Vol. 7 | No. 1 | 2024
Multidisciplinary team-based primary care: questions for general practice training
Abstract of the research
Multidisciplinary teams delivering person-centred care are a central feature of primary healthcare reforms in Australia.
The context for this paper is the 2022 Strengthening Medicare Taskforce Report and its recommendation to strengthen interprofessional education and training programs to support multidisciplinary teams in general practice. The RACGP supports “multidisciplinary teams in general practice that are responsive to local needs, as long as patients are accessing centrally coordinated care via their general practice.”
Since the COVID-19 pandemic, general practice training has shifted to a hybrid model of face-to-face and online formats.
This presents challenges and opportunities for interprofessional education and training, at the vocational level and for continuing professional development in general practice.
(Note that the terms ‘multidisciplinary’ and ‘interprofessional’ are often used interchangeably. In this paper, we use ‘multidisciplinary’ to describe teams and care, and ‘interprofessional’ for education and training.)
What is the purpose of the research?
We discussed the relevance to contemporary general practice training of findings from Tasmanian research projects conducted over the past decade.
We focused on two questions for general practice training:
1. How can team-based education be tailored to different general practice settings?
2. What strategies are best for delivering interprofessional training in general practice?
What did the researchers do?
We reviewed three Tasmanian projects that focused on aspects of interprofessional education and training:
* Best practice for interprofessional training for collaborative primary healthcare. An expert panel reached consensus on the capabilities needed for interprofessional learning and how to do it. The panel needed to know more about why we are doing it and where it could be most effective.
* An in-practice emergency simulation pilot. This project focussed on interprofessional learning within multidisciplinary teams collocated in general practices. The project found that a common goal facilitated positive engagement of learners and stimulated discussion about changes in teaching within the practices.
* An online dementia care training and education program developed for GPs and practice nurses. The content incorporated team approaches to identification, diagnosis and management of patients with dementia to promote shared decision-making behaviours. Evaluation demonstrated some early changes in clinical management of dementia in the practices.
What did the researchers find?
Multidisciplinary teams in general practice vary according to practice size and location, and the collocation of teams and services. We discussed how a clinical-training space model can account for this context.
The model incorporated online and face-to-face spaces and aligns primary healthcare professionals, patients, practices/teaching organisations, educators and technology through facilitation and feedback channels.
The model provided a way to analyse interprofessional learning for collaborative practice. However, there are some challenges:
* How can patients be integrated into the collaborative healthcare team?
* How can new technologies be adapted for interprofessional training and education in general practice?
* How do we demonstrate primary healthcare outcomes from interprofessional training and education interventions?
These are questions for further research.
How can the research be used?
These Tasmanian projects offer an opportunity for researchers, clinicians and policy makers to have strategic conversations about how general practice education and training can meet the need for an integrated, multidisciplinary primary healthcare workforce at a local and regional level.
Case studies could identify how to implement a clinical-training space model in a way that promotes multidisciplinary primary healthcare practice that is responsive to local needs.
Read the full research report published in the Health Education in Practice Journal Vol. 7 | No. 1 | 2024