In the realm of healthcare education, fostering collaboration across disciplines is not only advantageous but imperative for ensuring top-notch patient care. This collaborative effort goes beyond mere information sharing; it involves the integration of diverse perspectives and expertise to provide the best possible patient care. However, the terms multidisciplinary, interdisciplinary, cross-disciplinary and interprofessional are often used interchangeably, confusing their specific meanings and implications. While interconnected, each term carries a distinct meaning and is vital in shaping how healthcare professionals collaborate and deliver patient care. Understanding these subtleties is particularly important for Joint Accredited Providers, as it influences the approach to Interprofessional Continuing Education (IPCE), healthcare delivery and ultimately impacts patient outcomes.
Defining the Terms
Multidisciplinary
Multidisciplinary approaches involve professionals from different disciplines working independently but in parallel, each contributing their expertise within their respective domains to address various aspects of patient care.1 For example, a patient diagnosed with cancer receives care from a multidisciplinary team, including an oncologist, radiologist, surgeon and nurse practitioner. Each specialist provides their expertise independently to contribute to the overall treatment plan, and each discipline maintains its professional identity and responsibilities, with limited interaction and integration of efforts. This approach recognizes the importance of diverse perspectives but may need more cohesion and a comprehensive understanding of patient care.
Interdisciplinary
While each team member operates within their discipline and scope of expertise, interdisciplinary collaboration takes things a step further by emphasizing communication, interaction and integration of knowledge.2 Professionals collaborate to develop a shared understanding of a problem or patient case, share information and work together to create a comprehensive care plan. For instance, an interdisciplinary team, including an endocrinologist, dietitian, nurse educator and social worker, collaborates to develop a comprehensive care plan to manage a patient’s diabetes by integrating their knowledge and coordinating their efforts to address the medical, nutritional, educational and psychosocial needs of the patient. This approach fosters a deeper understanding of complex healthcare issues by drawing on diverse knowledge bases and promotes coordinated care delivery.
Cross-disciplinary
Cross-disciplinary education entails exploring connections and intersections between different disciplines. Instead of focusing solely on collaboration within a specific field, cross-disciplinary approaches encourage professionals to transcend disciplinary boundaries and seek insights and solutions from diverse fields. In the development of a new medical device, a cross-disciplinary team of biomedical engineers, clinical researchers and healthcare practitioners collaborates. The engineers provide technical expertise, while the researchers and practitioners ensure the device meets clinical needs and regulatory standards. This approach fosters creativity and innovation by leveraging diverse perspectives to address challenges from multiple angles, allowing for a more comprehensive approach to patient care.3
Interprofessional
Interprofessional teams, however, go beyond collaboration and coordination to emphasize mutual respect, shared decision-making, communication and collective accountability for patient outcomes. Effective patient-centered care requires collaboration between different disciplines and different professions within healthcare. This teamwork approach acknowledges the unique contributions of each team member, promotes a shared understanding of roles and responsibilities, and aims to optimize patient outcomes through comprehensive, team-based care. Interprofessional education, which focuses on cultivating these skills in healthcare professionals, is crucial for Joint Accredited Providers.4-5 An interprofessional team in an emergency room includes doctors, nurses, paramedics, respiratory therapists and other professionals who work together to stabilize and treat patients. They rely on each other's expertise and communicate continuously to ensure efficient and effective care.
Critical Aspects of Collaborative Education
To better understand the differences between multidisciplinary, interdisciplinary, cross-disciplinary and interprofessional education, their key aspects are summarized in Table 1.
Table 1
Aspects of Collaborative Education
|
Aspect
|
Multidisciplinary
|
Interdisciplinary
|
Cross-disciplinary
|
Interprofessional
|
Collaboration and Interaction Approach
|
Parallel
|
Integrated
|
Exploratory Exchange
|
Coordinated and Team-based
|
Professional Autonomy
|
High
|
Moderate
|
Moderate
|
Shared
|
Emphasis on Professional Roles
|
Limited
|
Moderate
|
Varied
|
High
|
Communication and Interaction
|
Limited interaction among disciplines
|
Open and Regular communication, shared language
|
Occasional exchange, minimal integration
|
Extensive, Open and Effective
|
Goal Alignment
|
Individual expertise to address complex problems from individual perspectives
|
Shared understanding and knowledge to address common goals
|
Variable; Exploration of connections and diverse approaches to solving problems
|
Common; Comprehensive patient care
|
Focus
|
Parallel work in isolation within disciplines
|
Problem-centric
|
Interconnection of fields for application of principles from one field to another
|
Patient-centric
|
Leadership Structure
|
Independent
|
Flexible
|
Varied
|
Shared
|
Education Emphasis
|
Discipline-specific
|
Cross-disciplinary
|
Integration-focused
|
Team-based
|
Outcome
|
Combined but separate contributions
|
Synergistic outcomes, shared understanding
|
Diverse perspectives, innovative solutions
|
Comprehensive, Holistic, Coordinated, Enhanced patient care
|
The Vital Role of Interprofessional Continuing Education (IPCE)
While each approach offers unique benefits, IPCE is vital in preparing healthcare professionals for collaborative practice in today's complex healthcare environment.5 By bringing together learners from various disciplines and professional roles, IPCE cultivates essential skills such as communication, teamwork and leadership while fostering a culture of respect and appreciation for diverse perspectives.6
IPCE can help break down silos between different disciplines and promote a more holistic approach to healthcare. IPCE fosters a culture of continuous learning and professional growth, where healthcare professionals can learn from each other's expertise and perspectives. IPCE enhances individual practice and strengthens the overall quality of patient care. By fostering collaboration and communication among professionals from various backgrounds, providers can help healthcare professionals develop the necessary competencies to work effectively in collaborative, team-based settings and create a more cohesive healthcare system that addresses the complex needs of patients through shared decision-making and patient-centered care.7 This approach enhances the quality of patient care and leads to improved outcomes and increased satisfaction among healthcare professionals and patients.
