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Capturing the Combined Clinic: Inter-Professional Multimedia Musculoskeletal Examination as a Teaching Resource

C J Griffin, C Chung, Victoria Tzortziou-Brown, O Westwood, J B King and D Morrissey

Background: Inter-professional education (IPE) and training to encourage collaborative teamwork in healthcare and medical teams has been widely advocated. Objectives: The aim of the study was to evaluate post-graduate students’ perceptions of the value of IPE and videos modelling good practise on multi disciplinary team (MDT) work and skill acquisition.

Method: Four sports injury assessment educational videos were prepared that model high level IPE team working in the ‘Combined Clinic’ (a MDT clinic for complex patients). These were used to educate 26 doctors and physiotherapists on musculoskeletal clinical examination (MCE). The participants were then surveyed, and a sample of the group took part in semi-structured interviews that were audio-recorded and analysed by thematic content analysis.\

Results: There was an 85% response rate to the survey, with 46% of the group describing their competence in MCE as ‘developing skills,’ and 50% as having ‘some experience’. Attitudes towards IPE and MDT work were positive, acknowledging their benefits as learning tools. Thematic analysis of the interview data revealed an appreciation; of the real-time approach with expert instruction of multiple perspectives and perceived behavioural changes of improved MCE technique and enhanced interactive skills.

Conclusion: This study provided evidence that an inter-professional approach can promote learning amongst postgraduate students, resulting in clinical skill acquisition. Further, the videos served to improve students’ appreciation of IPE, teamwork, and awareness of other disciplines.