Ms Laura Page1, Mr Steve Cadell1
1Central West Rehabilitation Service, Longreach, Australia
Problem: Traditional student placement models promote discipline-specific clinical reasoning reducing exposure to skill-sharing and inter-professional practices
Setting: A rural inter-professional education and supervision program (RIPES) was piloted by the Central West Rehabilitation Service, in collaboration with the Cunningham Centre. This pilot studied the efficacy and knowledge base post execution of this innovative inter-professional education (IPE) model.
Key measures for improvement: Increased knowledge of IP scope of practice, holistic patient-centred treatment plans, improved discharge planning and cohesiveness in collaboration between students/health professionals.
Process of gathering information: Separate Clinical Educator (CE) and Student focus groups facilitated by the Cunningham Centre.
Analysis and interpretation: Identification of ceiling effect of current discipline specific student marking criteria.
Strategies for change: A standardised IPE program facilitating skill-set sharing and delegation foundations in adherence with frameworks such as the Calderdale may increase workforece readiness.
Effects of change: Improvement in comprehensive discharge planning from admission with predicted decreases in length of stay and increased patient satisfaction/clinical outcomes, increased referrals/assessments in line with skillset sharing.
Lessons learnt: The readiness for students to participate in IPE, clinical experience, maturity, university grades and the ability to work within a team were significant contributing factors to the success of the program. Future development may benefit from a review of how personality inventory indices effect inter-disciplinary team dynamics and skill-sharing. A further review into proficiency measures for tertiary students completing such a placement is warrented in order to reduce ceiling effects. Optimal lengths for consolidation of IPE and skill-sharing proficiency requires further investigation.
Steve Cadell is the Team Leader and Advanced Physiotherapist for the Central West Rehabilitation Service. Steve completed both his Bachelor of physiotherapy and graduate diploma in rehabilitation studies through James Cook University. Currently, he is working towards a research masters in the field of persistent pain specifically in relation to the treatment and management of fibromyalgia related pain. Steve’s passion for physiotherapy resides across a diverse spectrum of mental health, neurology, dementia care and persistent pain management. Steve thoroughly enjoys working in Central West Queensland and since arriving in Longreach 2017, he and his team have established an allied-health led persistent pain management clinic in combination with the current rehabilitation service which too is consolidating and expanding across the Central West Hospital and Health Service.
Steve is an active advocate for rural health and currently represents Central West Hospital and Health Service on numerous projects and steering committees inclusive of the AHPOQ Transition2subacute, Tele-handover project/collaborative and the Statewide Persistent Pain Management Steering Network. In Steve’s spare time he trains in the Thompson River and Longreach Aquatic Center in preparation for swimming the English Channel in 2020 to raise funds for rural dementia care.