Rehabilitation Team Work

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Dear Colleagues,

We would like to invite you to attend Preconference Workshops that will be held within 3rd Baltic and North Sea Conference on Physical and Rehabilitation Medicine/118th Congress of the German Society for Physical Medicine & Rehabilitation/Annual Congress of the Austrian Society for Physical Medicine & Rehabilitation, on September 25-28, 2013, in Hannover, Germany.

Preconference workshops program are one of our extraordinary programs within Baltic and North Sea Conference. The first Preconference Workshops was held at 2nd BNCPRM in 2011, in Vilnius, Lithuania. Great results were presented on that occasion and got positive responses from many participants of the conference. On forthcoming conference, 3rdBNCPRM 2013/118th DGPMR/Annual Congress ÖGPMR, we develop this program with more attractive topic and we assure that this will be more success than previous event. These workshops are expected to be attended by all rehabilitation professions.


The Topic of this Preconference Workshops program is "From multidisciplinarity to lived interdisciplinarity". This program will have six different interesting subtopics:

Workshop A: What are the criteria for effective communication in rehabilitation teams?
Workshop B: How to avoid "monoprofessional thinking and interprofessional competition" in teamwork
Workshop C: Who could be the leader or moderator of Rehabilitation teams in different settings?
Workshop D: How to be successful in team working in acute rehabilitation: Traumatic brain injury?
Workshop E: How to be successful in team working in post-acute rehabilitation: Multiple trauma?
Workshop F: How to be successful in vocational rehabilitation team work?


This program will be held on 25th September 2013 (from 9:00-12:30). The results of this progam will be presented at symposium 2a and 2b where conclusion will be drawn. Additionally, we will select best participant from each preconference workshop.



Prof. Dr. Christoph Gutenbrunner
President of BNF-PRM

Dr. Susanne R. Schwarzkopf
President of DGPMR

Prof. Dr. Tatjana Paternostro-Sluga
President of ÖGPMR


From multidisciplinarity to lived interdisciplinarity

Advanced team work is a hallmark of Physical and Rehabilitation Medicine. Available evidence indicates that effective teamwork provides better patient outcomes than less coordinated interventions by single professionals in a whole range of disorders.
There is limited published evidence, however, on which the key components of successful teamwork in rehabilitation are. Furthermore, the impression is that most rehabilitation interventions in Europe are directed by single professionals rather than by well coordinated teams. For these two reasons, the BNC on PRM wants to use the opportunity of this session to discuss this most important part of clinical practice in rehabilitation medicine with all professions concerned.

The different workshops follow the description of the theoretical basis for good team working, i.e.

  • effective communication
  • agreed aims as well as agreement and understanding on how this is best achieved
  • mutual trust and respect
  • willingness to share knowledge and expertise

It is intended to look beyond multidisciplinary teamworking, to discuss the advantages of interdisciplinarity as a further step towards better clinical outcomes in rehabilitation. Interdisciplinary teamwork means a more advanced coordination of goal setting, strategies and evaluation.
In contrast to the 2011 Vilnius-Congress the workshops will be multiprofessional rather than monoprofessional this year, as the advantages of multiprofessional team work was an agreed conclusion of the summary of this last BNC-PRM-meeting.
The more specific workshops on acute rehabilitation of traumatic brain injury, on post-acute rehabilitation of multitrauma, and on vocational rehabilitation enlarge the spectrum of possibilities of exchange and discussion of experiences, experiments and ideas for the future.

The discussion in all workshops will be interactive and aim at active participation of participants from all rehabilitation professions.

We are happy to welcome you to these workshops and look forward to having you in a fruitful discussion.


Dr. Jeans-Jacques Glaesener

Berufsgenossenschaftliches Unfallkrankenhaus,
Hamburg
Prof. Dr. Carl Molander

Karolinska Institutet,
Stockholm



PRECONFERENCE WORKSHOPS PROGRAM

Session: Introduction to the workshops on team working

Chairpersons: Carl Molander (Stockholm), Jean-Jacques Glaesener (Hamburg)
Date and Time: Wednesday, September 25, 2013; at 09:00 – 09:30
9:00 - 9:15 Introduction and definition of work plan (Jean-Jacques Glaesener) (Hamburg, Germany)
9:15 - 9:30 Team models in Rehabilitation Medicine (Carl Molander) (Stockholm, Sweden)


Workshop A: What are the criteria for effective communication in rehabilitation teams?

Chairpersons: Marie-Louise Schult (Stockholm), Mirjam Körner (Freiburg)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

Refer to the team in which you work on a daily basis. Discuss in your group 1) your personal experience and 2) your rating (1-6) of the importance in your team of the following factors for effective team communication

  1. Knowledge among the team members about the professional skills and roles of other professionals in the team. Do your personal rating, from 1 (not important) - 6 (very important).
  2. An open atmosphere that allows important information and constructive suggestions to come forward in team meetings, regardless from which team member or professional it is presented. Do your personal rating, from 1 (not important) - 6 (very important).
  3. The level of structure in team meetings, such as agendas, rules for decision makings, time frames, protocols, formal team leadership. Do your personal rating, from 1 (not important) - 6 (very important).
  4. Theoretical knowledge of teamwork among the team members. Do your personal rating, from 1 (not important) - 6 (very important).

Give examples of other criteria which you think are important for effective communication in rehabilitation teams.

