Rural immersion education at Tairawhiti and Wairoa
(a collaboration between Eastern Institute of Technology, Otago Polytechnic and University of Otago)
Based in Tairāwhiti (Gisborne) a dynamic programme for senior health professional students started in 2012. The TIPE programme brings undergraduate students from different health disciplines together to learn and gain clinical experience in rural NZ. The interprofessional education programme (IPE) provides a fantastic opportunity to work collaboratively with other disciplines for both professional and personal development whilst enriching the students own clinical experience. The programme also focuses on the provision of rural health care, chronic conditions management, and principles of hauora Māori.
Since 2012, growing numbers of final year dental, dietetic, medical, nursing, occupational therapy, oral health, physiotherapy and pharmacy students have had an opportunity to participate in a 'purpose-built' immersion interprofessional programme of clinically based learning including interdisciplinary and home discipline placements. Not only have students had a chance to learn with, from and about each other and engage, so also have their clinical tutors and programme leaders. Students live together in shared accommodation at either Tairawhiti Hospital or Wairoa Hospital over a five-week period.
“I have a greater understanding of our roles and how we can work together and help patients”
"I’d done previous stuff in health before and I thought I knew everything and I learnt a lot about different professions and ... spending time with the physio was really, really (cool)"
“The interprofessional stuff we did was awesome, like the stuff with the physio was awesome. I learnt so much about what they did, and it was really fun. I had a day with pharmacy, I learned heaps about what they did, it was awesome. And with nursing actually I had lots of experience with nursing”
"I don’t think I could have come into a warmer, friendlier, more welcoming community. I’ve never ever been able to apply my concepts of Hauora Māori and things like that that we get taught in our courses because it just goes out the window so that’s been fantastic. So good to do inter-professionalism as well. I loved it"
Rural and Community
"Living with IPE students and spending time with them outside of work hours, trips up the coast - immersing us in the culture, experiencing first hand what rural areas are like, talking with people who live there about problems"
At the end of the programme, and within a clinical rural, Hauora Māori context, the student will be able to exhibit the following learning outcomes:
Demonstrate effective communication in a culturally safe, empathetic respectful and responsive manner with patient / clients / whānau / colleagues.
Treaty of Waitangi
Demonstrate an understanding of the special relationship between Maori and the Crown under the Treaty of Waitangi.
Demonstrate principles of cultural safety, competency and literacy within the health environment.
Demonstrate appropriate engagement and interaction with Māori patients, whānau and the community.
Identify and apply appropriate Hauora Māori models within clinical and public health environments.
Demonstrate knowledge and appreciation of the role of diverse health disciplines in Māori health and the capacity to work in an interdisciplinary team in Māori health.
Establish and maintain collaborative working relationships with student and clinician colleagues in other health disciplines and within your own discipline.
Establish and maintain collaborative working relationships with patients / clients and their families / whānau.
Roles and responsibilities
Demonstrate the ability to clearly explain own health professional role and responsibilities, and level of knowledge and judgement to patients/clients and their families /whānau.
Demonstrate the ability to respect, value and explain the roles and responsibilities of the other health professionals you work with to patients/clients and their families /whānau.
Demonstrate an understanding of the concepts of professional and interprofessional accountability, and associated legal and ethical issues.
Patient / client / family-whānau centred approach
Demonstrate the ability to seek input, share information and advocate for patients / clients' participation in clinical decision making, in ways that maximise patients / clients safety, independence, cultural needs and quality of life and health.
Demonstrate the ability to contribute to effective team functioning (including appropriate leadership, delegation, documentation) to improve collaboration, in the interests of patient safety and quality of care.
Demonstrate the ability to effectively negotiate and resolve disagreement between providers, patients / clients / family / whānau (including the ability to raise and/or challenge differences of opinion in the interests of patient safety and quality of care) Chronic Conditions.
The Tairāwhiti IPE programme (TIPE) will provide and pay for one return trip for each student from their main clinical location (airfare or reimburse mileage of a private vehicle); they will also provide necessary transport costs for programme activities whilst on the programme. Students will be provided with 5 weeks, mixed flatting/dormitory style accommodation on the Tairāwhiti District Health Board (TDH) compound whilst in Gisborne or at the Nurses Home at Wairoa Hospital. For students staying longer than 5 weeks accommodation will be organised but at student cost.