醫學教育中跨專業教育的發展概況_《華西醫學》

作者：

張婷 ¹ ,  陳紅 ²

四川大學（成都，610041）1華西醫院護理部，2華西臨床醫學院護理系;

關鍵詞：

醫學教育跨專業教育基礎理論介入時間評價工具

DOI：

10.7507/1002-0179.20130619

視頻：

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摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

全球人口老齡化和慢性病例數的增加，患者及其需求的加劇，醫學知識和技術的日新月異，要求當今的衛生人才不僅要具備全面的專業知識和技能，更需要有跨專業的團隊合作能力。跨專業教育（IPE）作為一種促進專業溝通，改善團隊合作的途徑被提出。現就醫學教育中的IPE全球開展情況、基礎理論、介入時間、評價工具、發展制約因素等方面的現狀及進展進行綜述。

引用本文： 張婷,陳紅. 醫學教育中跨專業教育的發展概況. 華西醫學, 2013, 28(12): 1958-1961. doi: 10.7507/1002-0179.20130619 復制

1.	Lary MJ, Lavigne SE, Muma RD, et al. Breaking down barriers: multidisciplinary education model [J]. J Allied Health, 1997, 26(2): 63.
2.	World Health Organisation (WHO). Framework for action on interprofessional education and collaborative practice [R]. Geneva: World Health Organisation, 2009.
3.	Institute Of Medicine. Health profession education: a bridge to quality [R]. Washington, DC: National Academies Press, 2003.
4.	Hammick M, Freeth D, Koppel I, et al. A best evidence systematic review of interprofessional education: BEME Guide No.9[J]. Med Teach, 2007, 29(8): 735-751.
5.	World Health Organisation. Learning together to work together [R]. Geneva: WHO, 1988.
6.	Centre for the Advancement of Interprofessional Education (CAIPE). Interprofessional education-a definition [R]. London: CAIPE, 2006.
7.	Olenick M, Allen LR, Smego RA. Interprofessional education: a concept analysis [J]. Adv Med Educ Pract, 2010, 1: 75-84.
8.	Gilbert J, Yan J. Unpublished letter to author and other health care colleagues [R]. Geneva: WHO study group, 2008.
9.	Bloor K, Maynard A. Planning human resources in health care: towards an economic approach. An international comparative review [R]. Ottawa: Canadian Health Services Research Foundation, 2003.
10.	Frenk J, Chen L, Bhutta Z A, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. The Lancet, 2010, 376(9756), 1923-1958.
11.	Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century [R]. Washington, DC: National Academy Press, 2001.
12.	Committee on Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century [R]. Washington, DC: National Academy Press, 2001.
13.	Carlisle C, Cooper H, Watkins C. “Do none of you talk to each other?” The challenges facing the implementation of interprofessional care[J]. Med Teach, 2004, 26(6): 545-552.
14.	World Health Organization. The alma ata declaration [R]. Geneva: World Health Organization, 1978.
15.	CAIPE. Interprofessional education-a definition [R]. London: Centre for the Advancement of Interprofessional Education, 1997.
16.	Olenick M, Foote E, Vanston P, et al. A regional model of interprofessional education [J]. Adv Med Educ Pract, 2011, 2: 17-23.
17.	Bainbridge L, Nasmith L, Orchard C, et al. Competencies for interprofessional collaboration[J]. J phys ther educ, 2010, 24(1): 6-11.
18.	Chan EA, Chi SP, Ching S, et al. Interprofessional education: the interface of nursing and social work [J]. J Clin Nurs, 2010, 19(1-2): 168-176.
19.	Eraut M. The many meanings of theory and practice[J]. Learn Health Social Care, 2003, 2(2): 61-65.
20.	Hean S, Craddock D, O’Halloran, et al. Learning theories and interprofessional education: a user’s guide[J]. Learn Health Social Care, 2009, 8(4): 250-262.
21.	Norris E, Alexander H, Livingston M, et al. Multidisciplinary perspectives on core networking skills. A study of skills and associated training needs, for professionals working in managed clinical networks[J]. J Interprof Care, 2005, 19(2): 156-163.
22.	Burns RB. The Adult Learner at Work: a comprehensive guide to the context, psychology and methods of learning for the workplace[M]. New South Wales： Business and Professional Publishing, 1995: 22-25.
23.	Phillip G Clarke. What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training [J]. J Interprof Care, 2006, 20(6): 577-589.
24.	Kaufman DM. Applying educational theory in practice [J]. BMJ, 2003, 326(7382): 213-216.
25.	Puliyel MM, Piliyel JM, Puliyel U. Drawing on adult learning theory to teach personal and professional values[J]. Med Teach, 1999, 21(5): 513-515.
26.	Wood DF. ABC of learning and teaching in medicine. Problem based learning [J]. BMJ, 2003, 326(7384): 328-330.
27.	Spencer JA, Jordan RK. Learner centred approaches in medical education[J]. BMJ, 1999, 318(7193): 1280-1283.
28.	Engestrom Y. Expansive learning at work: toward an activity theoretical reconceptualisation[J]. J Educ Work, 2001, 14(1): 133-156.