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Workshop B: How to avoid "monoprofessional thinking and interprofessional competition" in teamwork.

Chairpersons: Stefanie Lurz (Hamburg), Monika Löfgren (Stockholm)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

Refer to the team in which you work on a daily basis. Discuss in your group 1) your personal experience and 2) your rating (1-6) of the importance in your team of the following factors for effective team communication

  1. Knowledge among the team members about the professional skills and roles of other professionals in the team. Do your personal rating, from 1 (not important) - 6 (very important).
  2. An open atmosphere that allows important information and constructive suggestions to come forward in team meetings, regardless from which team member or professional it is presented. Do your personal rating, from 1 (not important) - 6 (very important).
  3. The level of structure in team meetings, such as agendas, rules for decision makings, time frames, protocols, formal team leadership. Do your personal rating, from 1 (not important) - 6 (very important).
  4. Theoretical knowledge of teamwork among the team members. Do your personal rating, from 1 (not important) - 6 (very important).

Give examples of other criteria which you think are important for effective communication in rehabilitation teams.

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Workshop C: Who could be the leader or moderator of Rehabilitation teams in different settings?

Chairpersons: Ieva Eglė Jamontaitė (Vilnius)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

Discuss the following settings: acute rehabilitation, post-acute rehabilitation, in-patient rehabilitation, out-patient medical rehabilitation, out-patient vocational rehabilitation.

  1. How important is professional background?
  2. How important is formal level of responsibility?
  3. How important is theoretical and practical knowledge of rehabilitation principles?
  4. How important is personal qualities, such as sense of structure and leadership skills?
  5. Are there other factors you think are important skills of a good team leader?

Do your personal rating, from 1 (not important) - 6 (very important), for each of the settings mentioned above, and other settings you may find relevant.

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Workshop D: How to be successful in team working in acute rehabilitation: Traumatic brain injury

Chairpersons: Catharina Nygren de Boussard (Stockholm), Svetlana Lenickiene (Vilnius), Kristin Lambrecht (Hamburg)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

Patients in acute rehabilitation after traumatic brain injury are often still in a minimal conscious state (MCS) or in an unresponsive wakefulness syndrome and need a very close attention / observation by all professions included in their rehabilitation.
Although every discipline has a high range of knowledge and skills, there is a strong evidence for the fact, that multidisciplinary team working yields significantly better survival data. Refer to the team in which you work on a daily basis. Discuss in your group:

  1. your personal experience
  2. your rating (1 – 6) of the importance in your team of the following factors for the effective multidisciplinary team work
  1. How important is high specialization (professional skills) in TBI-rehab
  2. How important is knowledge about the professional skills and roles of other professionals in the team. Do your personal rating, from 1 (not important) – 6 (very important)
  3. How important are agreed aims concerning the rehabilitation of each individual
  4. How important is the level of structure in team meetings, such as agendas, rules for decision makings, time frames, protocols, formal team leadership. Do your personal rating, from 1 (not important) – 6 (very important)

Give examples of other criteria, which you think could be important to make a further step from multidisciplinarity to interdisciplinarity in acute rehabilitation of Traumatic Brain injury

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Workshop E: How to be successful in team working in post-acute rehabilitation: Multiple trauma

Chairpersons: Rolf Keppeler (Hamburg), Nijolė Večkienė (Vilnius)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

The definition itself of multiple trauma leads to an interdisciplinary task for those involved in post-acute rehabilitation: range of movement of the vulnered articulations, menacing contractures and spasticity, mobility, cognition, strength and endurance.
Refer to the team in which you work on a daily basic. Discuss in your group:

  1. your personal experience
  2. your rating (1 – 6) of the importance of the following criteria to be successful in post-acute rehabilitation of patients after multiple trauma:
  1. How important is high specialization in musculo-scelettal rehabilitation
  2. How important ist knowledge about the professional skills and roles of other professionals in the team.
  3. How important are agreed aims concerning the focus of rehabilitation of each individual with so many different structural and functional problems
  4. How important is the level of structure in team meetings, such as agendas, rules for decision makings, time frames, protocols, formal team leadership.

Give examples of other criteria, which you think could be important to meet the need of highly skilled interdisciplinarity around the patient who has sustained a multiple trauma

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Workshop F: How to be successful in vocational rehabilitation team work?

Chairpersons: Gunilla Östlund (Stockholm), Maria Tamulaitiene (Vilnius), Betje Schwarz (Hannover)
Date and Time: Wednesday, September 25, 2013; at 10:00 – 12:30

Refer to the team in which you work on a daily basis. Discuss in your group 1) your personal experience and 2) your rating (1-6) of the importance of the following criteria for how to be successful in vocational rehabilitation team work.

  1. Structural skills for team based evaluation of patient capacity at activity level according to ICF. Do your personal rating, from 1 (not important) - 6 (very important).
  2. Structural skills for team based evaluation of professional demands associated with different vocational professials. Do your personal rating, from 1 (not important) - 6 (very important).
  3. Skills for team based evaluation of other factors at a patient’s workplace, such as leadership organization, resources for support, tolerance among fellow workers. Do your personal rating, from 1 (not important) - 6 (very important).
  4. Skills for team based goal setting, continuous team based evaluation of return to work success, readiness for adjustment of strategies.

Give examples of other skills which you think are important successful vocational rehabilitation team work. Do your personal rating, from 1 (not important) - 6 (very important).

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