interprofessional education 101 - u of u school of medicine | … · 2020. 6. 15. ·...
TRANSCRIPT
Interprofessional Education 101:
An Introduction to IPE at the
University of Utah Health
Sciences Center
Donald Blumenthal PhD
Sue Chase-Canterini, DNP, RN
Amanda Moloney-Johns, MPAS, PA-C
Rebecca Wilson, PhD, RN
September 21st, 2015
Academy of Health Sciences Education Symposium
Objectives
• Discuss the history of IPE at the
University of Utah
• Name the IPE Core Competencies
• Describe current IPE courses and
activities on campus
• Identify ways in which audience members
can become involved in IPE
Interprofessional Education
“Interprofessional education occurs when students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes.
Once students understand how to work interprofessionally, they are ready to enter the workplace as a member of the collaborative practice team. This is a key step in moving health systems from fragmentation to a position of strength.” Source: World Health Organization (WHO). (2010). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization.
See http://whqlibdoc.who.int/hq/2010/WHO_HRH_HPN_10.3_eng.pdf.
History of IPE: University of Utah
• 2002: Cultural Competency and Mutual
Respect
• 2005: IPE Committee Formed
• 2006: Clinical Teaching Experience (CTE)
• 2009: IPE Committee Restructure
• 2010-2011: Two IPE retreats held
History of IPE: University of Utah
2011/2012:
•University of Utah Health Sciences IPE
Initiative announced by Dr. Vivian Lee
•IPE Website created http://library.med.utah.edu/ipe
•IPE Pilot Simulations held
•IPE Core Committee formed
History of IPE: University of Utah
2012/2013:
• Simulation-based IPE experience offered every
semester and implemented across the health
sciences
• 891 health professional students participated in
both outpatient and inpatient scenarios
• More than 50 faculty facilitators from all programs
across the health sciences
• Evaluated using Readiness for Interprofessional
Learning Scale (RIPLS)
Current Players: Students and Faculty
• College of Health (OT, PT, Speech, Audiology,
Nutrition)
• College of Nursing (undergraduate and graduate)
• College of Pharmacy
• College of Social Work
• School of Dentistry
• School of Medicine (including Physician Assistant
Program)
IPE on a National Level
Interprofessional Education Collaborative (IPEC)
• Formed to promote advancement of interprofessional education experiences to better prepare students in the health professions for team based care and ultimately, better patient outcomes
• Founding Members: – American Association of Colleges of Nursing
– American Association of Colleges of Osteopathic Medicine
– American Association of Colleges of Pharmacy
– Association of American Medical Colleges
– Association of Schools and Programs of Public Health
– American Dental Education Association
IPEC Contributions
In 2011 an expert panel created core
competencies for interprofessional
collaborative practice
Interprofessional Education Collaborative Expert Panel. (2011). Core
competencies for interprofessional collaborative practice: Report of an
expert panel. Washington, D.C.: Interprofessional Education
Collaborative.
What are the 4 IPEC Core Interprofessional Competency Domains?
A. Professionalism
B. Leadership
C. Shared Values/Ethics
D. Roles and
Responsibilities
E. Communication
F. Teamwork/Team Based
Care
G. Collaboration
H. Patient-Centered Care
There are 6 courses… Can you list them?
A. Care of the Ambulatory Patient: Diabetes
B. Emergency Preparedness and Disaster Response
C. Interprofessional Telemedicine
D. Care of the Ambulatory Patient: Stroke
E. Care of the Discharged Patient: Knee Replacement
F. Disclosure of Medical Error
Common Topics that Cross all
Health Profession's Curricula
Care Planning Advocacy Health Promotion
Patient Teaching Health Literacy Safety Quality
Chronic Disease Management Culture/Diversity
Communication Conflict Emergency Preparedness
Patient Centered Care Social Determinants
Home Safety Healthcare Access
Medication Adherence Systems Issues
Comparison of IPE Course Scenarios: Settings & Challenges
Scenario Setting/Acuity Challenge
Care of Ambulatory
Patient: Diabetes
Clinical Suites
Chronic Disease Management
Develop plan of care for patient
establishing care at a team
based clinic
Care of Ambulatory
Patient: Stroke
Clinical Suites
Chronic Disease Management
Develop and revise plan of care
presented to caregiver
Emergency Preparedness/
Disaster Response
LDS Hospital
Earthquake & Flu Epidemic
Develop plan to address patient
needs during stressful events
Inpatient Care –
Transitions of Care: TKA
Acute Care Develop discharge plan to elderly
patient unsafe to live alone
Disclosure of Medical Error Acute Care
Develop plan to disclose error to
parent of child in ICU
Interprofessional
Telemedicine
Tele-video Conferencing
(Distance Sites)
Rural provider develop a plan of
care for patient with consultants
at a distance
WHAT HAPPENS?
