IPE Exam 1 – Flashcards
Unlock all answers in this set
Unlock answersquestion
What are some goals of IPE for improving healthcare?
answer
reduce medical error, reduce fragmentation of care, optimal health outcomes
question
How many programs was IPE introduced to at SLU?
answer
8 professional programs
question
definition of IPE from the World Health Organization
answer
2 or more professionals learn with, from, and about each other to improve collaboration and quality of care outcomes
question
When does IPE occur?
answer
faculty team plans, implements, and evaluates learning experiences
question
What were some issues with implementing IPE? (4)
answer
overloaded workload hesitance to change coursework over-identification with profession variability of foundational knowledge and professional standards
question
IPE classes at SLU
answer
Intro to Interprofessional Healthcare Health Care System and Health Promotion (issues of health care/cost/access and health promotion/disease prevention) Applied Decision Making in Interprofessional Practice (patient-centered care and ethical principles for decision-making process in the best interest of the patient) Evidence-Based Practice (using literature and databases to see how multiple professions help to answer questions) Inter-professional Community Practicum Experience (group project focusing on community need)
question
When did SLU ask for a revamp of IPE? When did they get it?
answer
2005, 2006 started and went for 4 years
question
Premise for IPE at SLU (7)
answer
augments specific knowledge and skills required for each profession based on university mission and goals and identifies needs of improvement of healthcare integrated throughout educational program focuses on patient/client-centered care case-based interactive includes reflection
question
5 domains of SLU-IPE (framework of curriculum)
answer
interprofessional practice patient-centered care wellness patient safety and quality care social justice
question
criteria for learning experiences at SLU (5)
answer
students/faculty represent a mix of health professions course developed/planned/taught by a mix of professional faculty objectives demonstrate achievement related to IP competencies assignments include teamwork student evaluation includes assessment of growth in IP
question
3 ways incorporation of IPE worked
answer
in lieu of existing course with similar content replacement of elective course additional credit hours to curriculum
question
How were difficulties in implementing IPE overcome?
answer
focusing on improving patient care
question
synergy between IPE learning outcomes and inter-professional practical clinical outcomes
answer
inter-professionality
question
What were some logistic/pedagogy issues? (4)
answer
scheduling student and faculty activities faculty workload keeping up with constantly-changing content developing learning experiences for large classes with varying amounts of students
question
What were some resolutions to the logistic/pedagogy issues?
answer
student schedules looked at to find a best time for scheduling/IPE offered both semesters/student enrollment capped to offer balance but can be adjusted based on case SLU Reinert Center for Transformative Teaching and Learning helped through seminars and learning communities to work on development with large classes Grand Rounds let students experience faculty application of IP values and non-medical issues as well course-teaching teams worked on grading consistency, modeling of IP, distribution of workload
question
Skills Gawande outlined that we need to form
answer
recognize when we have succeeded and failed make checklists ability to implement at scale and get colleagues on same page of functioning like pit crews
question
In _____, 6 associations of schools including ____ formed a collaborative to encourage a meaningful inter-professional healthcare
answer
2010, AAMC
question
In _____, collaborative formed a group of panel educators from different professions to make core competencies to get all health professionals to work together to build a m ore person centered health care system
answer
2010
question
Four inter-professional competencies of Interprofessional Collaborative Practice Comeptency Domains
answer
value/ethics for IP (work with individuals of other professions to maintain a climate of mutual respect and shared values) roles/responsibilities (use knowledge of one's role and other professions' roles to appropriately assess and address patients) inter-professional communication (communicate with patients, families, communities, and other health care professionals in a responsive and responsible manner that supports a team approach) teams and teamwork (apply relationship-building values and team dynamics to perform effectively in different roles for safe, timely, efficient, effective, equitable)
question
Undergraduate Program Director for Nutrition and Dietetics works with Inter-Professional Healthcare and travels through that
answer
Katie Eliot (PhD, RD)
question
Head Athletic Trainer at SLU Program Director of Athletic Training
answer
Anthony Breitbach (PhD, ATC)
question
goal of course IPE
answer
introductory knowledge of IPE teamwork within an evolving healthcare system
question
course objectives (5)
answer
teamwork, communication and collaboration, roles and responsibilities of others, health literacy (taking care of yourself/knowing how to talk to patients so they understand), evidence-based
question
What is the video assignment?
