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Professionals Team up for Better Healthcare

The well-known saying, "The whole is greater than the sum of its parts" is the perfect maxim for a program being offered at UMDNJ-School of Osteopathic Medicine (SOM). The Interdisciplinary Healthcare (IDHC) program teaches medical professionals to work in teams in order to provide more effective and comprehensive care. Social workers, pharmacists, mental and allied health professionals, dentists, nursing and medical students and even lawyers, who work with teams of doctors, are signing up. The two-week course combines classroom instruction and fieldwork.

Marvin Herring, MD, one of the course facilitators and a professor of family medicine at SOM, says a strategy used by physicians to provide healthcare to migrant farm workers in Southern New Jersey in the 1980s served as a clinical model for the course. Small groups of doctors, social workers, students and interpreters held "office hours" two evenings a week, from 5:30 to 8:30 p.m., in a medically equipped bus they took to farms in Burlington and Camden counties. They performed physicals, provided limited, non-invasive treatments and discussed preventive care and personal hygiene. Other professionals, like dentists, mental health clinicians and dieticians, joined the team as the need arose.

Team medicine, although proven effective and comprehensive, does have its own set of problems. There is sometimes the perception, for example, that one person -- usually the physician -- is the team leader, when in fact, it is a group effort. Finding a mutually agreeable time for everyone to meet can be another difficulty. So can a person who doesn't respect the opinions of the others. Possible solutions to these and other problems are another segment of the course.

The program is financed by a grant from the U.S. Department of Health and Human Services. SOM officials say they would like the program to be incorporated into the school's curriculum and for it to serve as a model for other medical schools.


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