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Faculty Development CPD
Faculty Development CPD
Faculty Development CPD
This article proposes a framework for faculty development in continuing interprofessional education (CIPE) and
collaborative practice. The framework is built on best practices in faculty development and CIPE. It was informed
by local experience in the development, delivery, and evaluation of a faculty development program to promote
capacity for dissemination of concepts relating to interprofessional education (IPE) and interprofessional collab-
oration (IPC) in health care environments. Interprofessional education has been demonstrated in clinical contexts
to enhance interprofessional collaboration, patient care, and health outcomes. With curriculum design, teaching
methods, and educational strategies in faculty development, it is possible to enhance the impact of IPE in clinical
contexts. Faculty development activities themselves can model effective interprofessional education methods and
practice. An IPE curriculum and teaching and education strategies are outlined. Strategic planning, including the
application of a systems approach, attention to the principles of effective learning, and an outcomes-based cur-
riculum design are recommended for the development of continuing IPE faculty development programs that en-
hance interprofessional collaboration.
Key Words: continuing interprofessional education, faculty development, staff development, interprofessional
collaboration
Little attention has been paid in the literature defining teams that have not perceived a need for change may resist
continuing IPE curricula in practice-based settings and to an interprofessional program.7
establishing best practices in IPE for practicing clini- Engaging physicians in IPE has been consistently noted
cians.7 Faculty development, the broad range of activities as a challenge for planners.12 Many reasons for this have
that institutions use to renew or assist faculty in their mul- been noted, including how physicians have been social-
tiple roles, has the potential for improving the practice of ized in medical school and the perception by physicians
IPC and for building capacity in the provision of IPE. The that their authority in the hierarchy is being challenged by
term faculty development in some jurisdictions ~United the new focus on collaboration. One approach to engage
Kingdom! may refer only to faculty development within physicians is to identify team-based education programs
university departments. However, for the purposes of the that can be linked to demonstrable improvements in pa-
article a broader definition would include the develop- tient outcomes, such as quality improvement ~QI! or patient
ment of all health professional staff who have teaching safety projects.12,13
roles in health care settings and organizations.7 There is A well-planned and -executed needs assessment can both
little evidence-based literature available to guide faculty introduce prospective learners to some of the concepts of
development in IPE, especially within health care institu- IPE ~and thus is an intervention in itself ! and at the same
tions. There are few studies to suggest which types of IPE time identify enablers and potential challenges that can be
programs are most effective at improving team function- addressed through curricular development.14
ing, health outcomes of patients, or the performance of
health organizations and systems.
This article brings a faculty development perspective to Planning a Faculty Development Curriculum
continuing IPE for health professionals, outlining a concep-
tual framework, a planning guide, suggestions for a curric- As noted above, planning a curriculum requires attention to
ulum, and teaching strategies and formats for planning and the different education needs at different levels of a health
design. The work of Steinert forms the basis of the model, organization—micro0meso0macro. A faculty development
contextualized for health professionals in practice.8 program can be directed at the front-line health care team,
health professional teachers and educators, administrators,
managers, and policy makers.
Conceptual Framework As FIGURE 1 illustrates, at an individual and team level,
There are significant conceptual similarities between ef- faculty development can be directed at:
fective faculty development and effective IPE.9,10 Both fo-
cus on the need to effect change at the individual and 1. The attitudes, knowledge, and skills that underpin effec-
organizational levels, are experientially based, and require tive collaborative practice. This can include the beliefs of
expert facilitation and an education and organizational
climate that values these interventions. The IPE literature
describes aligning the micro- ~learner, educator, and learn-
ing context!, meso- ~leadership and administrative!, and
macrofactors ~accreditation and institutional structures!.10
The faculty development literature describes addressing the
individual, instructional, and organizational development
needs.9 To assure success in both contexts, faculty devel-
opers planning IPE programs must be especially aware of
the individual context, the environment, and the system in
which education interventions are being planned.