29.	Payler J, Meyer E, Humphris D. Theorizing interprofessional pedagogic evaluation: frame work for evaluating the impact of interprofessional continuing professional development on practice change[J]. Learning in Health and Social Care, 2007, 6(3): 156-169.
30.	Robinson M, Cottrell D. Health professionals in multi-disciplinary and multi-agency teams: changing professional practice [J]. J Interprof Care, 2005, 19(6): 547-560.
31.	Curran V. Interprofessional education for collaborative patient-centered practice research synthesis paper [R]. Canada: Health Canada, 2004.
32.	Hoffman SJ, Harnish D. The merit of mandatory interprofessional education for pre-health professional students[J]. Med Teach, 2007, 29(8): 235-242.
33.	Coster S, Norman I, Murrells T, et al. Interprofessional attitudes amongst undergraduate students in the health professions: a longitudinal questionnaire survey[J]. Int J Nurs Stud, 2008, 45(11): 1667-1681.
34.	Horak BJ, O’Leary KC, Carlson L. Preparing health care professionals for quality improvement: the George Washington University/George Mason University experience[J]. Qual Manag Health Care, 1998, 6(2): 21-30.
35.	Cooper H, Spencer-Dawe E, Mclean E. Beginning the process of teamwork: design, implementation and evaluation of an inter-professional education intervention for the first year undergraduate students[J]. J Interprof Care, 2005, 19(5): 492-508.
36.	Petrie H G. Do you see what I see? The epistemology of interdisciplinary inquiry [J]. Educ Res, 1976, 5(2): 29-43.
37.	Mariano C. The case for interdisciplinary collaboration[J]. Nurs Outlook, 1989, 37(6): 285-288.
38.	Carpenter J. Interprofessional education for medical and nursing students: evaluation of a programme[J]. Med Educ, 1995, 29(4): 265-272.
39.	Wahlström O, Sandén I, Hammar M. Multiprofessional education in the medical curriculum[J]. Med Educ, 1997, 31(6): 425-429.
40.	M Luecht R, Madsen MK, Taugher MP, et al. Assessing professional perceptions: design and validation of an interdisciplinary education perception scale [J]. J Allied Health, 1990, 19(2): 181-191.
41.	Parsell G, Bligh J. The development of a questionnaireto assess the readiness of health care students for interprofessional learning (RIPLS) [J]. Med Educ, 1999, 33(2): 95-100.
42.	Reid R, Bruce D, Allstaff K, et al. Validating the readiness for interprofessional learning scale (RIPLS) in the postgraduate context: are health care professionals ready for IPL?[J]. Med Educ, 40(5): 415-422.
43.	Morison SL, Stewart MC. Developing interprofessional assessment [J]. Learning in Health and Social Care, 2005, 4(4): 192-202.
44.	Simmons B, Lee EE, Wagner J, et al. Assessment of interprofessional learning: the design of aninterprofessional objective structured clinical examination (iOSCE) approach [J]. J Interprof Care, 2011, 25(1): 73-74.
45.	Sargeant J, Hill T, Breau L. Development and testing of a scale to assess interprofessional education (IPE) faciliation skill[J]. J Contin Educ Health Prof, 2010, 30(2): 126-131.
46.	King G, Shaw L, Orchard CA, et al. The interprofessional socialization and valuing scale: a tool for evaluating the shift toward collaborative care approaches in health care settings [J]. Work, 2010, 35(1): 77-85.
47.	Mitchell PH, Belza B, Schaad DC, et al. Working across the boundaries of health professions disciplines in education, research and service: the university of washington experience[J]. Aca Med: JAMA, 2006, 81(10): 891-896.
48.	Wagner J, Liston B, Miller J. Developing interprofessional communication skills [J]. Teaching and Learning in Nursing, 2011, 6(3): 97-101.
49.	Wagner J, Liston B, Miller J. Developing interprofessional communication skills [J]. Teaching and Learning in Nursing, 2011, 6(3): 97-101.
50.	Larson, EL. New rules for the game: interdisciplinary education for health professionals[J]. Nurs Outlook, 1995, 43(4): 180-185.
51.	Liston BW, Fischer MA, Way DP, et al. Interprofessional education in the internal medicine clerkship: results from a national survey[J]. Academic Medicine, 2011, 86(7): 872-876.
52.	Gilbert JHV, Yan J. Unpublished letter to author and other health care colleagues [R]. Geneva: WHO study group, 2010.
53.	Chitty KK, Black BP. Professional nursing: concepts and challenges [M]. Missouri: W.B. Saunders Company, 2007: 114-117.
54.	Vandana S. Biopiracy: the plunder of nature and knowledge[M]. Boston: South end press, 1997: 13-15.

