Curtin Interprofessional Education Clinics Report 2012.pdf - Health ...

ANNUAL REPORT2012: IPP CHIRI CLINICS

REPORT2012 ANNUAL REPORTIPP CHIRI CLINICSBACKGROUNDCurtin Health Innovation Research Institute (CHIRI)Interprofessional Health and Wellness Clinicsincorporate a learning experience for students across abroad range of community based health care services. In 2012several of the clinical placements in operation in Building 404were expanded to include interprofessional education andpractice activities for students.The Interprofessional Professional Practice (IPP) CHIRI ClinicsSteering Group was established as a decision making group toguide the planning, implementation and evaluation of the IPPactivities within the CHIRI Clinics. Membership consisted of IPPProgram staff and representatives from each of the Schoolsand was chaired by Professor Dawn Forman, Professor ofInterprofessional Education & Clinical Director.Margo Brewer, Director of Interprofessional Practice (IPP),oversaw the quality management and evaluation of the IPPProgram and conducted IPP workshops for facilitators. KerynBolte, the Fieldwork Coordinator for CHIRI Clinics, promotedthe Interprofessional Practice Placement Program toparticipating Schools within the Faculty of Health Sciences andliaised with fieldwork coordinators to support studentallocations and fill the available placement capacity in CHIRIClinics. Each clinic had an interprofessional practice facilitatorwho also functioned in their clinical capacity, providingprofession specific supervision and support. As ProjectManager, Robynne Snell provided liaison with participatingorganisations and support to the IPP facilitators.PARTNERSHIPSThe CHIRI Clinics incorporates the following partnerships: Schools of Physiotherapy, Curtin University Speech Pathology and Psychology, Curtin University Silver Chain COPD Community Linkage Clinic, South Metropolitan HealthService Juniper Rowethorpe Aged Care Brownlie Towers, BentleyTHE STUDENT EXPERIENCEThe students who participated in an IPP experience in 2012were from a diverse range of professions: Nursing,Physiotherapy, Social Work, Occupational Therapy, Pharmacy,Nutrition, Speech Pathology, Medical Imaging and Psychologyas well as Podiatry students from UWA.A total of 2923 student days were delivered in 2012 acrossseven clinics. The student learning experiences were diverseincluding conducting holistic lifestyle assessments and handson clinical experience in the management of wounds, upperlimb injuries, stuttering, and chronic health conditions. Studentsalso reviewed case studies, observed interprofessional teammodelling and participated in medication management reviews.Student led care underpinned many of the clinics and studentswere able to devise and implement interprofessional careplanning that maintained a client centred approach with thesupport of supervision by highly skilled clinicians.OVERVIEW OF IPP CLINICAL PLACEMENTSWound Education Centre (WEC)The WEC in building 404 has been established in conjunctionwith Silver Chain to provide students with a dynamic andinnovative education program that teaches interprofessionalteamwork around the care of a client with a wound. The IPPFacilitator is a highly experienced Wound Clinical NurseSpecialist (CNS) from Silver Chain. The WEC focuses on clientcentred care that seeks to improve the client’s quality of life.Client assessment, care planning and evaluation are the mainfocus whilst also providing students with an opportunity to learnmore about wound management in the community and theimpact such a condition has on a person’s quality of life. Clientswere recruited from the Silver Chain clinic. In addition toworking with clients students completed case studies, utilisedtraining equipment and conducted assessments on their peers.A total of 295 students attended the clinic which ran two daysper week in semesters one and two.Chronic Obstructive Pulmonary Disease (COPD)Community Linkage ClinicThe COPD Clinic has been established in building 404 since2008. In 2012 the staff agreed to facilitate Curtin HealthSciences students on an observational placement. There aretwo clinics held at Curtin: the Monday clinic has a large numberof clients who see the multidisciplinary team from Royal PerthHospital consisting of a Physiotherapist, a Clinical NurseSpecialist and the Respiratory Physician for management ofchronic respiratory disease. The Thursday clinic is run by theCNS and the Physiotherapist and aims to see new referrals forinitial assessment and return patients who have their ownrespiratory specialist. COPD had two students attend eachsession, from the fields of Nursing, Pharmacy, OccupationalTherapy and Pharmacy. This mix of students and staff fromdifferent professions allowed for a productive IPP experience.Curtin Musculoskeletal Imaging ClinicThe Musculoskeletal Imaging clinic was established within theCurtin Physiotherapy Musculoskeletal Clinic in building 404 forstudents from Physiotherapy and Medical Imaging Science.The clinic ran for one afternoon a week in blocks of four weeks.Clients were recruited from the Physiotherapy Clinic. The IPPstudent