Table 4.
Training focus | Number of residents mentioned | Examples of IPC training needs |
---|---|---|
Information on Roles | 15 | • A formal orientation of each team members skills vis-à-vis their areas of professional strengths and weaknesses • More about understanding each other’s role and pressures that other disciplines are facing • Discussion of roles and when to refer to another part of the team for help • Developing a better idea of what nursing staff does on a regular basis. This would work both ways: For nurses to see what we do on a regular basis • Understanding roles of each member of the team and the best ways to communicate with them • Might be helpful to understand/hear about the types of issues different team members face, and how the team as a whole could work together to resolve the issue |
Structures for “Work” of Teamwork | 11 | • Daily rounds, small group conferences, and research projects • Going on rounds together • Having a team meeting at the middle of a rotation to help formally assess how things are going and how things can be improved • More outpatient interprofessional teamwork or rounds • More team huddles. They should occur before every clinic session and ideally inpatient rounds would have each patient’s nurse and social worker involved • Open forum, minimizing conflict, between different groups (i.e., doctors, nurses, social workers) • Round table meetings • Routine meetings/huddles • Setting a specific time for team huddles in clinic |
Practice (Simulation) | 10 | • An OSCE that includes social work, medical students, resident, intern and attending • More simulation sessions and workshops • OSCEs with SNs • Scenario simulations • Rapid Response Team simulations |
Development of Specific Skills | 6 | • Communication skills • Conflict resolution skills • Leadership skills |
Workplace-Based (in Situ) | 6 | • Modeling by senior team members; feedback and instruction in the moment • Situational training in groups • The most helpful would just be doing actual everyday activities then going over everybody’s role prior to and after these activities to establish who can do what • Discussion and troubleshooting of problematic team dynamics • Observational evaluation by a trainer on the wards with constructive feedback for individuals and on team dynamics |
OSCE Objective Structured Clinical Exam; SN standardized nurse