1. 　Lary MJ, Lavigne SE, Muma RD, et al. Breaking down barriers: multidisciplinary education model [J]. J Allied Health, 1997, 26(2): 63.
2. 　World Health Organisation (WHO). Framework for action on interprofessional education and collaborative practice [R]. Geneva: World Health Organisation, 2009.
3. 　Institute Of Medicine. Health profession education: a bridge to quality [R]. Washington, DC: National Academies Press, 2003.
4. 　Hammick M, Freeth D, Koppel I, et al. A best evidence systematic review of interprofessional education: BEME Guide No.9[J]. Med Teach, 2007, 29(8): 735-751.
5. 　World Health Organisation. Learning together to work together [R]. Geneva: WHO, 1988.
6. 　Centre for the Advancement of Interprofessional Education (CAIPE). Interprofessional education-a definition [R]. London: CAIPE, 2006.
7. 　Olenick M, Allen LR, Smego RA. Interprofessional education: a concept analysis [J]. Adv Med Educ Pract, 2010, 1: 75-84.
8. 　Gilbert J, Yan J. Unpublished letter to author and other health care colleagues [R]. Geneva: WHO study group, 2008.
9. 　Bloor K, Maynard A. Planning human resources in health care: towards an economic approach. An international comparative review [R]. Ottawa: Canadian Health Services Research Foundation, 2003.
10. 　Frenk J, Chen L, Bhutta Z A, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. The Lancet, 2010, 376(9756), 1923-1958.
11. 　Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century [R]. Washington, DC: National Academy Press, 2001.
12. 　Committee on Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century [R]. Washington, DC: National Academy Press, 2001.
13. 　Carlisle C, Cooper H, Watkins C. “Do none of you talk to each other?” The challenges facing the implementation of interprofessional care[J]. Med Teach, 2004, 26(6): 545-552.
14. 　World Health Organization. The alma ata declaration [R]. Geneva: World Health Organization, 1978.
15. 　CAIPE. Interprofessional education-a definition [R]. London: Centre for the Advancement of Interprofessional Education, 1997.
16. 　Olenick M, Foote E, Vanston P, et al. A regional model of interprofessional education [J]. Adv Med Educ Pract, 2011, 2: 17-23.
17. 　Bainbridge L, Nasmith L, Orchard C, et al. Competencies for interprofessional collaboration[J]. J phys ther educ, 2010, 24(1): 6-11.
18. 　Chan EA, Chi SP, Ching S, et al. Interprofessional education: the interface of nursing and social work [J]. J Clin Nurs, 2010, 19(1-2): 168-176.
19. 　Eraut M. The many meanings of theory and practice[J]. Learn Health Social Care, 2003, 2(2): 61-65.
20. 　Hean S, Craddock D, O’Halloran, et al. Learning theories and interprofessional education: a user’s guide[J]. Learn Health Social Care, 2009, 8(4): 250-262.
21. 　Norris E, Alexander H, Livingston M, et al. Multidisciplinary perspectives on core networking skills. A study of skills and associated training needs, for professionals working in managed clinical networks[J]. J Interprof Care, 2005, 19(2): 156-163.
22. 　Burns RB. The Adult Learner at Work: a comprehensive guide to the context, psychology and methods of learning for the workplace[M]. New South Wales： Business and Professional Publishing, 1995: 22-25.
23. 　Phillip G Clarke. What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training [J]. J Interprof Care, 2006, 20(6): 577-589.
24. 　Kaufman DM. Applying educational theory in practice [J]. BMJ, 2003, 326(7382): 213-216.
25. 　Puliyel MM, Piliyel JM, Puliyel U. Drawing on adult learning theory to teach personal and professional values[J]. Med Teach, 1999, 21(5): 513-515.
26. 　Wood DF. ABC of learning and teaching in medicine. Problem based learning [J]. BMJ, 2003, 326(7384): 328-330.
27. 　Spencer JA, Jordan RK. Learner centred approaches in medical education[J]. BMJ, 1999, 318(7193): 1280-1283.
28. 　Engestrom Y. Expansive learning at work: toward an activity theoretical reconceptualisation[J]. J Educ Work, 2001, 14(1): 133-156.
29. 　Payler J, Meyer E, Humphris D. Theorizing interprofessional pedagogic evaluation: frame work for evaluating the impact of interprofessional continuing professional development on practice change[J]. Learning in Health and Social Care, 2007, 6(3): 156-169.
30. 　Robinson M, Cottrell D. Health professionals in multi-disciplinary and multi-agency teams: changing professional practice [J]. J Interprof Care, 2005, 19(6): 547-560.
