CONGRESS ABSTRACT

Background In complex cardiology settings, patient care pathways involve multiple clinical environments and professional teams. This organization requires continuity of care, effective multiprofessional collaboration and the ability to maintain a global view of the patient across settings. Models that promote shared competencies and cross-setting experience can support coordinated care delivery and enhance both clinical practice and organizational functioning. Aim To describe a structured job rotation model designed to support longitudinal patient care, strengthen multiprofessional collaboration and contribute to organizational sustainability in complex cardiology settings. Methods A structured job rotation programme was implemented involving trained healthcare professionals rotating across intensive cardiac care units, haemodynamics and electrophysiology. The model is based on defined training pathways, setting specific competency objectives and progressive operational autonomy. The experience was evaluated from an organizational and professional perspective, focusing on continuity of care, integration between settings, team collaboration and impact on daily clinical activities. Results Job rotation promoted the development of a longitudinal understanding of the patient care pathway, enabling professionals to recognize clinical and care needs across different phases of treatment. Direct experience in multiple settings enhanced communication and collaboration within the multiprofessional team. Within individual care environments, the presence of professionals with transversal competencies represented an added value, supporting the management of high complexity activities, continuity of care and more flexible use of professional resources. This approach also contributed to workforce sustainability through adaptive allocation of skilled personnel across settings. Conclusions Structured job rotation represents a proactive organizational strategy in cardiology, capable of integrating quality of care, professional development and service sustainability. By promoting a global view of the patient and strengthening multiprofessional collaboration, this model supports the functioning of complex cardiology services and may be transferable to similar clinical contexts.