{"id":71235,"date":"2021-12-13T08:12:50","date_gmt":"2021-12-13T00:12:50","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/taps\/?post_type=issues&#038;p=71235"},"modified":"2022-04-05T11:02:41","modified_gmt":"2022-04-05T03:02:41","slug":"lotte-transdisciplinary-medical-education-promotes-interprofessional-collaboration-and-independent-learning-in-medical-undergraduates","status":"publish","type":"issues","link":"https:\/\/medicine.nus.edu.sg\/taps\/issues\/lotte-transdisciplinary-medical-education-promotes-interprofessional-collaboration-and-independent-learning-in-medical-undergraduates\/","title":{"rendered":"LOTTE Transdisciplinary medical education promotes interprofessional collaboration and independent learning in medical undergraduates"},"content":{"rendered":"<p>Submitted: 2<span lang=\"EN-GB\"> June 2021<\/span><br \/>\r\nAccepted: 21 June 2021<br \/>\r\nPublished online: <span lang=\"EN-GB\">4 January, TAPS 2022, <\/span><span lang=\"EN-GB\">7(1), 115-116<\/span><br \/>\r\n<a href=\"https:\/\/doi.org\/10.29060\/TAPS.2022-7-1\/LE2546\">https:\/\/doi.org\/10.29060\/TAPS.2022-7-1\/LE2546<\/a><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Clement Luck Khng Chia<sup>1<\/sup>, Shaun Wen Yang Chan<sup>1<\/sup>, Priscilla Ng<sup>2<\/sup> &amp; Chee Chew Yip<sup>3<\/sup><\/span><span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify\"><i><sup><span lang=\"EN-GB\">1<\/span><\/sup><\/i><i><span lang=\"EN-GB\">Department of General Surgery, Khoo Teck Puat Hospital, Singapore; <sup>2<\/sup>Department of Geriatrics, Khoo Teck Puat Hospital, Singapore; <sup>3<\/sup>Department of Ophthalmology, Khoo Teck Puat Hospital, Singapore<\/span><\/i><\/p>\r\n<p><span lang=\"EN-GB\">Dear Editor,<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Khoo Teck Puat Hospital held its first LOTTE (Learning Oriented Teaching in Transdisciplinary Education) elective program for Yong Loo Lin School of Medicine students in April 2021. The four-week program focuses on undergraduate medical education in an inter-professional collaborative setting through observation and presentation of complex clinical cases. Its teaching-learning activities are underpinned by the Learning Oriented Teaching (LOT) theory <\/span>(ten Cate et al., 2004) <span lang=\"EN-GB\">to improve learning at the cognitive, affective and metacognitive levels with shared guidance between students and faculty.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">At the cognitive level, students were encouraged to take ownership of learning, do literature review and present cases. Faculty critiqued and helped students to refine learning objectives and identify pertinent clinical aspects for elaboration and learning.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">At the affective level, students were motivated to present cases on Zoom videoconferencing to classmates as they learned through active doing and attained peer recognition of their good effort. The teacher highlighted the importance of peer learning through discussing authentic, complex cases that required transdisciplinary holistic patient care. <\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">At an interactive self and peer learning level, students used tools such as the Kahoot! game-based app for peer teaching to optimise learning and increase participation.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">With a greying population, there is a need for transdisciplinary education to improve patient outcomes in the geriatric population <\/span>(Chia et al., 2016). <span lang=\"EN-GB\">LOTTE provided an introduction to transdisciplinary education and highlighted importance of integrating competencies from various disciplines in preparation for future practice.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">The first run of LOTTE consisted of seven transdisciplinary themes. An example of a transdisciplinary theme would be \u201cPalliative Surgery\u201d offered by both a palliative physician and an oncology surgeon. LOTTE differed from traditional \u201csingle discipline\u201d electives as it emphasised inter-professional collaboration and collective learning involving the surgeon, physician and students. Students divided their time equally in both subspecialties, attending ward rounds, clinics, operating theatres and home visits. They encapsulated their learnings by presenting real-life complex cases via Zoom in the last week to their peers and faculty. Learning opportunities in two subspecialties were maximised with the student following through the patient journey from \u2018Start to Finish\u2019 <\/span>(Chia et al., 2016).