Larsen
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
- Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
| | - Mette Weibel
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
| | - Birgitte Lausen
- Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
| | - Kjeld Schmiegelow
- Paediatric Oncology Research Laboratory, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Kobenhavn, Denmark
- Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
| | - Jette Led Sørensen
- Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
- Juliane Marie Centre, Rigshospitalet, Kobenhavn, Denmark
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