Faculty Medicine, Dentistry & Health Science
Orientation Information – IPE Placement
Outpatients SCGH 2013
Introduction
Interprofessional Education is a critical component of education in terms of students learning
with, from and about each other. Interprofessional learning (IPL) embraces a life-long, active
learning process between different cultures and healthcare disciplines (1)IPL philosophy supports
health professionals working collaboratively in a health care setting, though a purposeful
interaction with service users and carer, to produce quality patient centered care.
All students should have reviewed the UWA FMDHS IPL handbook and pre-readings on the relevant
unit Learning Management System (LMS- www.lms.uwa.edu.au). The handbook describes the
learning outcomes for the placement and the expected capabilities that are required as an
outcome of the placement. In addition to the specific IPE capabilities this placement will also
provide learning opportunities for the development of skills and practice important for your future
medical, nursing and pharmacy careers.
Ambulatory Care
The majority of patient care in hospitals is delivered in the outpatient setting as this is an
advantage for patients in terms of social dislocation and hospital acquired infections associated
with inpatient care. Most community based care is provided by GPs and community services such
as Silver Chain. Being able to adapt clinical assessments to chronically ill patients, often with
multiple problems, rather than acutely ill ward patients is vital. Many allied health professionals are
involved in the care of patients accessing services in outpatients to ensure best patient care is
delivered and to bridge the gap between community and hospital. This placement will provide
opportunities to experience an ambulatory care setting and model of care, engage as a member of
an interprofessional team and also gain discipline specific knowledge and skills.
Placement Program:
The orientation for the IPE placement will be held in the Respiratory Outpatients clinic, Ground
floor B block Hovea street at 08.00 on the first day of your placement (see appendix 1 below).
The timetable for the placement is provided in appendix 2 and further explanation will be given at
the outpatient orientation.
Learning Outcomes of the IPE Outpatient Placement
Specific learning outcomes for students engaged in interprofessional clinical attachments that
assist the development of the UWA interprofessional capabilities are to:
1.
2.
3.
4.
5.
Discuss the importance of team work to delivery of effective patient care
Compare the different professional roles of team members
Compare and contrast the different skills of team members
Discuss the importance of handover and techniques for effective handover
Discuss the importance of placing the patient’s views at the centre of care planning and team
working
6. Engage in a review of the management of an individual patient with members of their
own/other profession(s)
By the end of the placement the student will:

Improve general clinical skills (knowledge, practical & presentation skills)

Gain confidence in performing full patient assessment within a short time frame

Gain an understanding of the role of outpatients and the patient pathway through the
system, including understanding the roles of General Practitioners, community and
hospital based nursing and allied health professionals and medical specialists.

Develop awareness of both patient and referrer wishes/expectations

Improve communication skills with patients, colleagues and community (verbal &
written)

Understand the importance of and participate in patient education
These outcomes can be achieved through:

Active involvement at each clinic (direct patient contact/assessment, organising and
following up investigations, taking responsibility for letters to GPs, referrals, allied
health)

Time spent with multiple allied health professionals (in OP and community settings)

Regular opportunities for feedback, debriefing, presentation and case discussion

Reflective and self-directed learning

Appraisal and assessment throughout the attachment (CPAT, ICAT, PSL or DoCs)
Specific Clinic Information and Learning Outcomes
Pleural Clinic:
The focus of this clinic is the investigation and management of pleural disease.

Gain knowledge of different pleural pathologies and their investigation

Increase confidence with CXR recognition and interpretation

Understand how to approach management and care of pleural effusion

Practical experience of thoracocentesis and indwelling pleural catheters
Cystic Fibrosis Clinic:
This clinic is the centre for management of Cystic Fibrosis in WA. Most patients are referred from
PMH for ongoing treatment. This is a multi disciplinary team and consists of medical staff, nurses,
physiotherapist, dietician, occupational therapist, pharmacist and social work.

Understand the pathophysiology behind the genetic abnormality in CF

Understand and assess for complications of CF

Become familiar with CF medications

Understand the importance of multidisciplinary care

Understand importance of patient education and patient led care
Interstitial Lung Disease Clinic:
This clinic focuses on the investigation and management of a range conditions which cause
inflammation and scarring to the lung lining.

Be able to assess and investigate patients presenting with breathlessness

Be able to interpret pulmonary function tests and 6 Minute Walk test

Know the common causes of ILD

Gain experience of appropriate management strategies, in particular oxygen therapy

Gain insight into living with chronic/disabling disease

Monitoring of oxygen therapy
Lung Cancer Clinic:
The focus of this clinic is the investigation, diagnosis and management of lung cancer.