answer
1 minute video public service announcement regarding an assigned health topic
question
Where do we access the readings?
answer
E-reserve
question
Who to contact with blackboard problems, attendance issues, or scheduling missed quizzes or exams?
answer
Jim Bradburn, [email protected]
question
Who to contact with course questions or concerns, issues with a grade, notification of absence and approvals?
answer
person who presented that day
question
What to include in an email title
answer
course and team (IPE 1100 Team 6)
question
RD on that day means what?
answer
reading assignment is due before coming to class on that day
question
What is the concept in the video clip of the marching band?
answer
one band, one sound
question
"The best interest of the _____ is the only interest to be considered, and in order that the sick may have the benefit of advancing knowledge, union of forces is necessary" ; proves what?
answer
patient; inter-professionalism is not a new concept
question
What order of words was changed around in the second definition of IPE?
answer
with, from, and about changed to about, from, and with (because we need to know about each other and what they bring to the table first)
question
multiple professions in one class, like a parfait, what you get depends on where you stick your spoon i.e. if you get sick, depends on where you go (nursing home, eye doctor, ER)
answer
multidisciplinary classes
question
like a smoothie, working together as a team
answer
interprofessionalism
question
one provider working independently to care for a patient; little awareness or acknowledgement of practice outside of one's own discipline; practitioners may consult with other providers but retain independence i.e. school nurse
answer
uniprofessional practice
question
appropriate experts from different professions handle different aspects of a patient's care independently; the patient's problems are subdivided and treated separately, with each provider responsible for his/her own area i.e. pediatrician's office (nurse helps, but pediatrician works mainly)
answer
multiprofessional practice (mpp)
question
the provision of health care by providers from different professions in a coordinated manner that addresses the needs of the patient; providers share mutual goals, resources, and responsibility for patient care i.e. ER (bedside consultant, doctor, scribe, RN, nurse, tech, shadows, surgeon, etc.)
answer
inter-professional practice (IPP)
question
members or students of a single profession learning together interactively or in parallel i.e. BME specific class
answer
uniprofessional education
question
members of students of two or more professions associated with health or social care, learning alongside each other, parallel learning, rather than interactive learning i.e. everyone taking theo class and not learning together
answer
multi-professional education (MPE)
question
an educational approach that occurs when students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes i.e. working together with people with class
answer
inter-professional education (IPE)
question
requires each team member to become familiar enough with the concepts and approaches of his/her colleagues to "blur the lines" and enable the team to focus on the problem with collaborative analysis and decision-making i.e. higher level, hard to tell which profession people are in; nurse may have to do PT job, etc. especially in other countries
answer
transdisciplinary approach
question
cross-listed or co-listed course attended by multiple disciplines
answer
shared course
question
multiple disciplines co-located at a clinical or community placement site which may or may not include integrated learning opportunities i.e. clinicals, but you aren't interacting with other people
answer
shared placement
question
similar to parallel practice in which students from different professions contribute to patient care with minimal communication among them; exists when they are similar educational activities but minimal cross-disciplinary student contacts
answer
parallel learning
question
When was Interprofessional Collaborative Practice Competency Domains established?
answer
2011 (people work this into their curriculum)
question
Why is IPE important?
answer
we are health professionals teamwork has to be practiced health professions have embedded IPE into standards health care reform is transitioning to IPE and outcome-based models (health care)
question
How to implement starting from the bottom?
answer
find people who are true IPE believers (grassroots-- sometimes students, sometimes faculty) needed to start something
question
How to implement starting IPE from the top?
answer
support from administration that wants to support it for the institution, builds it into the plan
question
What is a method used to help groups to work together intimately?
