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IPE/P Workshop:
IPE/P Core Competency
Domains, Resources and
National Conferences
David Farmer, PhD, LPC, LMFT
Director Department of Interprofessional Education & Practice Assistant Professor Medical Education
1-2-4 All IPE/P Discussion
• Question 1 What could you do to make sure you fail
at interprofessional education and practice?
Structure
• Reflect Alone (1 minute)
• on note card list as many ways can think of
• Discuss as:
• Pairs (2 minutes)
• Table (4 minutes)
• On large post it sheet list team’s ideas
• Whole Group Report Out (5 minutes)
• Question 2 Is there anything on this list that you are
currently doing?
Structure
• Reflect Alone (1 minute)
• on note card list as many ways can think of
• Discuss as:
• Pairs (2 minutes)
• Table (4 minutes)
• On large post it sheet list team’s ideas
• Whole Group Report Out (5 minutes)
1-2-4 All IPE/P Discussion
• Question 3 What are 1 to 2 things I can do
immediately to stop counterproductive behaviors?
Structure
• Reflect Alone (1 minute)
• on note card list as many ways can think of
• Discuss as:
• Pairs (2 minutes)
• Table (4 minutes)
• On large post it sheet list team’s ideas
• Whole Group Report Out (5 minutes)
1-2-4 All IPE/P Discussion
1-2-4 All IPE/P Discussion Debrief
• What did you learn about how you are contributing to
negative behaviors?
• What new ideas did you have and or hear to start
changing?
Objectives
1. Frame the IPEC Core IPE Competency Domains as a tool to help
structure development of your institution’s IPE curriculum.
2. Discuss additional resources available to support development of an
institution’s IPE curriculum.
3. Identify key IPE/P conferences and institutes to aid in sharing of IPE/P
innovations.
Collaborative Practice Competencies
• Interprofessional Education is an avenue through which we can help our students develop and practice collaborative practice competencies.
• Competency:
An observable ability of a health professional, integrating multiple components such as knowledge, skills, values, and attitudes.
• Competency acquisition is developmental and should be reinforced across all levels of training and across cognitive, affective and psychomotor domains.
• Can be measured and assessed to ensure acquisition.
Core Entrustable Professional Activities for Entering Residency. Curriculum Developers’ Guide. 2014. Association of American Medical Colleges.
•
• Values/Ethics for Interprofessional Practice
• Roles/Responsibilities
• Interprofessional Communication
• Teams and Teamwork
• Leave room for identification of the specific attitudes, knowledge and skills seen as necessary for successful competency development in each of the four domains.
• Allow for standardization across programs and for the unique needs and opportunities within specific programs.
The IPEC Core IPE Competency Domains
Provide a Framework for Collaboration Across the Health Professions
https://ipecollaborative.org/Resources.html
IPEC Interprofessional Communication
Competency Domain
Identifying the specific
attitudes, knowledge
and skills necessary for
successful competency
development
https://ipecollaborative.org/Resources.html
Knowledge of:
• Effective communication tools and
strategies
• Effective use of technologies for
communication
• How to give and receive feedback
• How to deal with conflict
Attitudes:
• Value and Respect for self, team
members and patients/families
• Openness to ideas and opinions of
others
• Mindfulness of self and others
Psychomotor Skills, ability to
demonstrate:
• Active listening
• Giving and receiving feedback
• Identifying and resolving team conflict
• Assessment of health literacy
Identifying the specific knowledge, attitudes and skills necessary for successful competency development.
Beginning to Define Curriculum:
Interprofessional Communication
Accreditation Requirements as a Resource
New Accreditation Requirement for IPE for both
Osteopathic and allopathic Medical Students
Osteopathic Medicine
Standard Six: Curriculum General Requirements
6.4 The COM must help to prepare students
to function on health care teams that include
professionals from other disciplines.
Should include practitioners and/or students from other health
professions and encompass the principles of collaborative practice.
COCA Accreditation Guidelines for IPE
• 1. Work with individuals of other professions in a climate of mutual
respect.
• 2. Apply knowledge of the osteopathic physicians’ and other
professionals’ training, knowledge, skills and competencies to address
the health care needs of the patients and populations served.
• 3. Communicate with patients, families, communities, and other
professionals in a manner that supports the team approach to the care of
the patient, the maintenance of health and treatment of disease.
• 4. Apply principles of team dynamics to plan and deliver
patient/population centered care that is safe, timely, efficient and effective.
Profession Core Competencies As a Resource
AOA Seven Core Competencies of the Osteopathic Profession • 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
• 2: Medical Knowledge
• 3: Patient Care
• 4: Interpersonal and Communication Skills
• 5: Professionalism
• 6: Practice-Based Learning and Improvement
• 7: Systems-Based Practice
AOA Core Competency 3: Patient CARE
Point 4. Work effectively with other health professional as a member or leader of a health care
team.
f. Communicate verbally & in writing with other members of the interprofessional
collaborative team, including those from other health professions, in order to
provide effective and comprehensive patient-centered care.
g. Facilitate collaboration so that other team members provide appropriate
information to the interprofessional team.
h. Assess team performance and implement strategies for improvement.
i. Recognize and respect the unique cultures, roles, training, and expertise of
other health care professionals.
Osteopathic Core Competencies for Medical Students. 2012. American Association of Colleges of Osteopathic Medicine.
Entrustable Professional Activities (EPA) As A Resource
• Tasks or responsibilities of the practice of medicine that trainees are entrusted to perform unsupervised once they have attained sufficient specific competence.
• The 13 EPAs are those activities that all entering residents should be expected to perform on day 1 of residency without direct supervision, regardless of specialty.
Core Entrustable Professional Activities for Entering Residency. Curriculum Developers’ Guide. 2014. Association of American Medical Colleges.
Entrustable Professional Activities (EPA)
Core Entrustable Professional Activities for Entering Residency. Curriculum Developers’ Guide. 2014. Association of American Medical Colleges.
EPA 9: Collaborate as a member of an Interprofessional Team
Core Entrustable Professional Activities for Entering Residency. Curriculum Developers’ Guide. 2014. Association of American Medical Colleges.
Milestones in Residency As A Resource
The Family Medicine Milestone Project. The Accreditation Council for graduate Medical Education and American Board of Family Medicine, July 2015.
The Family Medicine Milestone Project. The Accreditation Council for graduate Medical Education and American Board of Family Medicine, July 2015.
TeamSTEPPS: A Resource for Teamwork Skills Development
• An evidence based teamwork development system to improve communication and teamwork among health care professionals. Agency for Healthcare Research and Quality and the Department of Defense.
• Specific TeamSTEPPS Tools and Strategies Include:
• Leadership • Effective Leadership Characteristics and Tasks
• Shared Mental Model
• Task Assignment
• Briefs, Huddles, and Debriefs
• Situation Monitoring • Situational Awareness
• Cross Monitoring
• Mutual Support • Task Assistance
• Feedback
• Communication • Closed Loop Communication
• SBAR
• CUS and the Two Challenge Rule
http://teamstepps.ahrq.gov/
TeamSTEPPS Training
TeamSTEPPS
Team Tower Simulation
Training
IHI Open School: AN IPE/P Resource
http://app.ihi.org/lms/onlinelearning.aspx
Institute of Healthcare Improvement
University of British Columbia IPC On the Run Open
Access Online Modules: An IPE Resource
www.ipcontherun.ca
Interprofessional Communication Patient-Centered Care Role Clarification Team Functioning Conflict management Collaborative Leadership
SEC Collaborative for IPE Open Access Online
Modules: An IPE Resource
www.uky.edu/cihe/content/online-curricula
The National Center for IPE/P
University of Minnesota
1,604 IPE
Resources
www.nexusipe.org
Collaborating Across Borders Conference Series Collaborating Across Borders (CAB) is a premier Canada-United States joint
conference focusing on an exploration of common issues around interprofessional
education (IPE) and practice (IPP). The Collaborating Across Borders conference
series launched in 2007 as an interprofessional venue where educators, clinicians,
researchers, policy makers and students on both sides of the border engaged in rich
and productive dialogue regarding interprofessional education, practice and research. The conference series is held biennially and travels between the United
States and Canada.
IPE/P Focused Conferences Collaborating Across Borders CAB VI
IPE/P Focused Conferences
Fall & Spring Interprofessional Faculty Institutes
2016 Fall Institute
Interprofessional Education: Building a Framework for Collaboration October 5-7, 2016 Herndon, VA https://ipecollaborative.org/Conferences___Events.html
2016 Spring Institute
Quality Improvement & Patient Safety May 4-6, 2016 Herndon, VA
IPE/P Focused Conferences
TeamSTEPPS & NAP National Conferences
http://www.napractice.org/
http://www.teamsteppsportal.org/national-meeting
• Most profession specific conferences have begun to host IPE/P
presentations and posters
• A great venue through which to familiarize yourself with new innovations in
IPE/P and to begin to disseminate your own institution’s innovations.
A few examples:
• Society of Teachers of Family Medicine Conference On Medical Student Education
• ASHA American Speech-Language-Hearing Association Convention
• American Association of Colleges of Osteopathic Medicine (AACOM) Annual Conference
• Association of American Medical Colleges’ (AAMC) Annual Meeting
• Annual Scientific Meeting of the American Geriatrics Society
• Texas Academy of Nutrition and Dietetics Annual Conference
IPE/P Focused Conferences
Profession Specific State & National Conferences
References
•Agency for Healthcare Research and Quality. TeamSTEPPS Team Strategies and Tools to Enhance Performance and Patient Safety. http://teamstepps.ahrq.gov/ •American Association of Colleges of Osteopathic Medicine. 2012. Osteopathic Core Competencies for Medical Students. http://www.aacom.org/docs/default-source/core-competencies/corecompetencyreport2012.pdf?sfvrsn=4 •American Osteopathic Association. 2015. Accreditation of Colleges of Osteopathic Medicine: COM Accreditation and Standards. http://www.osteopathic.org/inside-aoa/accreditation/predoctoral%20accreditation/Documents/COM-accreditation-standards-current.pdf . •Association of American Medical Colleges. 2014. Core Entrustable Professional Activities for Entering Residency Curriculum Developers’ Guide. https://members.aamc.org/eweb/upload/Core%20EPA%20Curriculum%20Dev%20Guide.pdf •The Family Medicine Milestone Project. The Accreditation Council for graduate Medical Education and American Board of Family Medicine, July 2015. https://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/FamilyMedicineMilestones.pdf •Institute of Healthcare Improvement Open School Online Courses. 2015. http://app.ihi.org/lms/onlinelearning.aspx •Interprofessional Education Collaborative Expert Panel. (2011). Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel. Washington, D.C.: Interprofessional Education Collaborative. https://ipecollaborative.org/uploads/IPEC-Core-Competencies.pdf •World Health Organization. Framework for Action on Interprofessional Education & Collaborative Practice. Geneva, 2010. http://apps.who.int/iris/bitstream/10665/70185/1/WHO_HRH_HPN_10.3_eng.pdf
Debrief, Insights & Questions
“In what ways will you make application of the resources and available conferences identified in
this presentation?”