The British journal of general practice : the journal of the Royal College of General Practitioners, 2002
There is a need to develop models of practice-based learning that are effective in bringing about... more There is a need to develop models of practice-based learning that are effective in bringing about improvement in the quality of care that patients receive. This paper describes a facilitated practice-based project where five general practices in Dorset formed interprofessional teams that worked over a six-month period using a continuous quality improvement (CQI) approach to make a change in areas of importance to them. All the teams completed the project and planned and implemented demonstrable changes. Qualitative enquiry showed changes in relationships and teamworking that extended beyond the specific topic of the project with teams reporting an enhanced sense of competence and achievement. The project facilitators were able to develop a model of learning that acknowledges and utilises the depth of experience and understanding within interprofessional practice teams. Protected time and an environment and processes that encourage full partcipation of a wide range of team members is...
Studies exploring the role of patients in interprofessional education (IPE) are found primarily i... more Studies exploring the role of patients in interprofessional education (IPE) are found primarily in undergraduate programmes with few reporting on the postgraduate (continuing professional development) setting. This paper describes an interprofessional quality improvement project around the management of back pain in a primary care setting where patients were part of the practice team. Patients participated in eight half-day IPE workshops delivered to nine general practice teams in the UK. Educational content included knowledge about quality improvement and evidence-based back pain knowledge, with teamwork, experiential and didactic learning approaches. On-site practice support from a quality improvement facilitator occurred between the workshops to strengthen practice-based learning. Forty-four practice staff and 11 patients attended the workshops and the facilitated project meetings. Evaluation occurred through focus groups with practice teams (including patients) both before and a...
Peter Wilcock and Rowena Rossiter begin by describing changing responsibilities of clinical psych... more Peter Wilcock and Rowena Rossiter begin by describing changing responsibilities of clinical psychologists over the last 20 years. They show how some roles they undertake, which may seem far removed from client contact, have developed from psychologically based client-centred work, and this still lies at the root of the profession. They illustrate the current and potential contribution to be made to the NHS and general managers by clinical psychologists.
ABSTRACT Two inter-professional initiatives, the Interdisciplinary Professional Education Collabo... more ABSTRACT Two inter-professional initiatives, the Interdisciplinary Professional Education Collaborative in the United States and the Interprofessional Education Programme in the UK, are working to discover how health professionals can gain knowledge and skill in the continuous improvement of health care. They are seeking closer links between health care delivery and health professional education, between the needs of patients and communities, and those of learners. The ultimate goal is to create health care that: (1) seeks to understand and meet patients' needs; (2) organises care as a system focused around that need; (3) takes advantage of what teams of professionals can do when they work well together; and (4) improves constantly through the active efforts and innovative ideas of the health care team. This paper describes the initiatives and identifies common lessons for health care delivery and interprofessional education.
Journal of Continuing Education in the Health Professions, 2009
The relationship between healthcare improvement and continuing professional education needs to be... more The relationship between healthcare improvement and continuing professional education needs to be better understood if we are to promote continuous service improvement through interprofessional learning in the workplace. We propose that situating interprofessional working, interprofessional learning, work-based learning and service improvement within a framework of social learning theory creates a continuum between work-based interprofessional learning and service improvement in which each is integral to the other. This continuum provides a framework for Continuing Interprofessional Development that enables service improvement in the workplace to serve as a vehicle through which individual professionals and teams can continually enhance patient care through working and learning together. The root of this lies in understanding that undertaking improvement and learning about improvement are co-dependent and that healthcare professionals must recognise their responsibility for improving their everyday work as well as doing it. We believe that significant opportunities exist for healthcare commissioners, service providers and educational institutions to work together to jointly promote Continuing Interprofessional Development in the workplace to enhance patient outcomes and outline some of the opportunities we believe exist. 3 Key words: Continuing interprofessional education, interprofessional education, interprofessional learning, healthcare improvement, continuous quality improvement, social learning, continuing interprofessional development.
A series of workshops for staff working with profoundly handicapped children was organized, the m... more A series of workshops for staff working with profoundly handicapped children was organized, the main concern of which was to improve the teaching approaches with such a population. The workshops were the result of an innovative attempt by the British Psychological Society's Standing Committee on Handicap to apply current knowledge of the real life problems of work settings in schools or hospitals where children are educated. The workshops covered a period of 3 months with approximately one term between the first and second. Participants attended in pairs, one member of each pair being either a clinical or educational psychologist, and a variety of problems presented by the children were tackled. This paper attempts to describe the structure and operation of the workshops, to evaluate their outcome, and to suggest ideas for the future of such an approach.
The launch of donepezil (Aricept), a specific treatment for patients with mild or moderate Alzhei... more The launch of donepezil (Aricept), a specific treatment for patients with mild or moderate Alzheimer's disease, attracted intense interest. Clinicians and others were quoted in the media as being optimistic about the drug's effectiveness, but concerned that NHS funding would be withheld or uneven. However, reaching consensus on the clinical rather than statistical importance of this drug requires open debate, given the relatively small effect sizes and uncertainty over side effects in typical patients. Debate has been hampered because publication of the full results of the main clinical trials has been delayed. This episode highlights several issues of general policy importance that must be resolved if access to the information needed for clinical and other decision making is to be improved.