Develop an organised approach to investigating patients with an abnormal CXR

Gain experience in reviewing abnormal CXR

Gain confidence in effective communication & experience breaking bad news

Understand the patient pathway (from referral to diagnosis)
Asthma Clinic/Asthma Educator:
The focus of this clinic is the education and management of patients with Asthma

Identify and understand different inhaled therapy

Be able to perform spirometry, peak expiratory flow measurements and interpret the
results

Assess adequacy of patient’s inhaler technique and educate patients on best practice

Gain in depth knowledge of managing acute and chronic airway disease

Gain experience in Respiratory Assessment
Diabetic Clinic/Diabetic Nurse Educator:
This clinic is a multi-disciplinary clinic providing a broadly based diagnosis and management service.
The unit has access to excellent facilities in the area of diabetes education, dietetics and podiatry,
and is active in diabetes research and in teaching, including nurse educators.

Be able to take a problem orientated, comprehensive history and perform physical
examination on a diabetic patient

Perform and interpret BGL

Have a framework for assessing diabetic patients covering current control,
complications and co-existing risk factors

Understand why and when different hypoglycaemic agents are used

Assess patients technique of self administering insulin, provide education on best
practice

Initiate patient education (BM monitoring, nutrition, insulin therapy)
Pain Management Department
This clinic is a multi-disciplinary clinic comprising staff from medical, nursing, physiotherapy, clinical
psychology and occupational therapy clinical streams and supported by an administrative staff of
six (including HSA) officers. The clinic provides outpatient and inpatient services accepting 1200
referrals a year to the service from General Practitioners, Specialists and Inpatient sources. The
Department is accredited by the Faculty of Pain Medicine of the Australian & New Zealand College
of Anaesthetists for advanced training in pain medicine. The Department offers medical training for
anaesthetic trainees studying for Fellowship of the Australian & New Zealand College of
Anaesthetists and provides support for them during module 10 of their training. UWA, Curtin and
Murdoch Universities regularly place advanced trainees in Clinical Psychology in the Department.
The Pain Management Department regularly welcomes and hosts visiting staff from within the
SCGH campus, state-wide, national and overseas visitors to gain knowledge and experience in ways
to manage chronic pain

The Pain Management Department has 6 procedure sessions per week primarily run as
a day procedure clinic where patients are admitted and discharged on the same day but
with enough flexibility to cope with additional inpatients as required.

Intrathecal Pump refill patients are also admitted as day patients for refilling of their
pump and medical review by their treating Consultants on their respective procedure
session

Review of inpatient consultation requests are attended on a daily basis whenever
possible by one of the clinical fellows on a rotational basis. Written ward consults
average 10-15 per week but telephone consultations re inpatients would average 25-30
per week. If patients need a procedure they can generally be added into a routine
procedure list within the week.
Tips for seeing patients in the outpatients department
When reviewing a patient in the OPD setting it is useful to consider these points:

When is referral to outpatients (or a private specialist) necessary?

Why has this patient been referred/what is the purpose of today’s outpatient visit?
Patients are referred for many reasons e.g.:


Referral for a specialist review - to make a diagnosis or plan management

Referral for nursing or allied health review (i.e. physiotherapist, speech
therapist)

Follow up by a specialist of clinical progress, results and planning further
treatment

Managing patients with complex chronic problems which requires specialist
input (i.e. Cystic Fibrosis, transplantation)

