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Resisting Outdated Models of Pedagogical Domination and Subordination in Health Professions Education
1Associate clinical professor and the vice chair of family health care nursing in the School of Nursing at the University of California, San Francisco (UCSF), and the co-chair of the Curriculum Development Working Group for the UCSF Program for Interprofessional Practice and Education, providing faculty development for interprofessional education and clinical precepting, and is a certified pediatric nurse practitioner in pediatric urology at Zuckerberg San Francisco General Hospital.
Abstract:
This case highlights a dilemma for interprofessional trainees facing a traditional health professions hierarchy rather than an interprofessional collaborative practice culture within the clinical setting. In the case, the trainee must determine the best way to confront the attending physician, if at all, as well as the best way to mediate the situation with fellow health professions trainees and team members. The commentary provides guidelines for interprofessional collaborative practice as outlined by the Interprofessional Education Collaborative competencies, including determining team members' roles and responsibilities, providing clear communication, adopting clinical huddles, and embracing a sense of inquiry during times of conflict. Role modeling of interprofessional collaborative practice by faculty is crucial in training a future generation of health care professionals who can continue to improve patient outcomes and quality of care.
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