Joint Accredited Providers, tasked with delivering high-quality continuing education, are uniquely positioned to champion IPCE initiatives. By integrating interprofessional learning opportunities into their programs, these providers can equip healthcare professionals with the skills and mindset necessary for effective teamwork and patient-centered care.8 Moreover, prioritizing IPCE aligns with the evolving demands of healthcare delivery, where interconnectedness and collaboration across the healthcare continuum are paramount. Providers emphasizing IPCE can ensure that their professionals have the knowledge, attitudes, and skills to work effectively in interprofessional teams and improve patient outcomes.9
Prioritizing IPCE offers several advantages:
- Enhanced Patient Care and Outcomes: Collaborative practice facilitated by IPCE leads to improved patient outcomes and satisfaction.10-13 By breaking down silos and promoting holistic, comprehensive approaches to care, healthcare teams can address the multifaceted needs of patients more effectively, considering not only medical needs but also social, psychological, emotional and environmental factors. By involving patients in interprofessional teams where patients are active participants in decision-making and care planning, healthcare providers can gain valuable insights into patients' preferences, values and goals, leading to more personalized and effective care delivery. Studies have shown that interprofessional collaboration leads to better clinical outcomes, including reduced hospital readmissions, improved patient satisfaction, and lower healthcare costs.13
- Effective Communication and Coordination: Effective communication and coordination among healthcare teams are essential for delivering safe and efficient care.14 Interprofessional education equips providers with the skills to communicate effectively, share information seamlessly and collaborate efficiently, leading to smoother care transitions, fewer errors and better continuity of care.
- Role Clarity and Respect: Through IPCE, professionals gain a deeper understanding of each other's roles and contributions, fostering respect and appreciation for the expertise of diverse team members.11
- Leadership Development: Effective healthcare leadership requires clinical expertise and the ability to lead diverse teams toward common goals. Interprofessional education fosters leadership skills by promoting collaboration, communication and shared decision-making among healthcare professionals.2, 11, 14
- Adaptability and Innovation: In an era of rapid advancements and evolving healthcare challenges, adapting and innovating is paramount.15-17 Interprofessional education cultivates creativity and flexibility by exposing learners to diverse perspectives and encouraging interdisciplinary problem-solving.
- Optimized Resource Utilization: In today's healthcare landscape, resources are limited and maximizing their utilization is key. Interprofessional collaboration allows healthcare teams to pool their resources, expertise and perspectives, leading to more efficient use of resources and improved healthcare delivery. By working together, healthcare professionals can streamline processes, reduce redundancies and optimize resource allocation.5 Joint Accredited Providers can maximize the impact of their educational activities by integrating IPCE into their curriculum, thereby preparing learners to navigate complex healthcare systems efficiently.
Conclusion
In conclusion, while multidisciplinary, interdisciplinary, cross-disciplinary and interprofessional collaboration all involve teamwork among professionals from different disciplines, these approaches differ in the level of interaction, integration of knowledge, goal alignment and coordination. By recognizing these distinctions and promoting effective communication and collaboration, healthcare and education providers can enhance the quality of care and educational programs, ultimately benefiting patients, learners and communities.
In the dynamic landscape of healthcare, collaboration across disciplines and professional roles is not just desirable but essential for delivering high-quality, patient-centered care. For Joint Accredited Providers, integrating interprofessional continuing education into their curriculum is not only a requirement but a strategic imperative to prepare healthcare professionals for the challenges and opportunities of collaborative practice in the 21st century.6 By fostering a culture of interprofessional collaboration, these providers can drive innovation, enhance patient outcomes and lead the transformation of healthcare delivery.
Joint Accredited Providers should prioritize interprofessional education to equip healthcare teams with the skills and mindset needed to deliver safe, efficient, patient-centered care in today's complex healthcare environment.6, 8 By embracing IPCE, providers can help healthcare professionals develop the skills necessary to work together seamlessly and provide high-quality care to patients. This approach benefits healthcare professionals and meets the diverse needs of patients, but it also improves overall satisfaction with the healthcare system and patient and community healthcare outcomes.
