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Anticoagulation Therapy

IPE on Anticoagulation therapy underscores the importance of providing integrated and cohesive interprofessional collaboration in the management of patients receiving anticoagulation therapy in the primary care setting. It emphasises  to teams that quality patient-centered care depends on seamless collaboration and communication among members of healthcare team. 

This lesson utilizes the combined pedagogical strengths of team-based and case-based learning in preparing students to be collaborative-practice ready. This is participated in by students from Chinese Medicine, Medicine, Nursing and Pharmacy who are formed into interprofessional teams of 5-7 members. A team of content experts facilitates the implementation of learning activities.

Generic IPE-related Learning Outcomes

  1. Appreciate the collective contribution of Chinese Medicine, Medicine, Nursing, and Pharmacy;

  2. Demonstrate mutual respect and an appreciation of the unique skills, knowledge, and competencies that each discipline brings to an interprofessional team;

  3. Listen respectfully to the ideas of other disciplines to complement one’s disciplinary knowledge;

  4. Provide constructive and non-judgmental feedback to other member’s ideas;

  5. Respect difference and diversity among professions; 

  6. Realise that interprofessional collaboration promotes creativity, motivation, and productivity;

  7. Demonstrate positive interdependence;   

  8. Apply shared decision-making process from deliberation to choice/consensus;

  9. Build consensus and negotiate respectfully/effectively, and

  10. Formulate interprofessional healthcare management plan.

Content-related Learning Outcomes

  1. Determine when anticoagulation should be initiated, continued, or discontinued;

  2. Determine a patient’s appropriate duration of anticoagulant therapy;

  3. Assess a patient’s risk for thromboembolism and complications of anticoagulant therapy including bleeding;

  4. Effectively interview a patient receiving anticoagulant therapy to monitor for efficacy and safety;

  5. Discuss management considerations when adjusting warfarin therapy;

  6. Identify alternatives to pain medications that may interfere with anticoagulant therapy;

  7. Summarize the efficacy and safety issues of newer anticoagulants and explain their current role in therapy;

  8. Describe key clinic resources and processes in managing patients receiving anticoagulant therapy;

  9. Discuss the value of cognitive screening tests in caring for patients receiving anticoagulation therapy;

  10. Apply the principles of motivational interviewing in caring for patients receiving anticoagulation therapy and possible alcohol abuse;

  11. Explain how the stages of change model help clinicians to understand where to focus their efforts on helping individuals with alcohol abuse and

  12. Describe the harm reduction versus abstinence approaches of behavioral treatment of substance abuse.

Participants

          MBBS                      -   87

          Nursing                   -   55

          Chinese Medicine   -  11

          Pharmacy               -   30

          Total                        -   272

Blood Sample