OFFICE OF

INTERPROFESSIONAL COLLABORATION

V O L U M E 4 | I S S U E 2 Winter 2020

OIPC SAYS WELCOME AND FAREWELL

Welcome to Dr. Camisha Mayes, Max Rady College of Medicine LeadCamisha joined the Max Rady College of Medicine in 2012 as a lecturer within the Department of Family Medicine and a physician with Ongomiizwin Health Services (previously known as J.A. Hildes Northern Medical Unit). She has worked in urban, rural and northern clinical settings, working within interprofessional teams. In her role in medical leadership, she has worked with various communities and clinical teams to improve interdisciplinary services in order to increase access to safe health services and improve patient care. She currently works with the Addiction Foundation of Manitoba and is the Medical Director at the Aboriginal Health and Wellness Center. She is passionate about collaborative care and brings her enthusiasm and experience to our team.

Welcome to Lori Davis, College of Nursing LeadLori joined the College of Nursing as an instructor in 2018. Lori has worked within the WRHA in a variety of roles during her nursing career. Her nursing passion is the world of NICU, discharge planning of the complex client from an acute care facility to the community and interprofessional collaboration within the healthcare team. Lori teaches in the undergraduate Bachelor of Nursing program with a focus on interprofessional collaboration, family health, facilitating in the pediatric SIM lab and supervising students in their senior practicum. Lori is very excited to join the OIPC team!

Farewell to Fiona Jensen, Former College of Nursing LeadFiona was the first College of Nursing lead for the Office of Interprofessional Collaboration (OIPC). The OIPC would like to thank Fiona for her many contributions to interprofessional collaborative practice. She brought pragmatism, passion and great wisdom to curriculum development within the OIPC, to the Day Shift interprofessional simulation activity and to our community partnerships such as the Manitoba Institute of Patient Safety (MIPS). We wish Fiona well in her retirement.

Welcome to the new Director for the Office of Interprofessional Collaboration, Dr. Moni FrickeDr. Fricke has been with the Department of Physical Therapy at the University of Manitoba since 1999 in a variety of roles including teaching and administrative leadership.

Throughout her career, Dr. Fricke has been a strong proponent of interprofessional collaborative care. She has been involved in the development of numerous interprofessional learning opportunities at the University of Manitoba as well as interprofessional initiatives in health professional regulation. Moni has represented the College of Rehabilitation Sciences in the OIPC since fall 2015. In her new role at the Office of Interprofessional Collaboration, she hopes to continue creating, facilitating and supporting interprofessional learning opportunities across the Rady Faculty of Health Sciences and within the broader university community.

INVITED GUEST

Dr. Waletha Wassan was a guest of the Dr. Gerald Niznick College of Dentistry in the fall of 2019. Dr. Wassan was seeking information on the development of interprofessional education and collaborative practice. She spent a week with Laura MacDonald and various experts in the field. This is an excerpt from a letter of thanks from Dr. Waletha Wasson: “Your name for my visit was “For All Things IPC (Interprofessional Collaboration)” during the week of September 9-13, 2019, and I have but one word – phenomenal! Astonishingly, your grand welcome for a novice sojourner in a week packed with related activities to review your flashback and chronological timeline “For All Things IPC” through OIPC’s lens was an oppor tunity I had the pleasure to be granted and enjoy, and for sure, I was 100% in cerebral attendance.

On Wednesday afternoon, I visited the Canadian Museum for Human Rights. This mid-week opportunity to follow a global chronological timeline regarding human rights will forever rest in my spirit and sustain my future endeavors. I returned to complete my week at your institution with a better understanding of the Quadruple Aims that has guided your academic curricular (internal and external) IPCEP to obtain, maintain and sustain excellence

in health care delivery for all populations in Canada, as well as, globally. The OIPC team’s transparency about how a department should function was made available to me to observe in real time. Your institution’s faculty, staff and students are exemplars for the concept and operation of CAB (Collaborating Across Borders).”

PHYSICAL THERAPY STUDENT SHARES HOW THE OIPC CURRICULUM HAS IMPACTED HER AT WISH CLINIC

I appreciate that the IPE (Interprofessional Education) events are calling students’ attention to the idea of interprofessional collaboration. Many students have little to no interactions with individuals from different faculties while in a learning environment. However, we all know that working alongside individuals from different health care fields in our future careers are inevitable. I believe the IPE course provides the opportunity for faculties to connect amongst one another that would not have occurred otherwise. The Interprofessional Education Program aims to bring our attention to this important issue on learning how to work as a team when caring for clients.

One of the many concepts we discuss in our IPE cohorts include clarifying each person’s role in the team. The IPE discussions and interactions have helped me create a language to articulate what a physiotherapist does to colleagues. This is something that I might not have given much thought until later in my education or until graduation. I have had many opportunities to

practice clarifying my role as a physiotherapist in a health care team. It was clear throughout this practice my response would differ based on the environment and setting of the care team.