<span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Medical graduates face an increasingly complex healthcare landscape where management of co-morbidities may be beyond one\u2019s expertise. LOTTE may be helpful to promote transdisciplinary collaboration for holistic management of complex geriatric patients and nurture the development of independent learning in medical undergraduates.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Notes on Contributors<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Dr Clement Chia conceptualised and designed LOTTE framework, was a faculty in LOTTE and wrote the manuscript and approved the final version.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Dr Shaun Chan conceptualised and designed LOTTE framework, helped coordinate students, was a faculty in LOTTE and revised and approved the manuscript.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Dr Priscilla Ng conceptualised and designed LOTTE framework, was a faculty in LOTTE, revised and approved the manuscript.<\/span><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">A\/Prof Yip Chee Chew conceptualised and designed LOTTE, revised and approved the manuscript.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Acknowledgement<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">We would like to thank all the transdisciplinary educators who made this inaugural run of LOTTE possible. They include A\/Prof Tan Kok Yang, A\/Prof Toh Hong Chuen, A\/Prof Tavintharan Subramaniam, Dr Desmond Ooi, Dr Tan Mingyuan, Dr Tan Bo Chuan, Dr Ruth Chua, Dr Benjamin Lam, Dr Visnja Baksa Reynolds and Dr Gabriel Cher.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Funding<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">There is no funding for this study.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Declaration of Interest<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify\"><span lang=\"EN-GB\">Authors declare no conflict of interest.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">References<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify\">ten Cate, O., Snell, L., Mann, K., &amp; Vermunt, J. (2004). Orienting teaching toward the learning process.<span>\u00a0<\/span><i>Academic Medicine<\/i>,<span>\u00a0<\/span><i>79<\/i>(3), 219-228. <a href=\"https:\/\/doi.org\/10.1097\/00001888-200403000-00005\">https:\/\/doi.org\/10.1097\/00001888-200403000-00005<\/a><\/p>\r\n<p style=\"text-align: justify\">Chia, C. L. K., Mantoo, S. K., &amp; Tan, K. Y. (2016). \u2018Start to finish trans-institutional transdisciplinary care\u2019: A novel approach improves colorectal surgical results in frail elderly patients.<span>\u00a0<\/span><i>Colorectal Disease<\/i>,<span>\u00a0<\/span><i>18<\/i>(1), O43\u2013O50. <a href=\"https:\/\/doi.org\/10.1111\/codi.13166\">https:\/\/doi.org\/10.1111\/codi.13166<\/a><\/p>\r\n<p><span lang=\"EN-NZ\"><span lang=\"EN-AU\">*<span lang=\"EN-GB\">Clement Chia<\/span><br \/>\r\n<span lang=\"EN-US\"><span lang=\"EN-GB\">Khoo Teck Puat Hospital<\/span>,<\/span><br \/>\r\n<\/span><span lang=\"EN-AU\"><span lang=\"EN-GB\">90 Yishun Central,<\/span><br \/>\r\n<\/span><\/span><span lang=\"EN-NZ\"><span lang=\"EN-AU\">Singapore 768828<br \/>\r\n<span lang=\"EN-GB\">Department of General Surgery<\/span><br \/>\r\n<\/span><span lang=\"EN-AU\"><span lang=\"EN-GB\">Tel: +6566022207<\/span><br \/>\r\n<span lang=\"EN-GB\">Email: chia.clement.lk@ktph.com.sg<\/span><\/span><\/span><\/p>","protected":false},"featured_media":0,"parent":0,"menu_order":16,"template":"","issues_category":[19],"archive_category":[],"issue_type":[25],"volume_category":[61870],"class_list":["post-71235","issues","type-issues","status-publish","hentry","issues_category-letter-to-editor","issue_type-past-issue","volume_category-volume-7-number-1-january-2022"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>LOTTE Transdisciplinary medical education promotes interprofessional collaboration and independent learning in medical undergraduates - The Asia Pacific Scholar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/lotte-transdisciplinary-medical-education-promotes-interprofessional-collaboration-and-independent-learning-in-medical-undergraduates\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LOTTE Transdisciplinary medical education promotes interprofessional collaboration and independent learning in medical undergraduates - The Asia Pacific Scholar\" \/>\n<meta property=\"og:description\" content=\"Submitted: 2 June 2021 Accepted: 21 June 2021 Published online: 4 January, TAPS 2022, 7(1), 115-116 https:\/\/doi.org\/10.29060\/TAPS.2022-7-1\/LE2546 Clement Luck Khng Chia1, Shaun Wen Yang Chan1, Priscilla Ng2 &amp; 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