team, comprised of one or two Medical ImagingScience and two Physiotherapy students, conducted an indepth client assessment and case planning discussion in eachsession. Supervision was predominantly by a seniorPhysiotherapy supervisor supplemented by support from aMedical Imaging Science supervisor.Curtin Hand and Upper Limb ClinicThe Hand and Upper Limb Clinic commenced February 2012 inbuilding 404. The clinic ran one afternoon a week seeingclients recruited from within the community, the University andthrough the Curtin Physiotherapy Musculoskeletal Clinic. TheIPP student team, comprised of two Physiotherapy and twoOccupational Therapy students, conducted a physicalassessment and care management for one to two clients persession. Supervision was by a Physiotherapist with 20 years’experience in hand and upper limb therapy.

REPORTSpeech StutteringThis Curtin clinic, established over 30 years ago, has providedservices to over 7,580 children and adults who stutter. Theclinic serves as a student training facility for an average of 18Speech Pathology students at any one time. Forty six studentsfrom Nursing and Occupational Therapy also attended theclinic in 2012. Their learning experiences included participationin adult and child fluency groups; observation of individualassessment and treatment sessions with feedback provided byall involved students; discussion regarding impact of dysfluencywith Speech Pathology students, clients and caregivers;provision of education to students, clients and caregiversregarding each student’s profession and scope of practice; anddelivering recommendations relating to the clients observed.Significant clinical research is undertaken within the clinic.FEEDBACKIt is clear, from the feedback provided, that there are manybenefits for all involved with this program.“I thought it was great, particularly the PBL- case studies thatwere used and getting to experience the equipment in a ‘handson’ fashion. It was quite useful to get a background in pressurecare.”Occupational Therapy student’s reflections on the WoundEducation Centre.“The students have all been really lovely and full ofenthusiasm. It has been a pleasure to have them with us. Ihave met some really lovely people who will be great for thehealth service in the future.”IPP Facilitator.Image: Brownlie TowersBrownlie Towers Health and Wellness ProgramIn March 2012 the Brownlie Towers Program was establishedat Brownlie Towers in Bentley, near Curtin campus. Theprogram aimed to provide health education to a communitywho has been identified as having complex health and socialissues.The IPP student team consisted 44 students from a variety ofprofessions including Nursing, Occupational Therapy,Pharmacy, Speech Pathology and Physiotherapy. In semestertwo eight University of Western Australia Podiatry students alsoattended the program. Students conducted interviews withvolunteer clients to assess their health needs under thesupervision of a qualified health professional. A managementplan was then developed in partnership with the client. Theprogram included the provision of information on existing healthservices available in the local area at little or no cost toresidents. A total of 24 clients were provided with services fromMarch to October with many of these attending multiplesessions with the students.The student led service was supplemented by educationsessions conducted volunteer General Practitioners. Thesesessions which provided health information to residents aroundcommon health issues were also of great interest to thestudents.This program involved close collaboration between the IPPsupervisor and Bentley Armadale Medicare Local, the BrownlieTowers Residents’ Committee, Love Bentley, BentleyCommunity Focus, the Salvation Army, the HousingDepartment of WA and the Newstart Pharmacy.“I think I am healthier than when I first walked in!”Client seen by IPP Student team.“It provides a valued service for the community.”IPP Facilitator.“In contrast to a general member of the public, having toexplain general information about stuttering and its treatment toa health professional, was a very different experience. Suchexplanation required a more in depth response, as I wasrequired to provide further insight.”Speech Pathology student reflections on the Stuttering Clinic.“Having the IPP students was a good opportunity for us toconsolidate our learning.”Speech Pathology student.“IPP developed my knowledge of other disciplines of practiceand roles. For example, to aid behaviour management, theOT's suggested to fellow students that perhaps gross motorskills could be incorporated within each session.”Speech Pathology student.“I found the advice and recommendations from the OT IPPstudents to be really valuable, especially for the high energychildren. Equally, given our goal of creating functionallyrelevant tasks and settings, I felt the additional consideration ofphysical activity was really interesting, especially whenconsidering increasing cognitive load. As SP’s we tend to thinkof language tasks but for some clients incorporating a physicalelement will be a great option”.Speech Pathology student.