ABSTRACT A long-term hydrologic observatory is proposed for an area encompassing the Potomac Rive... more ABSTRACT A long-term hydrologic observatory is proposed for an area encompassing the Potomac River Basin and the basins that form the western shore of the Chesapeake Bay from the Gunpowder River on the north to the Rappahannock River on the south. The area is approximately 52,000 sq km and spans five physiographic provinces, with total relief of about 1200 m, and includes parts of MD, VA, PA, WV, and DC. The Potomac and adjacent mid-Atlantic drainage are characterized by a high frequency of floods and droughts, with attendant concerns about flood hazards and about the reliability of water supply. As of 2000, the population of the proposed study area was 8.26 million, with the highest density in the Baltimore-Washington metropolitan region. Land use is 45 percent forested, 32 percent agriculture, 5.7 percent developed, and 4.8 percent open water. Heterogeneous natural landscape patterns have been influenced by the legacy of four centuries of human disturbance, including a wave of deforestation, agricultural land use, and land abandonment leading to reforestation contemporaneous with some of the most rapidly expanding urban areas in the U.S. A wealth of existing instrumented field sites forms a network of resources that will be woven together as part of this effort, including: the USGS NAWQA study in the Potomac River Basin; the NSF-funded Baltimore LTER; USDA-ARS sites in Beltsville, MD; the Interstate Commission on the Potomac River Basin's work in overseeing management of the Potomac River; the Smithsonian Environmental Research Center's field sites, and active field sites of major research universities located in the region. This effort represents a significant partnership with local district offices of the U.S. Geological Survey. This poster presents study area attributes, preliminary study design, and a proposed core data program. The program is designed to attract researchers in the following areas of scientific inquiry: (1) orographic precipitation mechanisms, runoff generation, and groundwater recharge; (2) sediment sources, storage, and delivery, floodplain processes, and fate of sediment-associated contaminants; (3) biogeochemical cycling and sources and sinks of nutrients and toxic contaminants in the landscape from non-tidal uplands to estuarine waters; (4) defining water needs to support ecosystems, and moving the science of restoration to an integrated biophysical enterprise; and (5) urban development, infrastructure, and consequent transformation of hydrologic landscapes and processes.
The British journal of general practice : the journal of the Royal College of General Practitioners, 2002
There is a need to develop models of practice-based learning that are effective in bringing about... more There is a need to develop models of practice-based learning that are effective in bringing about improvement in the quality of care that patients receive. This paper describes a facilitated practice-based project where five general practices in Dorset formed interprofessional teams that worked over a six-month period using a continuous quality improvement (CQI) approach to make a change in areas of importance to them. All the teams completed the project and planned and implemented demonstrable changes. Qualitative enquiry showed changes in relationships and teamworking that extended beyond the specific topic of the project with teams reporting an enhanced sense of competence and achievement. The project facilitators were able to develop a model of learning that acknowledges and utilises the depth of experience and understanding within interprofessional practice teams. Protected time and an environment and processes that encourage full partcipation of a wide range of team members is...
Studies exploring the role of patients in interprofessional education (IPE) are found primarily i... more Studies exploring the role of patients in interprofessional education (IPE) are found primarily in undergraduate programmes with few reporting on the postgraduate (continuing professional development) setting. This paper describes an interprofessional quality improvement project around the management of back pain in a primary care setting where patients were part of the practice team. Patients participated in eight half-day IPE workshops delivered to nine general practice teams in the UK. Educational content included knowledge about quality improvement and evidence-based back pain knowledge, with teamwork, experiential and didactic learning approaches. On-site practice support from a quality improvement facilitator occurred between the workshops to strengthen practice-based learning. Forty-four practice staff and 11 patients attended the workshops and the facilitated project meetings. Evaluation occurred through focus groups with practice teams (including patients) both before and a...
Peter Wilcock and Rowena Rossiter begin by describing changing responsibilities of clinical psych... more Peter Wilcock and Rowena Rossiter begin by describing changing responsibilities of clinical psychologists over the last 20 years. They show how some roles they undertake, which may seem far removed from client contact, have developed from psychologically based client-centred work, and this still lies at the root of the profession. They illustrate the current and potential contribution to be made to the NHS and general managers by clinical psychologists.
ABSTRACT Two inter-professional initiatives, the Interdisciplinary Professional Education Collabo... more ABSTRACT Two inter-professional initiatives, the Interdisciplinary Professional Education Collaborative in the United States and the Interprofessional Education Programme in the UK, are working to discover how health professionals can gain knowledge and skill in the continuous improvement of health care. They are seeking closer links between health care delivery and health professional education, between the needs of patients and communities, and those of learners. The ultimate goal is to create health care that: (1) seeks to understand and meet patients' needs; (2) organises care as a system focused around that need; (3) takes advantage of what teams of professionals can do when they work well together; and (4) improves constantly through the active efforts and innovative ideas of the health care team. This paper describes the initiatives and identifies common lessons for health care delivery and interprofessional education.
