1. January 10, 2014 Alicia Dixon Docter, MS, RD LEAH Nutrition Faculty Featuring Wisdom from Inter-disciplinary Ado Med Team

2. Goals Define types of teams (emphasis on clinical) Describe the importance of an inter-disciplinary team Discuss and reflect from “experts” in Ado Med

3. Introduction http://www.youtube.com/watch?annotation_id=annot ation_776750&feature=iv&index=1&list=FLihyyKgok1Q AXzY-H1Gvgfg&src_vid=nlrQD8Kvk6M&v=xE- w8R7PQ2I

4. Types of Teams Uni-disciplinary

5. Types of Teams Serial Uni-disciplinary

6. Types of Teams Multi-disciplinary

7. Types of Teams Inter-disciplinary

8. Why An Inter-disciplinary Team is Important Teens and families are complex One discipline may not have all the skills developed to the degree that the teen needs Safety, both psychological and physical Prevent family-centered care from becoming family- directed care Support faculty and staff to prevent burn-out Each professional can support messages and guidance provided by others.

9. Advantages Patient-centeredness Confidence in the system Quality of care Specialty expertise Different perspectives

10. Challenges Patient may get confused Hand-offs or exchange of information takes time …

11. Elements Needed to Function Training Mentoring Team decision making Understanding roles Time for care coordination Handoff’s or ability to transfer information in a timely, effective way Ability to reflect (whether allotted time or not)

12. Attributes of a professional Specialist knowledge and skills on top of generalist knowledge and skills Diversity of life experiences: family experiences, groups one belongs to or relates to, socio-economics, etc. Behavior patterns and norms Self-image, values and attitudes

13. Activity: Consider Wisdom from “Experts in the Field” Divide into 4 groups Read, discuss and reflect Re-convene to highlight key learnings

14. Resources MCH Leadership Development Series Cowboys and Pit Crews, New Yorker, on LEAH ITP MCH Case Study Salas, E and Frush, K, editors, Improving Patient Safety Through Teamwork and Team Training, Oxford, 2013. St. Pierre, M., et. al., Crisis Management in Acute Care Settings, 2 nd edition, Springer, 2011. Lencioni, Patrick, Overcoming the Five Dysfunctions of a Team, A Field Guide, for Leaders, Managers, and Directors, Jossey-Bass/Wiley 2005. Rees, J. and Mahan, K., Nutrition in Adolescence, Times- Mirror Mosby, 1984 (no longer in print).