• Pre-work activities
– Articles, videos, web links, scenario expectations, pre-survey
• Team huddle: Meet students from other professions and faculty facilitators
– Review of pre-work
– Review chart and establish roles
– Develop team plan of care
• Team participates in scenario (mix of 6-8 students)
• Debriefing session – shared perspectives (including patient and family
member)
• Clinical case key
• Closing remarks (Reminder: Individualized learning plan, post-survey)
Overall Numbers
• In 2013, 1295 student participants – 232 faculty
facilitated small groups
• To date - 100 trained faculty facilitators
– Facilitator training
General Trends of Survey Data
“After the simulation, I feel much more comfortable in speaking to
the healthcare team and I have a better understanding of who to
speak with depending on what my concern is at the time”
“…seeing all of them work together allowed me to have a better
understanding of the roles of each profession. I was most impressed
with the role of the physician because of his leadership abilities
and the genuine care he had for patient’s well-being.
Shared Learning Activities- Beyond Simulation
• Credit Based Course:
– Health Law for Non-Lawyers
• Examples of Shared Clinical Sites:
– Sara Daft Home
– UUHC Sugarhouse Geriatric Clinic
– Maliheh Free Clinic
– Midvale Community Clinic
Future of IPE
• “If the 20th century was about
thinking the world apart
because we have such amazing
machines with which to make
everything smaller and more
microscopic, then I think the 21st
century must be about thinking
it back together again” (M. Gaines,
2013, p.88)
A Conceptual Framework for Measuring
the Impact of IPE
Committee on Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient
Outcomes; Board on Global Health; Institute of Medicine (2015) p. 27
Research
• Study the association between IPE and
collaborative behavior across a range of
settings
• Adopt mixed-methods research approach
for evaluating impact on health and
systems outcomes (including economics)
EVOLUTION:
THE NEXT 5 YEARS…
University of Utah
Let’s Imagine
• Groups of 2-3
– What is your vision for
Interprofessional
Education at the
University of Utah?
– What is your role in
that vision?
Strategic Plan
• Design and implement an integrated curriculum for health science students that spans the continuum from the introduction through to the application of interprofessional collaborative practice skills.
• Provide continuing interprofessional education to improve faculty and clinician skills across the health care continuum.
• Serve as a research/scholarship clearinghouse and provide research support for faculty interested in the studying the impact of interprofessional education and collaborative practice on health outcomes.
• Ensure sustainability of the program.
Program Governance Health
Science Deans
Curriculum Subcommittee
Faculty Development Subcommittee
Scholarship and Research Subcommittee
Director of IPE
IPE Advisory Committee
Are you currently involved in any interprofessional education activities?
A. True
B. False
Are you currently involved in any of these IPE activities?
A. IPE Facilitator
B. IPE Committees
C. Preceptor at an IP clinic
D. Other
Are you interested in being involved in any of these IPE activities? A. IPE committees
B. IPE Simulation facilitation
C. IPE Simulation development
D. Precepting at IP clinics
E. IPE Telehealth/ECHO
F. IPE Precepting at your clinic site
G. Advisor to IP student group
H. IPE research
I. Screening, Brief Intervention, and Referral to Treatment (SBIRT) IPE training
WHO TO CONTACT
Troy Anderson (Social Work)
Don Blumenthal (Pharmacy)
John Colombo (Dentistry)
Sara Lamb (Medicine)
Amanda Moloney-Johns (PA)
Karen Paisley (Health)
Rebecca Wilson (Nursing)
QUESTIONS??
THANK YOU