The geriatric interdisciplinary team approach: Challenges and opportunities in educating trainees together from a variety of disciplines

The special health needs of older persons and the organization of managed care systems necessitate interdisciplinary team health care. However there is a paucity of training or familiarity with team care among most health care professionals. This article describes one nationwide initiative, funded by the John A. Hartford Foundation, in which eight sites trained health care workers from different disciplines to participate as interdisciplinary geriatric health care team members. Although the goal of the initiative was to develop trained interdisciplinary team participants, a major concern of the programs was the initial overcoming of challenges to training professionals from different disciplines together. Both benefits and challenges are identified and several training modalities and techniques to meet the challenges are discussed. These include case studies, standardized patients, cross-discipline role-playing, glossaries, and use of the DISC Personality Profile. The benefits of each of these modalities are examined, and potential pitfalls and perils to be avoided are emphasized.