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European developments and interprofessional education Walter Lorenz Free University of Bolzano, Italy
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European identity Inter- professional education Professional identity
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Europe Geographical features Cultural traditions Political structures
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‘profession’ ‘The term is a reminder of the way in which each succeeding generation, and each new group of would-be professionals, used the examples of history in order to define, organize, and publicize their own particular expertise and cultural authority. In successive generations of would-be professionals, the language of predecessors became, through the ingenious use of metaphor, ready-made and usable tradition.’ (Joanne Brown; (1992), The Definition of a Profession: The Authority of Metaphor in the History of Intelligence Testing, 1890-1930, Princeton University Press
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Professional reassurance Qualification Exclusive field of practice Ethical commitment Rules and regulations Mutual trust between professionals and general public
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Uncertainties concerning professional reliability Misconduct episodes weaken the principle of self-regulation Influence over university curricula is weakening Proliferation of occupational fields claiming professional status Increasing complexity and differentiation of knowledge areas
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Erosion of trust Demand for more accountability mistrusts professional self- control and power interests Growth of external controls introduces new centres of power whose accountability is dubious
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profession Fixed entity – defined by members themselves (defensive position) - or Discursive entity, co-constructed in process of negotiation and communication (inter-professional position)
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Interprofessional cooperation - negative notions Letting bordering professions in on ‘our’ terms Sharing office premises Becoming exchangeable
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Interprofessional cooperation - positive notions Critical boundary exchanges – no field ‘belongs’ to only one profession, but each profession has particular skills Critical exchanges on methodology Critical exchanges with ‘lay people’ (users of services)
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Interprofessional education Using positively the binary device of ‘them and us’ Interprofessional education needs to relate to intercultural skills: creation of non-defensive, non-discriminatory identities
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Interprofessional education Responsibility for acquiring appropriate forms of knowledge and methodology is tied to communicating one’s specific forms of knowledge and their application
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Paradigm: European exchanges Can be about harmonisation and standardisation Can be about learning to deal constructively with diversity (and uncertainty)
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Challenge of neoliberalism Paradigm shift from input to output Dismantling of professional boundaries – or Tapping into new processes of accountability
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Interprofessional education and European exchanges
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