Prof. DR. E. Sutedja dr SpKK(K)

WHAT IS INTERDICIPLINE TEAM

COLLABORATION AMONG :

GP AND A SPESIALISTGPs

DIFFERENT SPECIALISOTHER HEALTH PROFESIONAL

(NURSE, PHARMACIST, NUTRITIONIST)

WHAT IS INTERDICIPLINE TEAM

WHY WE NEED INTERDICIPLINE TEAM

IN TEACHING HOSPITAL

IN TEACHING HOSPITAL TEAM MEMBERSHIP BECOMES THAT

MUCH MORE COMPLEX WITH THE PRESENCE OF STUDENTS, RESIDENTS, AND FELLOWS.

HOW DO TEAMS WORK TOGETHER?

HOW DO TEAMS WORK TOGETHER?

MAJORITY OPINION, DEFERENCE TO MORE

EXPERT OPINION, UNANIMITY, OR CONSENSUS

AUTOCRATIC CHOICE

WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?

WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?IN 1949 PENNSYLVANIA SUPREME COURT

MCCONNELL VS. WILLIAMS

IN RECENT YEARS, MANY STATE SUPREME COURTS HAVE SPECIFICALLY THROWN OUT THE "CAPTAIN OF THE SHIP" DOCTRINE IN DISGUST

THE SURGEON WAS RESPONSIBLE FOR THE ACTS OF NURSES, NURSE ANESTHETISTS,

ANESTHESIOLOGISTS, RADIOLOGISTS, AND RADIOLOGY

PHYSICIAN-NURSE COLABORATION

Physician and nurse gradually envolving into a collaborative model

Physician assumed the lead role in many collaborative research initiative

Non-hierarchical in nature Work well, shared interest and open lines of

communication Mutual respect, trust, shared interest and

commitment“We Must all hang together or, assuredly, we shall all hang

separately”

WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE?

WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE? EVERY MEMBER HAS SEPARATE OBLIGATIONS,

WHICH ARE BASED ON THE PROVIDER'S PROFESSION, SCOPE OF PRACTICE AND INDIVIDUAL SKILLS.

ALSO HAVE ETHICAL OBLIGATIONS TO TREAT EACH OTHER IN A RESPECTFUL AND PROFESSIONAL MANNER.

NEED TO WORK TOGETHER IN ORDER TO BEST UTILIZE THE EXPERTISE AND INSIGHTS OF EACH MEMBER.

DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?

DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS? SHOULD SEEK INPUT FROM THE

ATTENDING BOTH ABOUT THE REASONING TO PURSUE

THE ATTENDING'S PLAN THE REASONING FOR REJECTING HER

OWN

A RESPECTFUL EXCHANGE OF VIEWS MAY PROVIDE BOTH PARTIES WITH NEW

INFORMATION, AND CERTAINLY SERVES TO FURTHER EDUCATION.

WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS?

WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS? BOTH LISTENING TO AND

CONSIDERING THE INPUT OF OTHER PROFESSIONALS

RESPECT LANGUAGE, GESTURES, AND ACTIONS

"I acknowledge and respect your perspective in this matter, but for the following reasons. I disagree with your conclusions, and believe I should do something

else..."

HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?

HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?

INTERPROFESSIONAL DISCUSSION

RESULTING IN A NEW CONSENSUS

CONSULT OTHER PROFESSIONALS

ETHICS COMMITTEE

FOUR PRINSIP THE PHYSCIAN ETHICS : BENEFICENCE

NON MALEFICENCE

AUTONOMY

JUSTICE

THANK YOU