31. 　Curran V. Interprofessional education for collaborative patient-centered practice research synthesis paper [R]. Canada: Health Canada, 2004.
32. 　Hoffman SJ, Harnish D. The merit of mandatory interprofessional education for pre-health professional students[J]. Med Teach, 2007, 29(8): 235-242.
33. 　Coster S, Norman I, Murrells T, et al. Interprofessional attitudes amongst undergraduate students in the health professions: a longitudinal questionnaire survey[J]. Int J Nurs Stud, 2008, 45(11): 1667-1681.
34. 　Horak BJ, O’Leary KC, Carlson L. Preparing health care professionals for quality improvement: the George Washington University/George Mason University experience[J]. Qual Manag Health Care, 1998, 6(2): 21-30.
35. 　Cooper H, Spencer-Dawe E, Mclean E. Beginning the process of teamwork: design, implementation and evaluation of an inter-professional education intervention for the first year undergraduate students[J]. J Interprof Care, 2005, 19(5): 492-508.
36. 　Petrie H G. Do you see what I see? The epistemology of interdisciplinary inquiry [J]. Educ Res, 1976, 5(2): 29-43.
37. 　Mariano C. The case for interdisciplinary collaboration[J]. Nurs Outlook, 1989, 37(6): 285-288.
38. 　Carpenter J. Interprofessional education for medical and nursing students: evaluation of a programme[J]. Med Educ, 1995, 29(4): 265-272.
39. 　Wahlström O, Sandén I, Hammar M. Multiprofessional education in the medical curriculum[J]. Med Educ, 1997, 31(6): 425-429.
40. 　M Luecht R, Madsen MK, Taugher MP, et al. Assessing professional perceptions: design and validation of an interdisciplinary education perception scale [J]. J Allied Health, 1990, 19(2): 181-191.
41. 　Parsell G, Bligh J. The development of a questionnaireto assess the readiness of health care students for interprofessional learning (RIPLS) [J]. Med Educ, 1999, 33(2): 95-100.
42. 　Reid R, Bruce D, Allstaff K, et al. Validating the readiness for interprofessional learning scale (RIPLS) in the postgraduate context: are health care professionals ready for IPL?[J]. Med Educ, 40(5): 415-422.
43. 　Morison SL, Stewart MC. Developing interprofessional assessment [J]. Learning in Health and Social Care, 2005, 4(4): 192-202.
44. 　Simmons B, Lee EE, Wagner J, et al. Assessment of interprofessional learning: the design of aninterprofessional objective structured clinical examination (iOSCE) approach [J]. J Interprof Care, 2011, 25(1): 73-74.
45. 　Sargeant J, Hill T, Breau L. Development and testing of a scale to assess interprofessional education (IPE) faciliation skill[J]. J Contin Educ Health Prof, 2010, 30(2): 126-131.
46. 　King G, Shaw L, Orchard CA, et al. The interprofessional socialization and valuing scale: a tool for evaluating the shift toward collaborative care approaches in health care settings [J]. Work, 2010, 35(1): 77-85.
47. 　Mitchell PH, Belza B, Schaad DC, et al. Working across the boundaries of health professions disciplines in education, research and service: the university of washington experience[J]. Aca Med: JAMA, 2006, 81(10): 891-896.
48. 　Wagner J, Liston B, Miller J. Developing interprofessional communication skills [J]. Teaching and Learning in Nursing, 2011, 6(3): 97-101.
49. 　Wagner J, Liston B, Miller J. Developing interprofessional communication skills [J]. Teaching and Learning in Nursing, 2011, 6(3): 97-101.
50. 　Larson, EL. New rules for the game: interdisciplinary education for health professionals[J]. Nurs Outlook, 1995, 43(4): 180-185.
51. 　Liston BW, Fischer MA, Way DP, et al. Interprofessional education in the internal medicine clerkship: results from a national survey[J]. Academic Medicine, 2011, 86(7): 872-876.
52. 　Gilbert JHV, Yan J. Unpublished letter to author and other health care colleagues [R]. Geneva: WHO study group, 2010.
53. 　Chitty KK, Black BP. Professional nursing: concepts and challenges [M]. Missouri: W.B. Saunders Company, 2007: 114-117.
54. 　Vandana S. Biopiracy: the plunder of nature and knowledge[M]. Boston: South end press, 1997: 13-15.

《華西醫學》

醫學教育中跨專業教育的發展概況

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《華西醫學》

醫學教育中跨專業教育的發展概況

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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