Intraprofessional collaboration: ABCs of physicians working together Louise Samson, MD, FRCPC

1. Intraprofessional collaboration: ABCs of physicians working together Louise Samson, MD, FRCPC

2. Collaboration?

3. Improving collaboration: the way forward Recommendations -education/training -practice -system issues and -action plan 1993

4. Improving collaboration: the way forward • Collaborative Action Committee on Intraprofessionalism • CACI • co chaired by CFPC and Royal College • oversee action on the recommendations in the 2006 CFPC-RCPSC discussion paper “Family Physicians and Other Specialists: Working and Learning Together”

5. Improving collaboration: the way forward • CACI accomplishments to date: • Practice • referral and consultation guide • Education & training • conjoint accreditation • key competencies

6. Improving collaboration: the way forward • CACI accomplishments to date: • Practice • referral and consultation guide • Education & training • conjoint accreditation • key competencies Undergraduate, post-graduate and CPD (LLL) 6

7. Improving collaboration: the way forward • Core competencies in intraprofessionalism • Definition: work with physician colleagues to provide effective intra-professional collaborative patient care • Key Competencies: • Develop and maintain relationships with other physiciansthat enable intra-professional patient care. • Partner collaboratively in the referral and consultation process for effective and efficient patient care. • Work effectively with other physiciansto ensure shared, coordinated, and on-going patient care.

8. Improving collaboration: the way forward *Recognize beliefs and biases *Demonstrate professional behaviour *Intervene when lack of respect • Core competencies in intraprofessionalism • Definition: work with physician colleagues to provide effective intra-professional collaborative patient care • Key Competencies: • Develop and maintain relationships with other physicians that enable intra-professional patient care. • Partner collaboratively in the referral and consultation process for effective and efficient patient care. • Work effectively with other physicians to ensure shared, coordinated, and on-going patient care. 8

9. Improving collaboration: the way forward • Core competencies in intraprofessionalism • Definition: work with physician colleagues to provide effective intra-professional collaborative patient care • Key Competencies: • Develop and maintain relationships with other physicians that enable intra-professional patient care. • Partner collaboratively in the referral and consultation process for effective and efficient patient care. • Work effectively with other physicians to ensure shared, coordinated, and on-going patient care. *Ensure pt understands *Assess level of urgency *Employ appropriate communications strategies *Respect concerns about cross referrals *Take into account the Health System 9

10. Improving collaboration: the way forward • Core competencies in intraprofessionalism • Definition: work with physician colleagues to provide effective intra-professional collaborative patient care • Key Competencies: • Develop and maintain relationships with other physicians that enable intra-professional patient care. • Partner collaboratively in the referral and consultation process for effective and efficient patient care. • Work effectively with other physicians to ensure shared, coordinated, and on-going patient care. *Engage patient/families *Describe roles and responsibilities *Negotiate appropriate involvement of consultants 10

11. Next steps • CACI phase II • Focus on implementation of referral/consultation guide and core competencies • Examine system issues that impede intraprofessional collaboration