I have had the privilege of volunteering as a student at the WISH clinic; a clinic that is saturated with many interprofessional experiences. Volunteering there has helped reinforce many of the interprofessional skills that I have learned as part of the IPE course. I have had opportunities to reflect on my own perspectives while I discussed and observed various perspectives on patient care while volunteering with students and mentors from different faculties. This has allowed me to practice articulating my role, as well as learn the role of other professionals in a real-life scenario. Understanding each person’s role in a team informs and fuels how well a team works together.

When I decided to pursue a Masters in Physiotherapy, I never thought about the interprofessional aspects of it. I knew I

would be working alongside other health care professionals, however I was not entirely sure what that would look like. This opportunity has taught me it is impossible to predict exactly what a team would look like and what my role in the team would be exactly. Yet, with the experience I gained through IPE, I am equipped with skills that will allow me to be able to adapt and clarify my role to help strengthen my team.

Temi Oloyede, second year master of physical therapy student, shares her thoughts on interprofessional collaboration at work at wish clinics

“I think putting OTs, PTs, PAs, nurses, pharmacists, doctors, RTs together when we are all still in the beginning of our health care careers is an incredible idea to foster the idea of interprofessional collaboration in a time when our healthcare system needs it most.” - EVAN NANNI, PHYSICIAN ASSISTANT STUDENT

“I think it’s important to definitely root our future practice in interprofessionalism. I really liked how we were all able to show initiative and lead in the face-to-face interaction and felt confident stepping forward while also allowing others to take on active roles throughout the time we spent together. It will be important to continue in this spirit of shared leadership. ” - MARIANNA POZDIRCA, PHARMACY STUDENT

STUDENT VOICESQUOTES FROM OUR STUDENTS (SHARED WITH CONSENT)

“Throughout the past year as we all have learned more about our own individual specific career paths as well as how each profession interacts with the others has created a cohort that is confident in their individualized skills and therefore have developed a greater respect for one another. ” - HANNAH BROWN, OT STUDENT

“I feel having an understanding of each other’s professions, strengths, and experiences has helped us work better as a team and function more effectively. At the beginning of the semester last year, we did not have a great understanding of each other’s professions and responsibilities within that profession. This impacted our ability to function effectively and understand what each other’s roles would be on an interprofessional team. However, as time progressed, we developed a greater understanding of each profession and scope of practice. I feel having this understanding and appreciation for each other’s profession helped us function extremely well as an interprofessional team during the assessment of Sandy Green [standardized patient activity]. ” - AMY COCKRELL, OT STUDENT

“Once our IPC cohort had finished our 2 years of working with one another, we had all said optimistically said “maybe we’ll work together in the future” and then we parted ways. Come this semester in my clinical rotation, I was excited to see that myself and one of the medicine students from my IPC cohort were both coincidentally assigned to the same patient! We both joked about how we had only ever previously worked on case study patients together, and that it’s neat we are able to apply that experience to our real practice. Having built previous professional and personal rapport with this student through the IPC cohort allowed our teamwork to flourish much more than working with other health care members. I felt mutual respect and trust and a high level of comfort when collaborating or sharing assessment information. This experience made me fortunate of my IPC cohort and the experiences we shared collaborating as students before moving to real practice.” - LARYSSA YAKIMOSKI, NURSING STUDENT

PATIENT SAFETY WEEK: FILM SCREENING & SAFETY FORUM

On November 30, 2019 during Patient Safety Week, the Manitoba Institute of Patient Safety, the WRHA and the Office on Interprofessional Collaboration co-hosted the viewing of “Falling Through the Cracks: Greg’s Story.” This film is about Greg Price’s journey through the health care system that ended in an unexpected and tragic death.

The film was presented live, at the Samuel Cohen auditorium at the St. Boniface Research Centre, and live streamed to Theatre C at Bannatyne Campus. The audience between the two venues was just over 150 people included front-line workers, faculty, students and the public. As the film was viewed live, several sites throughout the province joined remotely and online.

We were pleased to have Greg’s sister, Teri Price, attend the film viewing and respond to questions from the audience. After the film, registered participants at Bannatyne Campus and St. Boniface participated in a facilitated patient safety forum. During the forum, Teri joined participants who were organized into small groups, to address questions evolving from the film and then share their perspectives with others.

IP PRACTICE INITIATIVES

NDINAWEMAAGANAG: INTERPROFESSIONAL COMMUNITY ENGAGEMENT

Planning for the two-week interprofessional practice experience within rural and northern Manitoba Indigenous communities is underway for summer 2020 (applications will be available in January 2020). Now in its fourth year, this program has been given the name Ndinawemaaganag by Margaret Lavallee, Ongomiizwin Education. Ndinawemaaganag is the Anishinaabe word for “all my relations”; Elder Margaret gave the program this name to reflect the connections students make with each other, the communities and the land.