staff that would enhance or impede collaborative practice Engaging management, ie, nursing and professional prac-
and an examination of the various roles of team members. tice leaders and hospital administrators, in the development
Knowledge-based competencies can include knowledge and delivery process of faculty development sessions can be
about interprofessional learning, group dynamics, the com- an effective method of creating an organizational culture of
petencies of effective teams, and the skills of practitioners IPE. Faculty development interventions directed at manage-
to work and learn collaboratively.15,16 Teams can benefit
ment and administrative leadership can emphasize the link-
from articulating their common competencies, their com-
plementary competencies that distinguish one profession
ages between IPE, quality and systems improvement, and
from another, and their collaborative competencies that are patient safety. The administrative leadership also needs to
necessary to work effectively with others.16 Skills training provide the resources to support the education activities, in-
should focus on effective team communication skills.17 At- cluding appropriate protected time for faculty and staff and
titude building, including respect for each other’s roles and clinical replacement costs, provide incentives to pursue fac-
recognition that teams require work, are important com- ulty development, support mentoring and professional net-
ponents to successful teams.17 works for staff and faculty, and address systems issues that
2. Building capacity for health professional teams to self- would impede a faculty development program.23,24
assess their functioning periodically. This process can be At a government and health policy level, there is con-
assisted with the use of a variety of new tools, including The siderable evidence that IPE will not be sustained without the
Healthy Teams Model and the Team Survey.18,19 The Healthy
necessary policy changes accompanied by core funding to
Teams model was developed with the use of rigorous qual-
itative methodology.18 The Team Survey has 4 subscales.
assist institutions to embed sustainable changes in ways that
This instrument was found to be reliable ~reliability coeffi- health professionals are educated.23 IPE faculty developers
cients between 0.70 and 0.93 were obtained for each sub- need to collaborate with institutional leadership to lobby pol-
scale!. Construct validity measures supported to a large degree icy makers to make these systems-based changes.
the 4 subscales. The tool was tested with the use of a wide
range of specialties, including surgical and medical teams,
management, and service support.
Settings, Formats, and Teaching Strategies
3. Updates on health professional care issues that are relevant Unlike traditional continuing medical education ~CME! that
to the team. The goal of these sessions would be different takes place in conference centers, university seminar rooms,
from traditional forms of multiprofessional CE, where 2 or and hotels, faculty development for continuing IPE should
more health professionals might be learning together but not
ideally take place in situ, in the clinical settings where teams
from and about each other. In continuing IPE, the goal of the
sessions would include how a team works together to de-
work and practice and at times when teams would otherwise
termine how new information or policies and procedures be meeting.8 Leaving the clinical setting may be advanta-
would be adopted by team members individually and by the geous for team learning by limiting interruptions, but prac-
team as a whole. Working together to master the practical tically speaking, this is very difficult for most teams to
“know-how” for sharing patient care is essential for effec- arrange.25
tive team functioning.17 Multiple teaching formats can be considered that vary
4. Quality and systems improvement and patient safety. Op- in intensity and duration.8 A recent systematic review of
timal interprofessional collaboration is a basic competency the faculty development literature revealed that effective
for health systems improvement. Team-based QI projects programs are characterized by 4 key features: ~1! experi-
can be effective methods of enhancing team functioning ential learning, ~2! provision of feedback to participants,
and a particularly effective method of engaging physicians
~3! well-designed interventions based on established prin-
in continuing IPE.20–22 Including this as a part of an in-
terprofessional curriculum requires new conversations and
ciples of teaching and learning, and ~4! diversity of edu-
collaboration between educators and QI and patient safety cational methods.26
leaders in institutions and in the community. Choosing a teaching format depends on the goals of the
5. Leadership and organizational change. Focusing on team- faculty development intervention. A variety of team-based
based learning can facilitate shifts in individuals’ roles on rounds’ formats have been developed that focus on patient
teams and lead to increased interest in leadership and man- care, quality improvement, team functioning, and teaching
agement skills, organizational change and development, and improvement ~TABLE 1!.13,27
conflict management and negotiation.8,13 In addition to the well-established interactive learning
6. Teaching and learning. Addressing general topics on teach- approaches such as case-based workshop 28–30 and team-
ing and learning in a multiprofessional context can enhance building exercises, 31 there are a range of many other
the common bond that ties health professionals to their teach-
approaches.
ing assignments with health professional students and pro-
vide a much valued team-building exercise. Teaching topics
Peer coaching and mentoring in the workplace can pro-
can include curriculum design, interactive teaching, and giv- mote continuing IPE and support for health professionals
ing and receiving feedback.8 Addressing general topics in functioning on teams. It can stimulate critical reflection
teaching can set the stage for faculty development that ad- by orienting practitioners to see, act, and think in new ways
dresses specific topics on teaching in an interprofessional through reflecting on the “languages of practice”—the sets
context.8 of implicit and explicit rules that guide a clinician’s practice.
