Wahlfach Teamarbeit: Ergebnisse eines Pilotprojektes zur interprofessionellen und interdisziplin ren Ausbildung mit formativem Team-OSCE (TOSCE) [Teamwork elective: Results of a German pilot project on interprofessional and interdisciplinary education with formative team OSCE]

[english] Aims: There is a growing need to implement teamworking in medical education. In reality, interdisciplinary and interprofessional education is often absent. Here we describe a pilot trial developed jointly by the nursing college and the medical faculty in Erlangen (Germany) in which nursing students and undergraduate medical students formed interprofessional teams and were confronted with interprofessional cases using simulated patients (SPs) and phantoms. The elective was planned using standard curriculum planning instruments and finally evaluated with a novel formative team OSCE (Objective Structured Clinical Evaluation) instrument.Methods: During one year, 20 nursing students participated voluntarily in the project and 10 medical students took the course as an elective. Results: The pilot project was first performed with two tutors, one from the medical school and one from the nursing school, as well as one to two SPs. During the second course, there was only one tutor. Overall evaluation of the voluntary students was good, with some elements (acute stroke, factual knowledge, and general organizational problems) that needed to be improved. Performance of a four-station team OSCE was feasible, but raters reported problems in assessing individuals and the team at the same time. Interobserver agreement was satisfactory (kappa 0.35).Conclusions: Interdisciplinary and interprofessional education between a nursing school and a medical school is feasible within an elective, but requires substantial personnel resources. Design and performance of a team OSCE is possible. The validity of the test has to be shown on follow-up. [german] Zielsetzung: Das Lernziel F higkeit zur interprofessionellen und interdisziplin ren Teamarbeit“ wird sowohl in der aktuellen Approbationsordnung für rzte als auch im Krankenpflegegesetz gefordert. In der Realit t gibt es in beiden Ausbildungen kaum gemeinsame Lehreinheiten. Wir beschreiben ein Pilotprojekt der Medizinischen Fakult t und der Berufsfachschule für Gesundheits- und Krankenpflege in Erlangen, in dem Pflegeschüler und Medizinstudenten interdisziplin r vor Aufgaben gestellt werden, die sie im interprofessionellen Team l sen sollen. Sie werden unter Einsatz von Simulationspatienten (SP) oder Phantomen mit Szenen aus dem Stationsalltag, interdisziplin ren Notf llen und schwierigen Situationen konfrontiert, die interprofessionelles Handeln erfordern. Die Planung des Konzeptes wurde angelehnt an die von Kern beschriebenen Schritte zur Curriculumsentwicklung. Der Kurs wurde mit einem formativen Team-OSCE evaluiert.