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Tairāwhiti Interprofessional Programme (TIPE)





Based in Tairāwhiti (Gisborne) and Wairoa a dynamic programme for senior health professional students started in 2012 managed by University of Otago in conjunction with Eastern Institute of technology (EIT), the Hawkes Bay and Tairāwhiti District Health Boards and Otago Polytechnic. The TIPE programme brings final year 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, pharmacy and social work students have had an opportunity to participate in a 'purpose-built' immersion interprofessional programme of clinically based learning including interdisciplinary and home discipline placements. Students live together in shared accommodation at either Tairawhiti Hospital or Wairoa Hospital over a five-week period.

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Key learning ojectives incorporate principles of rural health care, hauora Māori, long term condition management and interprofessional health care. Students also meet discipline specific clinical learning objectives

Interprofessional Health Care

TIPE students in a labAchieving greater understanding between health disciplines about 'patient centred collaborative practice, effective teamwork, interprofessional respect and how to effectively resolve disagreement

“Staying with other health professionals meant we gained a great understanding of their roles and allowed us to see each other as real people who are approachable”

Hauora Māori

To better meet Māori Health needs by working with Māori in culturally safe and respectful ways, enhancing understanding within Māori models of health care

A TIPE student at the Marae"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."

Rural and Community

Increasing rural training opportunities, enhancing workforce opportunities with students able to return to rural areas, better equipping senior health students for comprehensive generalist practice

Ruatoria Home visit"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"

Long Term Conditions Management                                                                                                                            

Demonstrating principles of team based care, self management and expert patients

'I now have a better understanding of how we can collectively work together to achieve better outcomes for our patients'

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Learning outcomes

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.

Hauora Māori
Block-3-Noho-MaraeDemonstrate 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.

waka-ama-(2)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.

Team functioning
bballDemonstrate 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.

Negotiating decisions
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.

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Accommodation and Transport

Students Accommodation

It is expected that all the TIPE students live in the provided accommodation during the programme to enable students to further opportunities to ‘learn with, from and about each other’, get to know other students better and work closely together on projects. 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.

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