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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
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Appendix A

Workshop Agenda

ESTABLISHING TRANSDISCIPLINARY PROFESSIONALISM FOR HEALTH MAY 14–15, 2013

Statement of Task

Efforts to improve patient care and population health are traditional tenets of all the health professions, as is a focus on professionalism. But in a time of rapidly changing environments and evolving technologies, health professionals and those who train them are being challenged to work outside their comfort zones, often in teams. Today, a “new professionalism” is needed that applies throughout health care and wellness and that emphasizes cross-disciplinary responsibilities and accountability to achieve improved outcomes.

This need has prompted consideration of developing a “transdisciplinary professionalism”—defined as an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public. Such a professionalism would facilitate improved interprofessional teamwork (multiple professional disciplines working together, each using its own expertise, to address common problems) and might even synthesize and extend discipline-specific expertise to create new ways of thinking and acting.

Implementing a transdisciplinary professionalism, with shared values and accountabilities, could serve to support patient and public trust throughout health care, but it would not be easy. To be worthy of such

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×

shared trust, diverse practitioners would need to develop radical new means of thinking and acting collaboratively. They would also need to work with educators to develop innovative and effective ways to transfer collaborative skills, values, and behaviors to students; and they must provide leadership that fosters ongoing research and innovation for transformative change.

It is within this context that an ad hoc committee will plan and conduct a 2-day public workshop on Establishing Transdisciplinary Professionalism for Health. The committee will develop the workshop agenda, select and invite speakers and discussants, and moderate the discussions. The issues to be addressed at the workshop include the following:

  • How can the “shared understanding” be integrated into education and practice to promote a transdisciplinary model of professionalism?

    —What are the ethical implications of a transdisciplinary professionalism?

    —How can health and wellness be integrated into transdisciplinary education and practice?

    —How is “leadership” taught and practiced within a model of transdisciplinary professionalism?

  • What are the barriers to transdisciplinary professionalism?
  • What measures are relevant to transdisciplinary professionalism?
  • What is the impact of an evolving professional context on patients, students, and others working within the health care system?

Workshop Objectives

  • To explore and define what professionalism means and the impact this has on collaboration among health professions within and between education and practice around the world.
  • To discuss opportunities for teaching and promoting professionalism in a variety of environments and settings that include clinical, community, and population health.
  • To engage the forum members in the development of a transdisciplinary framework for professionalism.
  • To consider the possible impact of implementation of a cross-disciplinary code of ethics on different stakeholders (students, patients, community, hospital staff, and administration) and improving trust among them, as well as improving quality and efficiency in care.
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
DAY 1: TUESDAY, MAY 14, 2013
 
9:00 am Welcome

•   Cynthia Belar, Forum Member and Workshop Planning Committee Co-Chair

•   Matthew Wynia, Workshop Planning Committee Co-Chair

 
SESSION I: UNDERSTANDING TRANSDISCIPLINARY PROFESSIONALISM
 
9:05 am A Continuum of Relationships: Multidisciplinary to Interdisciplinary to Transdisciplinary
Cynthia Belar, American Psychological Association
 
9:20 am Professionalism in Education and Practice
Frederic Hafferty, Mayo Clinic

Q&A (student questions first)
 
10:00 am BREAK
 
10:30 am Interprofessional Professionalism: Today and in the Future
Moderator: Lucinda Maine, American Association of Colleges of Pharmacy
 
Jody Frost, Interprofessional Professionalism Collaborative
 
Q&A (student questions first)
 
11:30 am Facilitated Table Discussion
Facilitator: Matthew Wynia, Institute for Ethics, American Medical Association
 
12:30 pm LUNCH
 
SESSION II: SHARED SOCIAL CONTRACT FOR PATIENTS’ AND PUBLIC’S TRUST
 
1:15 pm Move to small rooms for breakout groups Small-Group Breakout Sessions
Key Areas Within Transdisciplinary Professionalism

(use of case studies and focus on milestones)
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
 

1.   Accountability and Leadership in Transdisciplinary Professionalism
Leader: Elizabeth Bernabeo, American Board of Internal Medicine Assisted by Rick Valachovic and Nancy Hanrahan, Workshop Planning Committee Members


2.   Economic and Physical Infrastructure Needed to Accomplish Transdisciplinary Professionalism
Leader: Susan Chimonas, Columbia University Assisted by Rick Talbott, Workshop Planning Committee Member


3.   Patient and Community Roles in Transdisciplinary Professionalism
Leader: Meg Gaines, Academic Affairs and Experiential Learning; Center for Patient Partnerships, University of Wisconsin Assisted by Sally Okun, Workshop Planning Committee Member


