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INTERDISCIPLINARY TEAM ISSUES

Prof. DR. E. Sutedja dr SpKK(K). INTERDISCIPLINARY TEAM ISSUES. WHAT IS INTERDICIPLINE TEAM. WHAT IS INTERDICIPLINE TEAM. COLLABORATION AMONG : GP AND A SPESIALIST GPs DIFFERENT SPECIALIS OTHER HEALTH PROFESIONAL (NURSE, PHARMACIST, NUTRITIONIST). WHY WE NEED INTERDICIPLINE TEAM.

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INTERDISCIPLINARY TEAM ISSUES

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  1. Prof. DR. E. Sutedja dr SpKK(K) INTERDISCIPLINARY TEAM ISSUES

  2. WHAT IS INTERDICIPLINE TEAM

  3. WHAT IS INTERDICIPLINE TEAM COLLABORATION AMONG : GP AND A SPESIALIST GPs DIFFERENT SPECIALIS OTHER HEALTH PROFESIONAL (NURSE, PHARMACIST, NUTRITIONIST)

  4. WHY WE NEED INTERDICIPLINE TEAM

  5. IN TEACHING HOSPITAL

  6. IN TEACHING HOSPITAL • TEAM MEMBERSHIP BECOMES THAT MUCH MORE COMPLEX WITH THE PRESENCE OF STUDENTS, RESIDENTS, AND FELLOWS.

  7. HOW DO TEAMS WORK TOGETHER?

  8. HOW DO TEAMS WORK TOGETHER? • MAJORITY OPINION, • DEFERENCE TO MORE EXPERT OPINION, • UNANIMITY, OR CONSENSUS AUTOCRATIC CHOICE

  9. WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?

  10. WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"? IN 1949  PENNSYLVANIA SUPREME COURT MCCONNELL VS. WILLIAMS IN RECENT YEARS, MANY STATE SUPREME COURTS HAVE SPECIFICALLY THROWN OUT THE "CAPTAIN OF THE SHIP" DOCTRINE IN DISGUST THE SURGEON WAS RESPONSIBLE FOR THE ACTS OF NURSES, NURSE ANESTHETISTS, ANESTHESIOLOGISTS, RADIOLOGISTS, AND RADIOLOGY

  11. PHYSICIAN-NURSE COLABORATION • Physician and nurse  gradually envolving into a collaborative model • Physician assumed the lead role in many collaborative research initiative • Non-hierarchical in nature • Work well, shared interest and open lines of communication • Mutual respect, trust, shared interest and commitment “We Must all hang together or, assuredly, we shall all hang separately”

  12. WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE?

  13. WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE? • EVERY MEMBER HAS SEPARATE OBLIGATIONS, WHICH ARE BASED ON THE PROVIDER'S PROFESSION, SCOPE OF PRACTICE AND INDIVIDUAL SKILLS. • ALSO HAVE ETHICAL OBLIGATIONS TO TREAT EACH OTHER IN A RESPECTFUL AND PROFESSIONAL MANNER. • NEED TO WORK TOGETHER IN ORDER TO BEST UTILIZE THE EXPERTISE AND INSIGHTS OF EACH MEMBER.

  14. DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?

  15. DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS? • SHOULD SEEK INPUT FROM THE ATTENDING • BOTH ABOUT THE REASONING TO PURSUE THE ATTENDING'S PLAN • THE REASONING FOR REJECTING HER OWN A RESPECTFUL EXCHANGE OF VIEWS MAY PROVIDE BOTH PARTIES WITH NEW INFORMATION, AND CERTAINLY SERVES TO FURTHER EDUCATION.

  16. WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS?

  17. WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS? • BOTH LISTENING TO AND CONSIDERING THE INPUT OF OTHER PROFESSIONALS • RESPECT  LANGUAGE, GESTURES, AND ACTIONS "I acknowledge and respect your perspective in this matter, but for the following reasons. I disagree with your conclusions, and believe I should do something else..."

  18. HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?

  19. HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED? • INTERPROFESSIONAL DISCUSSION • RESULTING IN A NEW CONSENSUS • CONSULT OTHER PROFESSIONALS • ETHICS COMMITTEE

  20. FOUR PRINSIP THE PHYSCIAN ETHICS : • BENEFICENCE • NON MALEFICENCE • AUTONOMY • JUSTICE

  21. THANK YOU

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