Journal of Continuing Education in the Health Professions, 2009
The relationship between healthcare improvement and continuing professional education needs to be... more The relationship between healthcare improvement and continuing professional education needs to be better understood if we are to promote continuous service improvement through interprofessional learning in the workplace. We propose that situating interprofessional working, interprofessional learning, work-based learning and service improvement within a framework of social learning theory creates a continuum between work-based interprofessional learning and service improvement in which each is integral to the other. This continuum provides a framework for Continuing Interprofessional Development that enables service improvement in the workplace to serve as a vehicle through which individual professionals and teams can continually enhance patient care through working and learning together. The root of this lies in understanding that undertaking improvement and learning about improvement are co-dependent and that healthcare professionals must recognise their responsibility for improving their everyday work as well as doing it. We believe that significant opportunities exist for healthcare commissioners, service providers and educational institutions to work together to jointly promote Continuing Interprofessional Development in the workplace to enhance patient outcomes and outline some of the opportunities we believe exist. 3 Key words: Continuing interprofessional education, interprofessional education, interprofessional learning, healthcare improvement, continuous quality improvement, social learning, continuing interprofessional development.
A series of workshops for staff working with profoundly handicapped children was organized, the m... more A series of workshops for staff working with profoundly handicapped children was organized, the main concern of which was to improve the teaching approaches with such a population. The workshops were the result of an innovative attempt by the British Psychological Society's Standing Committee on Handicap to apply current knowledge of the real life problems of work settings in schools or hospitals where children are educated. The workshops covered a period of 3 months with approximately one term between the first and second. Participants attended in pairs, one member of each pair being either a clinical or educational psychologist, and a variety of problems presented by the children were tackled. This paper attempts to describe the structure and operation of the workshops, to evaluate their outcome, and to suggest ideas for the future of such an approach.
The launch of donepezil (Aricept), a specific treatment for patients with mild or moderate Alzhei... more The launch of donepezil (Aricept), a specific treatment for patients with mild or moderate Alzheimer's disease, attracted intense interest. Clinicians and others were quoted in the media as being optimistic about the drug's effectiveness, but concerned that NHS funding would be withheld or uneven. However, reaching consensus on the clinical rather than statistical importance of this drug requires open debate, given the relatively small effect sizes and uncertainty over side effects in typical patients. Debate has been hampered because publication of the full results of the main clinical trials has been delayed. This episode highlights several issues of general policy importance that must be resolved if access to the information needed for clinical and other decision making is to be improved.
ABSTRACT A long-term hydrologic observatory is proposed for an area encompassing the Potomac Rive... more ABSTRACT A long-term hydrologic observatory is proposed for an area encompassing the Potomac River Basin and the basins that form the western shore of the Chesapeake Bay from the Gunpowder River on the north to the Rappahannock River on the south. The area is approximately 52,000 sq km and spans five physiographic provinces, with total relief of about 1200 m, and includes parts of MD, VA, PA, WV, and DC. The Potomac and adjacent mid-Atlantic drainage are characterized by a high frequency of floods and droughts, with attendant concerns about flood hazards and about the reliability of water supply. As of 2000, the population of the proposed study area was 8.26 million, with the highest density in the Baltimore-Washington metropolitan region. Land use is 45 percent forested, 32 percent agriculture, 5.7 percent developed, and 4.8 percent open water. Heterogeneous natural landscape patterns have been influenced by the legacy of four centuries of human disturbance, including a wave of deforestation, agricultural land use, and land abandonment leading to reforestation contemporaneous with some of the most rapidly expanding urban areas in the U.S. A wealth of existing instrumented field sites forms a network of resources that will be woven together as part of this effort, including: the USGS NAWQA study in the Potomac River Basin; the NSF-funded Baltimore LTER; USDA-ARS sites in Beltsville, MD; the Interstate Commission on the Potomac River Basin's work in overseeing management of the Potomac River; the Smithsonian Environmental Research Center's field sites, and active field sites of major research universities located in the region. This effort represents a significant partnership with local district offices of the U.S. Geological Survey. This poster presents study area attributes, preliminary study design, and a proposed core data program. The program is designed to attract researchers in the following areas of scientific inquiry: (1) orographic precipitation mechanisms, runoff generation, and groundwater recharge; (2) sediment sources, storage, and delivery, floodplain processes, and fate of sediment-associated contaminants; (3) biogeochemical cycling and sources and sinks of nutrients and toxic contaminants in the landscape from non-tidal uplands to estuarine waters; (4) defining water needs to support ecosystems, and moving the science of restoration to an integrated biophysical enterprise; and (5) urban development, infrastructure, and consequent transformation of hydrologic landscapes and processes.
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Papers by Peter Wilcock