4.   Health and Well-Being in Transdisciplinary Professionalism
Leader: Mary Jo Kreitzer, Center for Spirituality and Healing, University of Minnesota Assisted by Liza Goldblatt, Workshop Planning Committee Member

 
2:45 pm BREAK (reconvene in large group)
 
3:15 pm The Social Contract of Health Professions and Health Professions Education
Introduction by Jordan Cohen, Global Forum Co-Chair
 
Speakers: Richard Cruess and Sylvia Cruess, Centre for Medical Education, McGill University, Montreal
 
Q&A (student questions first)
 
4:15 pm Shared Social Contract for the Next Generation Roundtable Moderator: Sandeep Kishore, Workshop Planning Committee Member
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
  Stakeholder perspectives:

•   Eric Cohen, Master’s Student in Nutrition and Integrative Health; Inova Life with Cancer

•   Himanshu Negandhi, Public Health Foundation of India

•   Seun Adebiyi, Founder of the Bone Marrow Registry in Nigeria

•   Dave Chokshi, Primary Care Physician Innovator

•   Judith Miller Jones, National Health Policy Forum, George Washington University

 
5:30 pm ADJOURN
 
DAY 2: WEDNESDAY, MAY 15, 2013
 
8:00 am Breakfast
 
8:00 am Roundtable Discussion: Innovations in Teaching Leadership Through Professionalism That Highlight the Idea of the Social Contract
Moderator: Sarita Verma, Co-Lead, Canadian country collaborative

•   Juanita Bezuidenhout, South African country collaborative

•   Marietjie de Villiers, South African country collaborative

•   Sanjay Zodpey, Indian country collaborative

•   Himanshu Negandhi, Indian country collaborative

•   Maria Tassone, Canadian country collaborative

•   Emmanuelle Careau, Canadian country collaborative

 
9:00 am Panel: Innovations in Teaching About Professionalism and Professional Norms
Moderator: Charlotte Exner, College of Health Professions, Towson University

•   Susan H. McDaniel, Psychiatry and Family Medicine, University of Rochester

•   Jacquelyn Slomka, School of Nursing, Case Western Reserve University

•   Patricia Werhane, Institute for Business and Professional Ethics, DePaul University

 
  Q&A (student questions first)
 
10:30 am BREAK
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
11:00 am Report-Back from the Small Groups
Moderator: Cynthia Belar, Workshop Planning Committee Co-Chair

•   Catherine Grus, Group 1 Participant

•   Susan Chimonas, Group 2 Leader

•   Meg Gaines, Group 3 Leader

•   Mary Jo Kreitzer, Group 4 Leader

 
11:55 am Reflections
 
A Patient Perspective
Introduction by Sally Okun, Workshop Planning Committee Member

•   Barbara Kornblau, Society for Participatory Medicine

 
A Social Contract
Introduction by Patrick Kelley, Board on Global Health, Institute of Medicine

•   Sir George Alleyne, Chancellor, University of the West Indies, and Director Emeritus, Pan American Health Organization

 
1:00 pm LUNCH/ADJOURN
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page121
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page122
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page123
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page124
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page125
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Establishing Transdisciplinary Professionalism for Improving Health Outcomes: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18398.
×
Page126
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Establishing Transdisciplinary Professionalism for Improving Health Outcomes is a summary of a workshop convened by the Institute of Medicine Global Forum on Innovation in Health Professional Education to explore the possibility of whether different professions can come together and whether a dialogue with society on professionalism is possible. Most of the 59 members making up the Global Forum were present at the workshop and engaged with outside participants in active dialogue around issues related to professionalism and how the different professions might work effectively together and with society in creating a social contract. The structure of the workshop involved large plenary discussions, facilitated table conversations, and small-group breakout sessions. In this way, the members - representing multiple sectors, countries, health professions, and educational associations - had numerous opportunities to share their own perspectives on transdisciplinary professionalism as well as hear the opinions of subject matter experts and the general public.

Efforts to improve patient care and population health are traditional tenets of all the health professions, as is a focus on professionalism. But in a time of rapidly changing environments and evolving technologies, health professionals and those who train them are being challenged to work beyond their traditional comfort zones, often in teams. A new professionalism might be a mechanism for achieving improved health outcomes by applying a transdisciplinary professionalism throughout health care and wellness that emphasizes crossdisciplinary responsibilities and accountability. Establishing Transdisciplinary Professionalism for Improving Health Outcomes discusses how shared understanding can be integrated into education and practice, ethical implications of and barriers to transdisciplinary professionalism, and the impact of an evolving professional context on patients, students, and others working within the health care system.

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