1. \ ICME Interdisciplinary Case Management Experience

2. Team Introductions In your teams introduce yourself by NAME & DISCIPLINE and answer the following questions: What do you want everyone to know about your discipline? What stereotype do you hate the most about your discipline?

3. Interdisciplinary Case Management Experience ICME The focus of this experience is actual “practice” working in an interdisciplinary team. You will: Participate in team discussions and activities representing your discipline as a team member involved in the care of the patient, Mr. Wheeler. Come with an open, relaxed mind – prepared to share and think and have fun

4. “Ground Rules” Turn electronic devices OFF—this is a time for personal interaction Participate in all discussions Respect one another—allow others to speak, do not interrupt Keep confidentiality related to team discussions Ask for clarification if you do not understand Have FUN!!

6. Multidisciplinary Team Strong, focused leadership Individual accountability Individualized work products Efficient meetings Success = influence on others Example: Multidisciplinary Team Adapted from: the Discipline of Teams by Katzenbach and Smith, 1993.

7. Interdisciplinary Team Shared leadership & goals Individual and mutual accountability Open-ended discussions, active problem-solving Success = collective work- products Example: Palliative Care Team

8. What does this quote mean to you? “If they don’t have scars, they haven’t worked on a team.” Balfour Mount

10. Introducing: Martin Wheeler

11. Team Assignment Based upon the written summary, each team will explore different issues of Martin Wheeler’s case. 1)identify Mr. Wheeler’s main issues in the area listed on your team’s chart paper 2)identify other information related to those issues needed to develop a care plan List these on chart paper. Select a reporter to share your ideas with the full group.

12. Discipline Specific Videos Each discipline will “break out” into different rooms. You will get further information about the patient by watching a short videotaped interaction between a representative of your discipline and Mr. Wheeler. This is a brief interaction and is not intended to be a total assessment. It should provide an example of how to communicate with the seriously ill patient and demonstrate some of the questions that might be asked or discussed. Your group will have 30 minutes to watch the video and complete the activity for your discipline. After discussing the interaction with your facilitator, your group will return to this room.

13. Interdisciplinary Team Sharing Team Meeting--In your interdisciplinary team, share your new knowledge and insights with the other team members.

14. MARTIN’S FAMILY MEETING Now let’s view

15. Debriefing Review checklist and evaluate meeting Discussion questions What are Mr. Wheeler’s expressed needs in order of importance to him? What does he want to happen related to these needs? Are his personal goals different than what the team might have determined to be his goals if left to their own discretion? Are they different than the issues list you generated earlier? What were the roles of each discipline in the goals of care meeting? What resources (both in terms of people and finances) does he have available to his goals?

16. Team Assignment Work as a team to develop an interdisciplinary plan of care for the patient using the form your facilitator will provide. Each team will select a scribe to document one plan of care for each team. Your faculty facilitator will observe your work and provide feedback when you have completed the assignment.

17. Evaluate the Process As a team, you will evaluate your process of developing an interdisciplinary plan of care. Team facilitators have questions to guide. Each team facilitator will share observations about the process

18. Thank you TEAM FACILITATORS: Collect one copy of the IDT (students may keep other forms) Complete the student evaluation form Thank the students for their participation.