Transformative Education
for Health Professionals

Error message

Deprecated function: The each() function is deprecated. This message will be suppressed on further calls in _menu_load_objects() (Zeile 579 von /var/www/vhosts/

Utilizing the Jefferson Teamwork Observation Guide (JTOG) during interprofessional clinical rounding, a collaborative practice experience

Elizabeth Speakman, EdD, RN, ANEF, FNAP Kevin Lyons, PhD Carolyn Giordano, PhD Kathryn Shaffer, EdD, RN, CNE Shoshana Sicks, MEd

The purpose of this activity is two-fold:  to implement an interprofessional clinical rounding experience as a collaborative practice initiative and to use the ‘home-grown’ Jefferson Teamwork Observation Guide (JTOG) as an evaluation tool, helping students recognize the characteristics of effective teamwork. The activity also offers an opportunity to expose students to virtual/telehealth components of healthcare, demonstrating a growing aspect of collaborative practice.

Full project description: 

The purpose of this IPE initiative is to provide a “real-time,” collaborative practice learning experience for health professions students. In this activity, medical and nursing students meet prior to rounds to review each patient’s plan of care, study results, anticipated discharge dates, and interprofessional plans for discharge. Initially, because of scheduling conflicts, only medical and nursing students were involved in the experience. In order to allow more professions to participate, an innovative approach was used. Pharmacy and physical therapy students are now included using remote virtual access.  The medical and nursing students use Google Docs during the pre-round review and then send that assessment to the pharmacy and physical therapy students who are located remotely.  The team then rounds both live and virtually using Google Hangout+, collaborating on their patient presentations and coming to understand how individual plans of care are influenced by collaborative practice.   


Healthcare is increasingly focusing on team approaches to care, making educating students to be effective members of teams a growing priority.  Students need to understand the principles of teamwork before they can practice the skills.  The pilot of this activity used a teaching tool that captured students’ assessment of team functioning. The Jefferson Teamwork Observation Guide (JTOG) is designed to assist observers in assessing the extent to which a group of health professionals are behaving as an interprofessional team.  The items, which are taken from the literature on team building, are defined as observable characteristics of effective team functioning.  Each of them also reflects the collaborative practice competencies identified by the Interprofessional Education Collaborative Expert Panel (IPECEP) (2011).  The JTOG not only enabled students to understand components of good team work, but also to assess their own collaborative behavior at the same time.

This case study relates to:

Case study addresses: