BACKGROUND: National study commissions and professional associations, including the AARC, have suggested that allied health practitioners become multicompetent with their skills not limited to a single allied health profes-sion. Hospital restructuring and elimination of central respiratory care (RC) departments have added to the pressure for multiskilled practitioners. I sought to determine the extent of multiskilling education (MSE) in the CAAHEP-approved RC programs. METHOD: Sixteen-item questionnaires were mailed to program directors at 377 institutions. Directors were asked to report on the amount of instruction in 10 skill areas: noninvasive and invasive cardi-ology, sleep disorders studies, neurodiagnostics, ECMO, bronchoscopy assist-ing, intravenous infusion, simple radiographic and medical laboratory pro-cedures, and basic patient care skills. Directors were to identify the settings for instruction, type of faculty, and type of students. Directors were asked to speculate on MSE expansion during the next 12 months. RESULTS: 216 institutions (58%) representing 245 educational programs (representing 51% of accredited programs) responded. Commitment to MSE ranged from a high of 86% of programs offering some instruction in bronchoscopy assisting to a low of 7% of programs offering some instruction in performing radiographic procedures. Other MSE skills were instruction in sleep disorders studies (77%), invasive cardiology (71%), noninvasive cardiology (65%), basic patient care skills (40%), ECMO (37%), simple laboratory procedures (30%), infusion therapy (17%), and neurodiagnostics (13%). Differences (p < 0.05) between technician and therapist programs were significant. Directors in 51% of the programs indicated that within the next 12 months they intend to offer more MSE, with 36% at basic level skills only, 21% at advanced level skills only, and 43% at both levels. CONCLUSION: Although MSE has broad support in the literature, impact on the current curricula of approved RC programs is minor, with only a small portion of that instruction using the full range of instructional settings and faculty. Almost all MSE is directed toward those in or entering RC. About half of the directors reported plans to offer more MSE in the next year.
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References
1.
American Association for Respiratory Care. The respiratory care practitioner as a multiskilled health care provider: A position paper prepared for the national conference on multiskilling and the allied health work force. Dallas: AARC; 1994.
2.
American Association for Respiratory Care. A summary report prepared by the educational consensus conference steering committee. Year 2001: delineating the education direction for the future respiratory care practitioner. Dallas: AARC; 1992.
3.
American Association for Respiratory Care. Year 2001: an action agenda. Dallas: AARC; 1993.
4.
Pew Health Professions Commission. Health professions education for the future: Schools in service to the nation. San Francisco: Pew Health Professions Commission; 1993.
5.
Pew Health Professions Commission. Critical challenges: Restructuring the health professions for the twenty-first century. San Francisco: UCSF Center for the Health Professions; 1995.
6.
BambergR, BlayneyKD, VaughanDG, WilsonBR. Multiskilled health practitioner education: a national perspective. Birmingham: National Multiskilled Health Practitioner Clearinghouse; 1989.
7.
BambergR, BlayneyKD. The history and current status of multi-skilled health practitioners. In BlayneyKD, editor. Healing hands: Customizing your health team for institutional survival. Battle Creek MI: WA Kellogg Foundation; 1992.
8.
AndersenA, American Association for Respiratory Care. The scope of respiratory care practice. Dallas: AARC; 1992.
9.
HarrisJF. Will we take the high road? The respiratory care profession's approach to the future (editorial). Respir Care1997;42(7):685–687.
10.
DubbsWH, WeberK.AARC survey measures effects of restructuring on respiratory care nationwide. AARC Times1996;20(Mar):29–40 passim.
11.
BlayneyKD. The future of the multiskilled health practitioner movement. In BlayneyKD, editor. Healing hands: customizing your health team for institutional survival. Battle Creek MI: WK Kellogg Foundation; 1992.
12.
BunchD.NCAHprovides direction for allied health professions Part 3: Improving educational preparation. AARC Times1996;20(Mar):18–20.
13.
DrumhellerOJ. Review of the literature for cross-training and job redesign for respiratory care personnel in Florida acute care hospitals. Respir Care Educ Ann1996;5:31–55.
14.
KesterL, StollerJK. Respiratory care in the adult non-ICU setting. Respir Care1997;42(1):101–111.
15.
MinkleyPL. Integrating sleep medicine and technology in respiratory care education. AARC Times1997;21(May):74–77.
16.
MishoeSC, MacIntyreNR. Expanding professional roles for respiratory care practitioners. Respir Care1997;42(1):71–86.
17.
StriplinT, RocksW.Redesigning and implementing a multicompetency curriculum design. AARC Times1997;21(Feb):28–30.
18.
HessDR. The role of the respiratory therapist in the intensive care unit. Respir Care1997;42(1):116–124.
19.
BransonRD, MeredithR.Role of the respiratory care practitioner in the emergency department. Respir Care1997;42(1):141–145.
20.
ShrakeKL. Role of the respiratory care practitioner in the diagnosis of cardiopulmonary disease. Respir Care1997;42(1):148–156.
21.
SheldonRL. RCP's can play an important role as physician extenders in pulmonary outpatient clinics. AARC Times1996;20(Nov):52–56.
22.
CampbellJ.Respiratory care services department expands its scope of services. AARC Times1993;17(Jul):66–67.
Joint Review Committee for Respiratory Therapy Education. Essentials for educational programs for the preparation of respiratory therapists and technicians. Euless TX: JRCRTE; 1982.