The use of Generative AI is acceptable for Almanac publications. This article used Grammarly, a software tool that uses AI to check grammar and accidental plagiarism.
References
- Leathard, A. (1994). Multidisciplinary Teamwork: From Theory to Practice. Aldershot: Avebury. Retrieved from Modern Times Workplace.
- Yamamoto, K. Association Between Interdisciplinary Collaboration and Leadership Ability in Intensive Care Unit Nurses: A Cross-Sectional Study. Journal of Nursing Research 30(2):p e202, April 2022. https://doi.org/10.1097/jnr.0000000000000483
- Ritto, A. P., de Araujo, A. L., de Carvalho, C. R. R., De Souza, H. P., Favaretto, P. M. E. S., Saboya, V. R. B., Garcia, M. L., Kulikowski, L. D., Kallás, E. G., Pereira, A. J. R., Cobello Junior, V., Silva, K. R., Abdalla, E. R. F., Segurado, A. A. C., Sabino, E. C., Ribeiro Junior, U., Francisco, R. P. V., Miethke-Morais, A., Levin, A. S. S., Sawamura, M. V. Y., … Busatto Filho, G. (2024). Data-driven, cross-disciplinary collaboration: lessons learned at the largest academic health center in Latin America during the COVID-19 pandemic. Frontiers in public health, 12, 1369129. https://doi.org/10.3389/fpubh.2024.13691294.
- Accreditation Council for Continuing Medical Education. (2021). 2020 Joint Accreditation Leadership Summit: The transformative value of IPCE. Retrieved from https://accme.org/sites/default/files/2021-12/943_20211206_2020%202021%20ACCME%20Highlights%20Report.pdf
- Regnier, K., Chappell, K., & Travlos, D. V. (2019). The role and rise of interprofessional continuing education. Journal of Medical Regulation, 105(3), 6-13.
- Regnier, K., Travlos, D. V., Pace, D., Powell, S., & Hunt, A. (2022). Leading change together: supporting collaborative practice through joint accreditation for interprofessional continuing education. Journal of European CME, 11(1), 2146372. https://doi.org/10.1080/21614083.2022.2146372
- Reeves, S., Fletcher, S., Barr, H., Birch, I., Boet, S., Davies, N., … Kitto, S. (2016). A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Medical Teacher, 38(7), 656–668. https://doi.org/10.3109/0142159X.2016.1173663
- Joint Accreditation for Interprofessional Continuing Education. Available at: https://jointaccreditation.org/joint-accreditation/benefits-of-ipce/. Accessed June 2024.
- Schot, E., Tummers, L., & Noordegraaf, M. (2019). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332–342. https://doi.org/10.1080/13561820.2019.1636007
- Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews, 6(2), 158. https://doi.org/10.17294/2330-0698.1695
- Lutfiyya MN, Chang LF, McGrath C, Dana C, Lipsky MS (2019) The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018. PLoS ONE 14(6): e0218578. https://doi.org/10.1371/journal.pone.0218578
- Bosch, B., & Mansell, H. (2015). Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC, 148(4), 176–179. https://doi.org/10.1177/1715163515588106
- Cadet, T., Cusimano, J., McKearney, S., Honaker, J., O’Neal, C., Taheri, R., … Cohn, J. S. (2023). Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. Journal of Interprofessional Care, 38(3), 476–485. https://doi.org/10.1080/13561820.2023.2283119
- Lessons from the Field: Promising Interprofessional Collaboration Practices. 2015. White Paper, The Robert Wood Johnson Foundation, rwjf.org.
- Bedwell, W. L., Ramsay, P. S., & Salas, E. (2012). Helping fluid teams work: a research agenda for effective team adaptation in healthcare. Translational behavioral medicine, 2(4), 504-509. https://doi.org/10.1007/s13142-012-0177-9
- Driskell, T., Salas, E., and Driskell, J. E. (2018). Teams in extreme environments: alterations in team development and teamwork. Hum. Resour. Manag. Rev. 28, 434–449. https://doi.org/10.1016/j.hrmr.2017.01.002
- Salas, E., Zajac, S., & Marlow, S. L. (2018). Transforming Health Care One Team at a Time: Ten Observations and the Trail Ahead. Group & Organization Management, 43(3), 357-381. https://doi.org/10.1177/1059601118756554
Andrea Zimmerman, EdD, is senior director of accreditation and compliance at HMP Global. She is an accomplished professional with over 20 years in higher and continuing education program administration and continuous improvement initiatives. Passionate about interprofessional collaboration and innovative medical education aligned with best practices in adult learning theories and learner needs, she continually strives to elevate the standards of accredited CE and professional development. Dr. Zimmerman serves on the board of directors for the National Association of Medical Education Companies (NAMEC). You can connect with her on LinkedIn.