Management of complex problems that require an Interprofessional team
Does this patient need to continue to be seen in outpatients and who should provide
follow-up care?
IPE Assessment Requirements
Assessment for the Interprofessional placement is the Interprofessional Capability Assessment
Tool. The ICAT assessment is to be completed by the end of the clinical placement by you and your
IPE facilitator. Students are required to complete reflective entries that show evidence of having
met the interprofessional capabilities and IPE facilitators will complete a rating of capability
according to the rubric in the assessment.
Placement Evaluation
As part of an ongoing educational evaluation strategy we encourage all students to participate in
evaluation activities. All students have been forwarded a link to a survey (via Survey Monkey).
Please complete the pre-test Interprofessional Socialisation and Valuing Survey prior to starting this
attachment. In order to measure a change in knowledge, attitudes and behavior with regard to
interprofessional capabilities you will also be asked to complete post-test Interprofessional
Socialisation and Valuing Survey on completion of your placement.
Key Contacts for Placement :
If you require any further information during the placement please contact the discipline specific
coordinator as per below or contact the unit coordinator as per LMS information.
Rachel Latham/Helen Dugmore (Nurse Educator)
0409 889 940
Elisabeth Feher (Medical Education Registrar)
0421 556 820
Natalia Forrest (Pharmacist)
0417 986 043 or pg 4242 through SCGH
switch,93463333
Respiratory Clinic, Ground floor, B Block
Consultant lead: Fiona Lake
Contact through SCGH switch 9346 3333
Respiratory Nurse Practitioner: Sue Morey
9346 2318
Respiratory Homelink: Barbara Stubber
0410 447 416
Diabetes Clinic, Level 1, Main OPD, E block
Consultant lead: Joey Kaye
Contact through SCGH switch 9346 3333
Diabetes Nurse Educator: Gwen Babel
9346 2678
Pain Management Clinic , Lower Ground Floor, G
Block, Next To Podiatry (Via The Green Lifts)
Head of Department: Dr Mark Shultze
Contact through SCGH switch 9346 3333
Clinical Nurse Manager: Denise Fairclough
Contact through SCGH switch 9346 3333
Appendix 1: SCGH Map
Appendix 2: Placement Program
AMBULATORY CARE STUDENT PLACEMENT PROGRAM 1
Program 1 Respiratory and Diabetes
Student 1
MONDAY
Week 1 (Resp)
08.00-09.00
Orientation; Introduction to the IPE team,
overview of IPE, Team building activity, site
tour and introduction to key staff
08.30-12.30
Pleural clinic (Prof Lee)
13.30 -16.00
15.00 – 17.00
Week 2 (Diabetes)
09.00-12.30
Diabetic clinic – Dietician(Level 1 OP)
CF clinic
13.30-16.00
Diabetic Nurse Educators
Specialty tutorial (MS only)
15.00 -17.00
Specialty tutorial (MS only)
Meet with IPE facilitators, discuss objectives
for clinical attachment, concerns, other info
Home Visiting with Barb Stubber
08.30-12.00
ILD clinic (Prof Lake)
12.30-14.00
PGME meeting (Joske Level 8)
14.00-17.00
Lung Cancer clinic (M. Phillips)
TUESDAY
08.30-09.00
0.900-17.00
WEDNESDAY
07.45
Intern teaching (Joske room)
07.45
Intern teaching (Joske room)
0.900-12.00
Asthma clinic (Prof Thompson)
09.00 -12.00
Free: Reflective learning
13.00-14.00
Student Tutorial
13.00-14.00
Student Tutorial
14.00 -16.00
General Respiratory clinic
14.00 -1600
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
Interventional bronchoscopy –Theatres.
If no cases join in the General respiratory clinic
Specialty tutorial (MS only)
09.00-12.00
Bronchoscopy (Ward G75)
09.00-12.00
Asthma Educator (S. Coleman)
14.00-16.00
CF clinic
13.30 -16.00
Diabetic nurse educators
16.00-17.00
IPE CBD – all students Discuss patients seen,
seek advice from each other where required
for management or referral
16.00-17.00
IPE CBD – all students Discuss patients seen,
seek advice from each other where required for
management or referral
07.45
Lung Cancer Multi-disciplinary team meeting
0.900-12.00
Lung Cancer Multi-disciplinary team
meeting
Lung Ca F/U clinic (M. Phillips)
0.900-12.00
Lung Ca F/U clinic (M. Phillips)
12.00-13.00
14.00-15.00
Respiratory radiology meeting
Student Tutorial/Debrief
12.00-13.00
14.00-15.00
Respiratory radiology meeting
Student Tutorial/Debrief
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
Specialty tutorial (MS only)
THURSDAY
FRIDAY
07.45
AMBULATORY CARE STUDENT PLACEMENT PROGRAM 2
Program 2 Diabetes and Chronic Pain Service
Student 2
MONDAY
Week 1 (Diabetes)
MONDAY
Week 2(CPS)
08.00-09.00
Orientation; Introduction to the IPE team,
