IIWCC-CAN 2020-2021

The International Interprofessional Wound Care Course (IIWCC) is for wound care specialists with some education and experience.

Overview

Physicians, nurses, and other health professionals in the wound care field or related industry find the IIWCC to be a comprehensive educational experience.The IIWCC-CAN is a nine-month course, offered in partnership with the University of Toronto. The goal is to translate new knowledge into practice.

The IIWCC is comprised of:

  • Two mandatory residential weekends (four days each) now online due to COVID-19
  • Fourteen self-study modules – nine modules are required to complete: five Faculty Chosen (F), four Student Chosen (S)
  • A selective that is related to course content and interpreted and presented to class members and a written report that related to each student’s day-to-day activities

Participants will:

  • Assess and critically review wound care literature in key subject areas
  • Integrate wound care principles by a self-directed learning program formulated with a Selective proposal
  • Demonstrate the application of evidence-based best practices by developing a Selective related to the learner’s everyday activities
  • Simulate clinical practice with small groups and patient problem-solving
  • Reflect on current practice and merge evidence through course modules
  • Receive kits of wound materials, enablers, and tools to support hands-on practice

Qualifications

Participants must have a health professional degree or provide proof of a minimum of five years of relevant skin and wound care experience. For individuals who do not have a degree, we require an employer’s letter.

Features

  • Certificate of completion from the University of Toronto
  • Pre-selected readings by faculty
  • Comprehensive therapeutic strategies
  • Training to be an educator
  • Small group interprofessional collaboration
  • Hands-on patient care demonstrations
  • Information on new products and services
  • Connect with international key opinion leaders
  • Networking with colleagues, old and new
  • Can be used as a credit towards the MScCH Program at UofT Graduate Studies*

*Note that entry into MScCH after completion of the IIWCC is subject to UofT admission criteria.

Topics

Faculty Chosen (F) and Student Chosen (S)

  1. Education and Health Care Systems (F)
  2. Health Care Delivery (S)
  3. Translational Research Design (S)
  4. Wound Bed Preparation (F)
  5. Inflammation and Infection (S)
  6. Leg Ulcers, Venous, Arterial, and Others (F)
  7. Diabetic Foot Ulcers (F)
  8. Pressure Ulcers (F)
  9. Maintenance/Non-Healing Wounds (S)
  10. Post-surgical Wounds (S)
  11. Burns/Trauma (S)
  12. Skin and Peri-stomal /Peri-wound (S)
  13. Lymphedema (S)
  14. Skin and Soft tissue Infections(S)

IIWCC Modules

Education and Health Care Systems

(mandatory)

  • Assess the evidence base for continuing education to improve health care provider performance and patient outcomes
  • Appraise the methodological quality of guidelines through the Agree Tool
  • Improve the educational process for Continuing Education activities
  • Challenge the class to implement educational strategies into their selective

Health Care Delivery

  • Discuss and appraise the steps to translate knowledge into action (knowledge translation)
  • Explore the steps involved in developing a clinical practice guideline, including implementation strategies for success and the common pitfalls
  • Review gaps between the evidence and clinical practice at various levels of healthcare (ranging from patient-level to policymakers/systems level)

Translational Research Design

 

  • Define critical research appraisal (CRA)
  • Explain the role of critical appraisal and what it is not. Assess the outcome for CRA
  • Describe the process to complete an appraisal
  • Inflammation and Infection

Wound Bed Preparation

 (mandatory)

  • Describe healable, non-healable & maintenance wounds as part of wound bed preparation
  • Diagnose: Superficial critical colonization & deep surrounding infection (NERDS & STONEES)
  • Document local wound assessment and treatment; Debridement, Infection/ Inflammation, Moisture balance (DIM)
  • Investigate clinical outcomes with local wound care including 5 classes of topical antimicrobial agents & case examples
  • Preview the potential use of a new bedside Theranostic test for protease levels in wounds for the Edge effect (Advanced Therapies)

Inflammation and Infection

  • Evaluate infective causes of wounds vs. infection as a complication of a chronic wound
  • Assess the role of infection & inflammation in the diagnosis & treatment of the chronic wound.
  • Diagnose the different clinical stages of bacterial damage: Superficial critical colonization and deep/ surrounding infection (NERDS & STONEES)
  • Investigate clinical outcomes with topical antibacterial dressings (e.g. silver, iodine, PHMB, honey), anti-inflammatory agents & other antibacterial agents
  • Analyze the role of prolonged inflammation in the non-healing wound and distinguish this from bacterial damage

Leg Ulcers

(mandatory)

  • Differentiate the causes of leg ulcers (vascular including arterial, inflammation, neoplastic, infections)
  • Review best practices for the team: assessment,
    diagnosis, treatment, education of persons with venous disease
  • Explore the pathophysiology associated with venous ulceration Evaluate the options for compression therapy and the Cochrane evidence
  • Identify patient-centred concerns through an approach to pain management & optimal local wound care

