TY - JOUR
T1 - The geriatric interdisciplinary team approach
T2 - Challenges and opportunities in educating trainees together from a variety of disciplines
AU - Mellor, M. Joanna
AU - Hyer, Kathryn
AU - Howe, Judith L.
N1 - Funding Information:
The Geriatric Interdiscilpnariy TemaTraninig (GITT) program, funded by the John A. Hartfod Froundna, Inct. ofiNoewYok Citry, is a natial oinitiativne to prepare heah lcarte proefisnoalssforgiatriec r intedisciplinr aryteamwork.Theprogramwasesshetdain1b969inli recognition of the fact that both the health care system and the demography of the United Ststepaonpaeucrahliangnrtgaiy.opidl Managed health care systems doinamte hehasleietscratvtehseam time that oldr prsonees are living longer. Both of these scietaol trends are sympathetic to an iterdiscn iiparnylaroacph pto geritaicrheah lt care. The trme‘‘geriatrics’’ is practicalylsynonymous with the notion of an intrdisceiplinary aroacph.pAsearly as 19, 8the N7atial oInstin-tutes of Heah l(NIHt) in a Consensus Development Coferennce statement, identiŽed health care of oldr peesarressqiourginipnunt from a multitude of health prosfinseoals: ‘‘geriatric assessment involves clinicians from the many health care professs wihoaren necessarily involevd ingood geriatric care’’ (NIH, 1988). Since then, Interdisciplinary team care has proven to be an eectivfefmeas onf proviindg quality health care (Baldwin, 1994). Currentandfuturehealthcareprofnealsnseedstobeiprepareo dto function in interdiscipnarylteamis in order to deliver cordinoatdeand quality health and social care to older adults (Baldwin & Tsuuda, k 1984; Sieler egat,1l9..9The8di)eevy rol gfieac rhtearhlciater reqireus tehknowledge and skills of a multitude ofdiiplinessc, and managed health care systems are actively encouraging a tema aroacph.pThis apoacph isrviweed as a cosavint-g msethodology with the managed care system acting as a gatekeerpand eaodinfrfg access to a wide array of specilais ansd hetalhtsrvicees. Deisetthpe dmoe-graphicimprativeeandthetrendtowardintedisciplinr aryteamwork, there is a paucity of training or familiarity with team care among most heah clarte psrionaloss f(Bemean etral.k, 2000; Holmes & Osterweis, 1999; Hyer, 19.98) After an initliplaaningny,eeighat strsiewere selected to develpo GITT programs, providing training in geriatrics and intrdiscieplariyn teamwork to medical residents, adancved nurse practitioners, and Master’s level social work students plsuaddialtdiiiopsnslacisne desired. The sites were Baylor Clleooef Megdinei, Hcouston; the Great Lakes, in a patnerrship between Henry Ford Health System, Detoirt and University Hospital Health Systems, Ceellvnda; Mount Sinai New Yok Urniversity Hospital; On Lok, Inc., San Francisco; Rush Pres-by terian-St. Luke’s Medical Center, Chicago; University of Coo lorad Heah Sciencltes Cntere, Denver; University of Minnesota, Minneoa; lpis and University of South Florid, Taapam. Athoulgh each site fulŽlled the training manda, tteheewrascon-siderable diversity in the structure and organization of each GITT. Both the similarities and dfieencfesrericnhed all ssi, atGesTIT faculty and staff from all sites met and shared their experiences and triumphs throughout the three-year funding period (Howe et al. 20.01) One aspt faedbccayleelghtisites was that of educating traneeis brought togeterhfrom at lest thraee difft disceirlpeies—nmnedinei, c nursing, social work, and for some sites also pharmacy, in aidtn toido physical therapy or psychology. The interdisciplinary natreuof GITT proved to be of enormous beneŽt to all GITT participants, dspieeta variety of obstacls.eThis article discusses the bneŽets and barriers to ecftiveflearneing under these circumstances and some of the training techniques and modalities that were utilized to magnify the beneŽts and overcome the barriers.
PY - 2002/11
Y1 - 2002/11
N2 - The special health needs of older persons and the organization of managed care systems necessitate interdisciplinary team health care. However, there is a paucity of training or familiarity with team care among most health care professionals. This article describes one nationwide initiative, funded by the John A. Hartford Foundation, in which eight sites trained health care workers from different disciplines to participate as interdisciplinary geriatric health care team members. Although the goal of the initiative was to develop trained interdisciplinary team participants, a major concern of the programs was the initial overcoming of challenges to training professionals from different disciplines together. Both benefits and challenges are identified and several training modalities and techniques to meet the challenges are discussed. These include case studies, standardized patients, cross-discipline role-playing, glossaries, and use of the DISC Personality Profile. The benefits of each of these modalities are examined, and potential pitfalls and perils to be avoided are emphasized.
AB - The special health needs of older persons and the organization of managed care systems necessitate interdisciplinary team health care. However, there is a paucity of training or familiarity with team care among most health care professionals. This article describes one nationwide initiative, funded by the John A. Hartford Foundation, in which eight sites trained health care workers from different disciplines to participate as interdisciplinary geriatric health care team members. Although the goal of the initiative was to develop trained interdisciplinary team participants, a major concern of the programs was the initial overcoming of challenges to training professionals from different disciplines together. Both benefits and challenges are identified and several training modalities and techniques to meet the challenges are discussed. These include case studies, standardized patients, cross-discipline role-playing, glossaries, and use of the DISC Personality Profile. The benefits of each of these modalities are examined, and potential pitfalls and perils to be avoided are emphasized.
UR - https://www.scopus.com/pages/publications/0036857698
U2 - 10.1080/03601270290099868
DO - 10.1080/03601270290099868
M3 - Article
AN - SCOPUS:0036857698
SN - 0360-1277
VL - 28
SP - 867
EP - 880
JO - Educational Gerontology
JF - Educational Gerontology
IS - 10
ER -