TABLE 1. Teaching Formats and Strategies for IPE IPE practitioners and scholars.43,44 These groups are often
highly motivated practitioners in the field who come to-
Team-based rounds
gether to generate new knowledge, have a specific inter-
Team-building exercises
est and identity in the field, and share ideas, information,
Case-based workshops tools, and resources with each other.45 A community of prac-
Peer coaching and mentoring tice can be a successful outcome of longitudinal and train-
Web-based learning the-trainer programs where participants have built trust and
Preceptorship training
collaborative relationships over time.43 Communities of prac-
tice can also structure team-based journal clubs and case
Longitudinal programs
conferences, leading to practice changes.46
Communities of practice Teaching tools and resources are needed to support fac-
Teaching tools and resources ulty development programs. These tools can include Power-
Point presentations, 47,48 ice-breakers, games, role-plays, and
IPE cases to stimulate reflection on effective team function-
It is a particularly appropriate method to consider in an ing; DVD trigger tapes to foster discussion on effective fa-
interprofessional context because of the range of different cilitation of IPE;49,50 access to actors that can simulate health
disciplinary languages of practice that exist on teams. professional teams to practice team facilitation and provide
Coaching to promote peer collaboration can enhance learn- feedback; and resources to support program development,
ing in the workplace because it offers opportunities for implementation, and sustainability.51
language change.32,33 Mentoring relationships that are built Following the best practices and principles of program
around the completion of IPE projects in the workplace planning for faculty development for continuing IPE,
and that are based on principles of knowledge translation TABLE 2 describes a program recently offered at the Cen-
may be particularly effective.34,35 tre for Faculty Development in Toronto.
Web-based learning to prepare staff teachers to teach
in an IPE context is being developed.36,37 Faculty devel-
Discussion
opers may be reluctant to use this as a primary teaching
tool because of the nature of IPE teaching where face-to- One of the challenges in organizing faculty development
face contact is so essential. Web-based learning may be programs for continuing IPE is in embedding the principles
best used as a supplement to other teaching formats.8 There of IPE into every aspect of the program, from facilitator
are also developmental issues that need to be considered. preparation, to curricular and program planning, to delivery
Faculty development programs that engage learners over and evaluation processes.
an extended period of time where trust, collaboration, and Effective facilitation in IPE requires significant training
a community of learners is well established may find the with opportunities for practice and feedback. Several themes
uptake of Web-based communication and collaboration to emerged from a recent study 25 on essential features of suc-
be very effective.8 cessful facilitation in IPE. These themes illuminate the need
Preceptorship training programs that focus on preparing for facilitators to demonstrate the ability to be self-aware, to
interprofessional teams to provide interprofessional educa- respect and value differences, to be conscious of the impact
tion to students from multiple disciplines are being devel- of group dynamics on learning, to manage issues around
oped.38 These programs aim to assist staff in designing and power and hierarchy, to plan interprofessional learning, and
implementing a clinically based IPE curriculum for the stu- to integrate the facilitator’s learning philosophy.25 The train-
dents training with them. ing of facilitators should include shadowing experienced
Longitudinal programs in faculty development are well IPE facilitators, cofacilitating and buddy teaching, opportu-
established at many health professional schools.39– 41 Lon- nities to engage in formative evaluation of IPE activities, a
gitudinal programs in CE also have an established evidence mentoring opportunity from an experienced IPE facilitator
base of effectiveness.42 These types of programs are partic- or from a peer group of facilitators, and an opportunity to
ularly suited for educating teachers and scholars in faculty participate in interprofessional program planning.25
development for IPE. Participants from different profes- Using 2 facilitators ~cofacilitation! is very common in
sions from different hospital and community settings have IPE.25 The cofacilitators’ relationship with each other be-
an opportunity to learn from each other, share resources, and comes a potential modeling opportunity for effective col-
potentially collaborate on interinstitutional faculty develop- laboration. This process can be debriefed with participants
ment projects. When a course is extended over time, during the course of a workshop and is an opportunity to use
participants have an opportunity to implement faculty de- a “parallel process” in facilitating to illustrate best practices
velopment programs and return to the group to present their in collaboration. This type of modeling has been noted as a
programs and receive feedback.9 critical factor for the success of an IPE workshop.54
Communities of practice ~COP! in IPE are developing as Program planning and implementation for any IPE ac-
a means of connecting a wider collaborative community of tivity requires special attention to process.51 For example, at
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