Diabetic Foot Ulcers

(mandatory)

  • Review the Diabetic Foot Care Best Practices
  • Evaluate the etiology and treatment of Diabetic foot disease (Vascular, Infection, Pressure)
  • Focus on screening and prevention (Simplified 60 second screen)
  • Highlight the Use of the Wound Bed Preparation Paradigm in the prevention and management of diabetic foot disease
  • Consider the use of adjunctive therapies like HBOT

Pressure Ulcers

 (mandatory)

  • Critique the pressure ulcer (PU) risk factors & assessment tools Evaluate theories of pressure ulcer etiology
  • Discuss pressure ulcer prevention strategies
  • Analyze the pressure ulcer location and clinical features
  • Design pressure ulcer prevention/treatment programs using the Wound Bed Preparation Paradigm

Maintenance/Non-Healing Wounds

 

  • Defne heal ability
  • Review the characteristic diagnosis and treatment of non-healable, maintenance vs healable wounds, malignant wounds (primary and secondary lesions vs chronic inflammation leading to malignant transformation)
  • Assess patient-centred concerns for non-healable, malignant and palliative wounds

Post-Surgical Wounds

  • Evaluate and reflect on the factors and associated mechanisms that affect post-surgical wound
  • Identify post-surgical wound challenges at various levels of the health care continuum
  • Appraise evidence-based approaches to address surgical site infections Discuss a programmatic approach to preventing and monitoring surgical site infections
  • Describe the assessment and management of an individual with a fstula

Burns/Trauma

  • Distinguish between the wound types that can be categorized as an Acute Trauma Injury
  • Identify the mechanism and physiological effects of this type of trauma
  • Measure the extent of the trauma
  • Integrate the theory of this trauma type into a workable clinical plan of care

Skin and Peri-stomal /Peri-wound

  • Compare contact irritant and allergic dermatitis and the differential diagnoses
  • Identify common skin allergens
  • Differentiate common peristomal skin injuries Classify skin tears

Lymphedema

  • Classify differentiate & treat lower limb lymphedema and related disorders changes:
    lymphedema and it’s aetiologies venous disease with venolymphedema Lipid-edema (lipedema)
  • Explore patient-centred concerns and approaches to treatment including prevention and amputations atypical/ life-threatening

.

Skin and Soft tissue Infections

  • Assess the relevance of skin and soft tissue infections to chronic wound care
  • Reflect on the different spectra of illness in high and low-income countries
  • Develop an approach to the management of necrotizing soft-tissue infections

IIWCC-CAN 2020-2021 FACULTY

Dr. Elizabeth Ayello

Dr. Elizabeth Ayello

Elizabeth A. Ayello, PhD, MS, BSN, ETN, RN, CWON, MAPWCA, FAAN, is a board-certified wound and ostomy nurse from New York, New York USA. A fellow in the American Academy of Nursing (FAAN) she is an internationally known prolific author, editor, researcher, clinician,...

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Dr. Kim LeBlanc

Dr. Kim LeBlanc

Kimberly LeBlanc is the Academic Chair of the Association for Nurses Specialized in Wound Ostomy and Continence Care’s (NSWOCC) and Certified Wound Ostomy Continence (WOCC (C)) advanced practice nurse working with KDS Professional Consulting. Kimberly obtained her PhD...

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Dr. Ranjani Somayaji

Dr. Ranjani Somayaji

Dr. Ranjani Somayaji completed medical training followed by residency training in internal medicine and fellowship training in infectious disease through the University of Calgary. Dr. Somayaji completed a Master’s in Public Health through Johns Hopkins University...

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Dr. Linda Norton

Dr. Linda Norton

Dr. Linda Norton, M.Sc.CH, PhD, OT Reg.(ONT), is an Occupational Therapist who is passionate about the provision of appropriate seating and mobility equipment. She developed her seating and mobility expertise running a seating clinic for clients with complex needs for...

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Laurie Goodman

Laurie Goodman

Laurie Goodman is the IIWCC Course Co-Director. She completed her Masters of Health Science in Nursing degree with a focus on education and interprofessional teaching. Leading and educating interprofessional teams and patients at Credit Valley Hospital (for 21 years)...

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Laura Lee

Laura Lee

Laura Lee is a chiropodist working in private practice in Mississauga ON. She has over 25 years experience working across all health care sectors: community, hospital, and long term care. She is part of two different teams with Trillium Health Partners...

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Sunita Coelho

Sunita Coelho

Sunita Coelho is a wound care nurse with over 25 years of experience in wound care. She was the charge nurse for the Wound Care Clinic at Women’s College Hospital from its inception in 1995 until 2018. During her time at Women’s College Hospital she was a preceptor to...

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