Interprofessional collaborative practice and law : a reflective analysis of 14 regulation structures

Background: Interprofessional collaboration (IPC) is a key element of an efficienthealthcare system. Are healthcare systems structured to facilitate IPC? Methods and findings: Fourteen jurisdictions were chosen and researched usinglegal and social sciences databases. Generally, there was a lack of understandingof the legal principles in literature on policy and IPC. That aside, every jurisdic-tion had acts and regulation specific to health professions. There were numerouspathways to professional regulation and no clear consensus. Regarding IPC pres-ence in legal text, there were two main integration pathways: professional-basedand organization-based approaches. Conclusion: Although the practice of IPC is important, its presence in regulationis still discrete. If the aim is to strengthen IPC, there must be more socio-legalresearch to properly address and inform policymakers

Interprofessional education and collaborative practice policies and law : an international review and refective questions

Background Healthcare is a complex sociolegal setting due to the number of policymakers, levels of governance and importance of policy interdependence. As a desirable care approach, collaborative practice (referred to as interprofessional education and collaborative practice (IPECP)) is influenced by this complex policy environment from the beginning of professionals’ education to their initiation of practice in healthcare settings. Main body Although data are available on the influence of policy and law on IPECP, published articles have tended to focus on a single aspect of policy or law, leading to the development of an interesting but incomplete picture. Through the use of two conceptual models and real-world examples, this review article allows IPECP promoters to identify policy issues that must be addressed to foster IPECP. Using a global approach, this article aims to foster reflection among promoters and stakeholders of IPECP on the global policy and law environment that influences IPECP implementation. Conclusion IPECP champions and stakeholders should be aware of the global policy and legal environment influencing the behaviors of healthcare workers to ensure the success of IPECP implementation

L'état physique ou psychique incompatible avec l'exercice de la médecine : autopsie d'un tabou professionnel

Résumé: L'état physique ou psychique incompatible avec l'exercice de la médecine n'est pas un ajout nouveau au droit disciplinaire et pourtant, peu d' écrits portent sur ce sujet. Basé sur le Code des Professions et le Code de déontologie des Médecins, ce concept important reste cependant très variable dans son application concrète. Malgré cette variabilité, le médecin pratiquant en état incompatible sera encadré dans sa pratique par de multiples contrôles. Ceux-ci sont, premièrement, d'ordre professionnels et sont constitués notamment par le pouvoir d'exiger l'examen médical par le Bureau, les pouvoirs divers du comité de discipline du Collège des Médecins et le Programme de suivi administratif du même organisme. Des contrôles purement administratifs existent cependant pour compléter la surveillance, comme le conseil des médecins, dentistes et pharmaciens et certains pouvoirs dévolus au conseil d'administration des hôpitaux. Cependant, le médecin reste le principal responsable de sa pratique et son état n'est pas un facteur exonérant sa responsabilité par rapport à ses actes. Quant aux tiers constituant l'environnement de ce médecin, les droits civil et disciplinaire ne leur donnent pas clairement une responsabilité associée à leur devoir de contrôle.||Abstract: Physical or psychological state incompatible with fitness for practicing medicine is not a new addition to disciplinary laws and tort law. Still, only few studies and papers concern this problematic. Based on the Code des Professions and on the Code de déontologie des Médecins, the concept of fitness-for-duty is applied with great variation in the medical profession. None the less, doctors in practice are closely watched over by professionnal controls, consisting mainly by the power of the Bureau to require a fitness-for-duty exam, by the powers of the disciplinary peer committee of Collège des Médecins du Québec and finally by the constant surveillance of the Programme de suivi administratif du Collège des Médecins. They are also controlled by a more administrative part consisting by the conseil des médecins, dentistes et pharmaciens and powers exerted by the administrative board of each hospital. In spite of these controls or the lack of it, unfit doctors are still found responsible for their actions in practice: physical or psychological state cannot exempt the doctor from his tort. As to the close environment of these doctors, tort and disciplinary law did not yet gave a clear indication on whether these protagonists are to some extent responsible for the damage caused by their lack of control

Cardiorespiratory strain during stroke rehabilitation: Are patients trained enough? A systematic review

International audienceRehabilitation is a mandatory component of stroke management, aiming to recover functional capacity and independence. To that end, physical therapy sessions must involve adequate intensity in terms of cardiopulmonary stress to meet the physiological demands of independent living

Accreditation as a driver of interprofessional education: the Canadian experience

Background The purpose of this study was to (1) explore evidence provided by Canadian health and social care (HASC) academic programs in meeting their profession-specific interprofessional education (IPE)-relevant accreditation standards; (2) share successes, exemplars, and challenges experienced by HASC academic programs in meeting their IPE-relevant accreditation standards; and (3) articulate the impacts of IPE-relevant accreditation standards on enabling interprofessional learning to the global HASC academic community. Methods Profession-specific (bilingual, if requested) surveys were developed and emailed to the Deans/Academic Program Directors of eligible academic programs with a request to forward to the individual who oversees IPE accreditation. Responses were collated collectively and by profession. Open-ended responses associated with our first objective were deductively categorized to align with the five Accreditation of Interprofessional Health Education (AIPHE) standards domains. Responses to our additional questions associated with our second and third objectives were inductively categorized into themes. Results/discussion Of the 270 HASC academic programs surveyed, 30% (n = 24) partially or completely responded to our questions. Of the 106 IPE-relevant standards where evidence was provided, 62% (n = 66) focused on the Educational Program, 88% of which (n = 58) were either met or partially met, and 47% (n = 31) of which focused on practice-based IPE. Respondents cited various exemplars and challenges in meeting IPE-relevant standards. Conclusions The overall sentiment was that IPE accreditation was a significant driver of the IPE curriculum and its continuous improvement. The array of exemplars described in this paper may be of relevance in advancing IPE implementation and accreditation across Canada and perhaps, more importantly, in countries where these processes are yet emerging.Medicine, Faculty ofOther UBCFamily Practice, Department ofReviewedFacultyResearche