overview of IPE, Team building activity, site
tour and introduction to key staff
08.00-09.00
Orientation to CPS with Denise Fairclough (CNM)
09.00-12.30
Diabetic clinic Dietician (Level 1 OP)
13.30 -16.00
Diabetic Nurse Educators
09.30-15.30
15.00 – 17.00
Specialty tutorial (MS only)
15.00–17.00
Introduction to Pain Management (IPM) program
- coordinated by Lisa Olsen (OT)
Specialty tutorial (MS only)
TUESDAY
08.30-09.00
TUESDAY
07.30-09.00
Education Meeting
08.30-12.00
Meet with IPE facilitators, discuss objectives
for clinical attachment, concerns, other info
ILD clinic (Prof Lake)
12.30-14.00
PGME meeting (Joske Level 8)
09.00-12.00
14.00-17.00
Lung Cancer clinic (M. Phillips)
12.00-13.00
Physiotherapy with Bri Tampin or Jan Mountford
(NS Triage)
Multidisciplinary Case Conference
14.00-17.00
Physiotherapy and Neurosurgeon clinic
WEDNESDAY
WEDNESDAY
07.45
Intern teaching (Joske room)
07.45
Intern teaching (Joske room)
0.900-12.00
Free: Reflective learning
0.900-12.00
Interventional pain management procedures
13.00-14.00
Student Tutorial
13.00-14.00
Student Tutorial
14.00 -16.00
Interventional bronchoscopy –Theatres.
If no cases join in the General respiratory
clinic
Specialty tutorial (MS only)
14.00 -17.00
Pain Management Outpatients Clinic (Dr Goucke)
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
THURSDAY
THURSDAY
09.00-12.00
Asthma Educator (S. Coleman)
08.00-12.00
13.30-16.00
Diabetic nurse educators
14.00-16.00
16.00-17.00
IPE CBD – all students Discuss patients seen,
seek advice from each other where required
for management or referral
16.00-17.00
FRIDAY
NSG: Interventional pain management
procedures
MED: Bronchoscopy (Ward G75) or
interventional pain management procedures
NSG: Pain Management Outpatients Clinic (Dr
Majedi)
MED: CF clinic or Diabetes nurse educator
IPE CBD – all students Discuss patients seen,
seek advice from each other where required for
management or referral
FRIDAY
07.45
0.900-12.00
Lung Cancer Multi-disciplinary team meeting
Lung Ca F/U clinic (M. Phillips)
07.450.900-12.00
Lung Cancer Multi-disciplinary team meeting
Free: Reflective learning
12.00-13.00
13.00-15.00
Respiratory radiology meeting
Student Tutorial/Debrief
12.00-13.00
13.00-16.30
Respiratory radiology meeting
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
Specialty tutorial (MS only)
AMBULATORY CARE STUDENT PLACEMENT PROGRAM 3
Program 3 Chronic Pain Service and Respiratory
Student 3
MONDAY
Week 1(CPS)
MONDAY
Week 2 (Resp)
08.00-09.00
Orientation; Introduction to the IPE team,
overview of IPE, Team building activity, site
tour and introduction to key staff
08.30-12.30
Pleural clinic (Prof Lee)
08.00-0.900
Orientation to CPS with Denise Fairclough
(CNM)
Introduction to Pain Management (IPM)
program - coordinated by Lisa Olsen (OT)
Specialty tutorial (MS only)
13.30-16.00
CF clinic
15.00 -17.00
Specialty tutorial (MS only)
09.30-15.30
15.00 – 17.00
TUESDAY
TUESDAY
07.30-09.00
Education Meeting
09.00-12.00
12.00-13.00
Physiotherapy with Bri Tampin or Jan
Mountford (NS Triage)
Multidisciplinary Case Conference
14.00-17.00
Physiotherapy and Neurosurgeon clinic
WEDNESDAY
09.00-17.00
Home Visiting with Barb Stubber
WEDNESDAY
07.45
Intern teaching (Joske room)
07.45
Intern teaching (Joske room)
0.900-12.00
Interventional pain management procedures
09.00 -12.00
Asthma clinic (Prof Thompson)
13.00-14.00
Student Tutorial
13.00-14.00
Student Tutorial
14.00 -17.00
Pain Management Outpatients Clinic (Dr
Goucke)
Specialty tutorial (MS only)
14.00 -1600
General Respiratory clinic
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
THURSDAY
08.00-12.00
14.00-16.00
16.00-17.00
THURSDAY
NSG: Interventional pain management
procedures
MED: Bronchoscopy (Ward G75) or
interventional pain management procedures
NSG: Pain Management Outpatients Clinic
(Dr Majedi)
MED: CF clinic or Diabetes nurse educator
IPE CBD – all students Discuss patients seen,
seek advice from each other where required
for management or referral
FRIDAY
09.00-12.00
Bronchoscopy (Ward G75)
14.00 -16.00
CF clinic
16.00-17.00
IPE CBD – all students Discuss patients seen,
seek advice from each other where required for
management or referral
FRIDAY
07.450.900-12.00
Lung Cancer Multi-disciplinary team meeting
Free: Reflective learning
07.45
0.900-12.00
Lung Cancer Multi-disciplinary team meeting
Lung Ca F/U clinic (M. Phillips)
12.00-13.00
13.00-16.30
Respiratory radiology meeting
12.00-13.00
14.00-15.00
Respiratory radiology meeting
Student Tutorial/Debrief
15.00-17.00
Specialty tutorial (MS only)
15.00-17.00
Specialty tutorial (MS only)