REPORTCHIRI CLINICS ADMINISTRATIONCHIRI Clinics Manager, Carolyn Lawrence, was appointed InMay 2012 to oversee a $3.1 million refurbishment of the clinicsand lead a change management process to centralise clinicadministration. A review of clinic policies and procedures wascommenced to establish a more consistent approach to theadministration of the clinics and reflect the planned physicalcolocation of reception staff.The Building 404 Governance Committee was established toprovide direction and oversight to the upgrade of Building 404.Following consultation with key stakeholders plans werefinalised in November 2012. The refurbishment will create acentral reception and waiting room, four new consulting roomsand a procedures room /consulting room. A multipurpose staff /student lounge will provide areas for interactiveinterprofessional case management discussions and to debriefstudents at the end of each clinical practice session. Existingclinic spaces will be updated consistent with the refurbishmentand the themes of interprofessional, health and wellness. Therefurbishment is due for completion in June 2013.ACHIEVEMENTSThe success of the IPP CHIRI Clinics program, along with theFaculty’s other interprofessional initiatives, led to Curtinwinning a number of awards in 2012, including:An Office for Learning and Teaching Award for Programs thatEnhance Learning: Educational Partnerships andCollaborations with Other Organisations; and,Having won the Benchmarking Partnerships Australian BestPractice Competition, held in Sydney, Curtin then won theInternational Best Practice Competition at the World BusinessCapability Congress in New Zealand.FOR MORE INFORMATION CONTACTFaculty of Health SciencesCurtin UniversityKent Street Bentley WA 6102GPO Box U1987 Perth WA 6845Tel: + 61 8 9266 9289Email: HlthSci-IPE@curtin.edu.auDISCLAIMER AND COPYRIGHT INFORMATIONThe information in this publication was correct at time ofprinting. However, Curtin University reserves the right tomake changes as appropriate. The University makes nowarranty, representation or undertaking, whether expressed orimplied, nor does it assume any legal liability, whether direct orindirect, for the accuracy, completeness or usefulness ofinformation contained in this brochure.© Curtin University of Technology 2013.This publication is protected by copyright. Apart from limitedexceptions as permitted by the Copyright Act 1968 no partmay be reproduced or communicated by any means withoutexpress written permission.Curtin University is a trademark of Curtin University ofTechnology.CRICOS Provider Code 00301J (WA), 02637B (NSW)OUTLOOK FOR 2013A draft strategic plan was developed for CHIRI Clinics tocanvas feedback from within the Faculty on the futuredirections of CHIRI Clinics. 2013 looks set to be anotherdynamic year of interprofessional practice with the clinicalplacements. The IPP team would like to acknowledge the hardwork of all the staff, students and the industry partnersinvolved, but in particular the wonderful clients who have madethe placements possible.ACKNOWLEDGEMENTSThis report was prepared by Keryn Bolte, IPE FieldworkCoordinator, Carolyn Lawrence, Clinics Manager and MargoBrewer, Director Interprofessional Practice, with assistancefrom the IPP Facilitators.The Interprofessional Practice Program also acknowledges thesignificant financial contributions made by Health WorkforceAustralia and the Faculty of Health Sciences, Curtin University,which have been essential to the success of the IPP Program.