Developing and implementing transdisciplinary rehabilitation competencies

Area of Science:

• Rehabilitation Medicine
• Neuroscience
• Healthcare Quality Improvement

Background:

• The Commission on Accreditation of Rehabilitation Facilities (CARF) mandates competency standards for brain and spinal cord injury (SCI) specialty programs.
• Ensuring consistent, high-quality care requires robust staff training across all rehabilitation disciplines.
• A transdisciplinary approach is crucial for comprehensive patient recovery in SCI settings.

Purpose of the Study:

• To develop and implement a staff competency training program for brain and spinal cord injury (SCI) rehabilitation.
• To meet CARF accreditation standards for staff competency.
• To enhance interdisciplinary collaboration and understanding within the rehabilitation team.

Main Methods:

• A Competency Fair was developed using a transdisciplinary model, incorporating reading materials, competency tests, and practical demonstrations.
• Training modules covered critical topics such as dysphagia, skin care, cognition, and emergency management.
• 95 out of 110 staff members completed the 4-day training, with additional support provided for those who did not pass initial assessments.

Main Results:

• The Competency Fair successfully met CARF standards for staff training.
• Participants reported increased appreciation for colleagues' roles and felt empowered to share their expertise.
• Observable improvements included greater duty crossover among disciplines and a deeper understanding of the transdisciplinary care model.
• Staff noted enhancements in patient care quality and a broadened knowledge base.

Conclusions:

• The transdisciplinary Competency Fair is an effective method for meeting accreditation requirements in SCI rehabilitation.
• This training model fosters improved interdisciplinary communication, collaboration, and role understanding.
• Enhanced staff competency and collaboration positively impact patient care outcomes and professional development.