Applications are being accepted until February 24 and can be found here: https://www.surveymonkey.com/r/NdinawemaaganagApplication

Funding for student travel provided by the RBC Student RBC Experiential Learning Travel Initiative.

April 21, 2020 — Pain Day | Bannatyne Campus If you would like to facilitate this interprofessional event, or for more details, please contact Dr. Dana Turcotte at Year2UGME@umanitoba.ca

U P C O M I N G E V E N TS

The following are quotes from student participants in 2019 and are shared with permission:

“The most valuable aspect was meeting and interacting with local people. We were received warmly by so many and we were honoured to be welcomed into ceremony, for meals, in church and in homes. I really loved hearing people’s stories and getting to then see them in the store or around town and continuing that relationship. The community was proud and tight knit and I learned so much from them. It is so unique to be able to go on a reserve to learn and I felt so lucky to see their way of life first hand.”

“I found this experience to be extremely valuable and worthwhile as a healthcare provider because it has challenged many of my preconceived beliefs and understandings of Indigenous people and culture. I initially had a lack of understanding of Indigenous people/culture and the history of colonialism and feel that this experience has provided me with greater insight and understanding. It has also challenged many of the stereotypes and negatives labels that have been placed on Indigenous people.”

FOR THE SUMMER – INTERPROFESSIONAL EDITIONIn summer 2019, the Rady Faculty of Health Sciences partnered with the Manitoba Health Care Providers Network and the Northern Health Region to create a pilot interprofessional opportunity focused on aging and wellness in Thompson, MB. This eight week project involved students from medicine, pharmacy and nursing. Given the positive feedback from the students, the community, and the region, the partnership is expanding to 4 communities in 2020. Applications for Home for the Summer 2020 can be found here: https://www.ornh.mb.ca/home_for_the_summer_program

Ndinawemaaganag participants with staff of Ongomiizwin Education.

• Jensen, F., Goodwin, B., Kleiman, N., and Usunier, R. Simulating an interprofessional hospital day shift: A student interprofessional (IP) collaborative activity. International Scholarly and Scientific Research and Innovation Conference. Rome, Nov 11-12 2019.

• Fricke, M., MacDonald, L., Ateah, C., Condon, A., Jensen, F. & Oliver, R. Exploration of the impact of interprofessional education: Dental hygiene and physiotherapy perspectives. 25th Annual Qualitative Health Research Conference, Vancouver, BC, October 25-29, 2019.

• Fricke, M., MacDonald, L., Condon, A., Jensen, F., Oliver, R & Ateah, C. Check your ego at the door: Evaluation results of a longitudinal Interprofessional Collaborative Care Curriculum. Collaborating Across Borders VII Conference, Indianapolis, Indiana, October 20-23, 2019.

• Jensen, F., Fricke, M., MacDonald, L., Oliver, R., Condon, A., & Ateah, C. Reflecting on a Two-Year Longitudinal Interprofessional Collaborative Care Curriculum across Five Colleges: Looking Back and Moving Forward. Collaborating Across Borders VII Conference, Indianapolis, Indiana, October 20-23, 2019.

RECENT OIPC PRESENTATIONS

HIGHLIGHTING RECENT IPC PRESENTATIONS

• Brown, C.L., Wener, P., Leclair, L. and Fricke, M. The process of team-building in primary care teams. NAPCRG Annual Meeting, Toronto, ON, November 16-20, 2019.

This poster highlighted the team-building process when a new team member enters a primary care team. There is a cyclical process of team members learning how the new team member can provide help, connecting around patient-centred care, learning how the new member can fit in to the team in order for the team to provide enhanced patient care, and finally, the development of reciprocity, where team members develop a deep understanding of each other’s roles and value to the team.

See Wener, P., & Woodgate, R. (2016). Collaborating in the context of co-location: a grounded theory study.(Report). BMC Family Practice, 17(30), 30. https://doi.org/10.1186/s12875-016-0427-x for information on the Interprofessional Collaboration Relationship Building model.

• Fricke, M., Elias, D., Shymko, R., Billeck, J., Chrobak, A., Singer M., & VanDenakker, T. Interprofessional Collaboration in Regulation: A Manitoba Case Study Collaborating Across Borders VII Conference, Indianapolis, Indiana, October 20-23, 2019.

This presentation discussed the advances made locally in the regulation of interprofessional collaborative practice. Three exemplars highlighted the strengths of this collaboration: an interprofessional on-line module on the meaning of self-regulation under the Regulated Health Professions Act; a jointly authored Practice Direction on Interprofessional Collaborative Care (available on all participating regulatory bodies’ websites); and the development of an interprofessional on-line module on the professional use of social media.

M Fricke, J Clendenan, R Oliver, D Turcotte & L MacDonaldCollaborating Across Borders VII Conference, Indianapolis, Indiana, October 20-23, 2019