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Published in: Human Resources for Health 1/2021

Open Access 01-12-2021 | Research

Interprofessional education-relevant accreditation standards in Canada: a comparative document analysis

Authors: Mohammad Azzam, Anton Puvirajah, Marie-Andrée Girard, Ruby E. Grymonpre

Published in: Human Resources for Health | Issue 1/2021

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Abstract

Background

Increasing evidence suggests that sustainable delivery of interprofessional education (IPE) has the potential to lead to interprofessional collaborative practice (IPCP), which in turn has the potential to lead to enhanced healthcare systems and improved patient-centered care health outcomes. To enhance IPE in Canada, the Accreditation of Interprofessional Health Education (AIPHE) project initiated collaborative efforts among accrediting organizations of six health professions to embed IPE language into their respective accreditation standards. To further understand the impact of the AIPHE project, this study evaluated the accountability of the IPE language currently embedded in Canadian health professions’ accreditation standards documents and examined whether such language spanned the five accreditation standards domains identified in the AIPHE project.

Methods

We conducted a comparative content analysis to identify and examine IPE language within the “accountable” statements in the current accreditation standards for 11 Canadian health professions that met our eligibility criteria.

Results and discussion

A total of 77 IPE-relevant accountable statements were identified across 13 accreditation standards documents for the 11 health professions. The chiropractic, pharmacy, and physiotherapy documents represented nearly 50% (38/77) of all accountable statements. The accountable statements for pharmacy, dentistry, dietetics, and nursing (registered) spanned across three-to-four accreditation standards domains. The remaining nine professions’ statements referred mostly to “Students” and “Educational program.” Furthermore, the majority of accreditation standards documents failed to provide a definition of IPE, and those that did, were inconsistent across health professions.

Conclusions

It was encouraging to see frequent reference to IPE within the accreditation standards of the health professions involved in this study. The qualitative findings, however, suggest that the emphasis of these accountable statements is mainly on the students and educational program, potentially compromising the sustainability and development, implementation, and evaluation of this frequently misunderstood pedagogical approach. The findings and exemplary IPE-relevant accountable statements identified in this paper should be of interest to all relevant stakeholders including those countries, where IPE accreditation is still emerging, as a means to accelerate and strengthen achieving desired educational and health outcomes.
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Footnotes
1
According to Statistics Canada, “health professionals” are those who “are primarily concerned with diagnosing and treating health problems in humans and animals and with providing related services” ([6], p. 15). Hence, any profession that specializes in physical health, mental health/social services, dental health, or ocular health can be classified as a health profession.
 
2
“Accreditation” and “regulation” within the context of education are not the same. The WHO defines “accreditation” as the “formal process by which a recognized body … assesses and recognizes that a health care organization meets applicable pre-determined and published standards. Accreditation standards are usually regarded as optimal and achievable and are designed to encourage continuous improvement efforts within accredited organizations” ([12], p. 1). Whereas the WHO defines “regulation” as the “imposition of external constraints upon the behaviour of an individual or an organization to force a change from preferred or spontaneous behaviour” ([12], p. 14). In other words, the regulation of a health profession typically involves regulatory mandates issued by a regulatory authority (oftentimes, a professional body or government entity) to maintain high standards of practice for the profession. Non-compliance of a regulatory mandate may lead to administrative or penal consequences, as the objective of regulation is the control of unwanted behaviours, contrary to accreditation, which is the promotion of best practices [18].
 
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Metadata
Title
Interprofessional education-relevant accreditation standards in Canada: a comparative document analysis
Authors
Mohammad Azzam
Anton Puvirajah
Marie-Andrée Girard
Ruby E. Grymonpre
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2021
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-021-00611-1

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