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Reading: Mobility Clinic Team Composition: Optimizing Care for Individuals with Spinal Cord Injury

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Original Theory & Research

Mobility Clinic Team Composition: Optimizing Care for Individuals with Spinal Cord Injury

Authors:

James Milligan ,

Centre for Family Medicine, 10 B Victoria Street South, Kitchener, Ontario, N2G 1C5, CA
About James
MD
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Loretta M. Hillier,

Geriatric Education and Research in Aging Sciences (GERAS) Centre, CA
About Loretta M.
MA
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Karen Slonim,

Centre for Family Medicine Family Health Team, CA
About Karen
PhD
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Craig Bauman,

Centre for Family Medicine Family Health Team, McMaster University, CA
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DC
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Lindsay Donaldson,

Centre for Family Medicine Family Health Team, CA
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PA
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Joseph Lee

Centre for Family Medicine Family Health Team, McMaster University, CA
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MD
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Abstract

INTRODUCTION Specialized interprofessional primary care-based Mobility Clinics represent a significant opportunity to improve spinal cord injury (SCI) care, however, there are no gold standards to inform team composition. This study explored the ideal mix of skill sets and competencies for Mobility Clinics.

METHODS Twelve individual interviews were conducted with primary care and rehabilitation clinicians and individuals from professional associations representing nurses, nurse practitioners, social workers, physical therapists, occupational therapists, physicians, physician assistants, and recreation therapists. Participants received briefing notes on the Mobility Clinic care model and roles of each discipline within this model. Questions were asked related to discipline specific scope of practice, ideal team composition to meet consumer needs, and opportunities for expanding and sharing discipline roles.

RESULTS Discipline specific role descriptions within the Mobility Clinic were perceived to be comprehensive and accurate; in some cases additional activities were suggested for some disciplines. Suggestions were made for cross discipline sharing of tasks (e.g., some social worker activities can be assumed by occupational therapists, OT or nurse practitioners, NPs). Recommendations for core team members included a physician, nurse, OT, exercise therapist, and a representative from a SCI-specific community service, with linkages to specialists or interprofessional rehabilitation teams for consultation support. Potential roles were described for disciplines not currently represented in this care model (nurse practitioners, physiotherapists, physician assistants, recreation therapists).

CONCLUSION As there exists a critical balance of optimizing care and availability of resources, this study informs appropriate Mobility Clinic team composition, adaptable within the context of existing human resources.

How to Cite: Milligan, J., Hillier, L.M., Slonim, K., Bauman, C., Donaldson, L. and Lee, J., 2018. Mobility Clinic Team Composition: Optimizing Care for Individuals with Spinal Cord Injury. Health, Interprofessional Practice and Education, 3(3), p.eP1145. DOI: http://doi.org/10.7710/2159-1253.1145
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Published on 08 Jun 2018.
Peer Reviewed

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