answer
problem-based learning
question
What is needed to help students know where they fit? -so early in programs, they do not yet have the knowledge and skills -unless conflict is resolved, it will carry into clinical practice -peer professions are _____ as healthcare providers from the beginning with their admission process to their programs
answer
professional socialization
question
Where do accredidation standards for IPE exist already? (8)
answer
medicine nursing dentistry PT OT pharmacy public health social work
question
Benefits of IPE for students (3)
answer
introduces foundational behaviors and code of ethics in the greater context of IPE enables destruction of negative stereotypes and socialization of students to their future roles recognizes common content knowledge and skills needed by all health care providers
question
Barriers of IPE for students (3)
answer
clinical experiences in uniprofessional settings can affect student attitudes towards IPE students' desire to identify with chosen profession can affect willingness to collaborate with students from other professions students view extra coursework outside of professional curriculum as unnecessary
question
Benefits of IPE for faculty (4)
answer
working with faculty in other health professionals to further development teaching variety of students to overcome misconceptions of each profession supports IPE in scholarship provides financial benefits
question
Barriers of IPE for faculty (4)
answer
lack of trust between faculty due to misconceptions about roles between professions values, cultures, and biases develop in uniprofessional program curricula no formal training in teamwork and IPE (pedagogy issues) IPE teaching load not recognized in promotion, rank, and tenure process
question
Benefits for programs with IPE (4)
answer
exposure to health professions in a unique setting additional faculty resources greater understanding between health professions means to meet shared external accreditation standards
question
Barriers for programs with IPE (4)
answer
lack of connection between IPE and clinical practice lack of support for IPE from administration lack of time available for IPE in crowded curricular tracks lack of competency-based assessments have been developed
question
time/resource demands: IPE competencies included in individual program courses, one-time workshop or orientation
answer
low
question
time/resource demands: single IPE-prefix introductory course, regularly scheduled seminars
answer
medium
question
time/resource demands: academic concentration as in major or minor in IPE, established clinical practice utilizing IPP teams
answer
high
question
Factors that make IPE at SLU work
answer
start early in experience intentional interprofessional pedagogy common core content taught in IP context application to community and clinical practice embedded in health professions curricula vs. separate from professional education
question
Examples of IPE in undergrad curriculum
answer
4 course concentration in IP 6 course minor in IP IP Grand Rounds IP Field Experience/Practica
question
organizations that use IPE
answer
Canadian Interprofessional Health Collaborative (CIHC) American Interprofessional Health Collaborative (AIHC) All Together Better Health National Center for IPE CAIPE (Centre for Advancement of IPE)
question
How did Katie get involved with IPE?
answer
El Salvador with SLU with collaborative team
question
when multiple health workers from different professional background WORK TOGETHER with patients, families, care givers, and communities to deliver the highest quality of care (WHO)
answer
Inter-professional Collaborative Practice
question
5 elements of collaboration (sharing these elements)
answer
responsibilities planning and intervention decision-making values professional perspectives
question
When was the Triple AIM developed and by whom? To combat what?
answer
2007 Institute for Healthcare Improvement high cost, poor quality of healthcare
question
What is Triple AIM?
answer
Individual care and outcomes (patient experience-- access, reliability, quality as it pertains to safety) Population/Community Health (disparities-- care catered to groups differently based on differences within groups, if a community does not have access and reliability cost is driven up) Cost (in)Effective Care (US cost so high)
question
What piece of the Triple AIM did the story of the baby Genesis violate?
answer
individual care and outcomes
question
What can IPCP improve?
answer
population health and patient care access to health care recruitment/retention of healthcare providers patient safety and communication among health care providers use of resources satisfaction among patients and healthcare providers
question
4 primary elements of collaboration
answer
respect trust shared decision making partnerships
question
continuum for collaboration (3) matriculation towards collaboration
answer
independent parallel practice (seeing many professionals but not getting the help they need-- not remembering what you tell them or not understanding it)--> consultation/referral (physician can read a note from a dietician)--> interdependent co-provider care (teams setting aside time and space to actually put together collaboration)
question
What are textbooks used for? What are they not used for?
answer
background information in courses evidence-based practice
question
What is a good source for evidence-based practice?
answer
professional organization websites (CDC, Academy of Nutrition and Dietetics, American Physical Therapy Association, etc.)
question
What is the biggest resource we will use? What would we not use?
answer
peer reviewed professional journals magazine (more pictures)
question
When do journals have to have been published?
answer
within 5-10 years
question
process to assess the quality of articles submitted for publication in a professional journal -author submits article to a journal and editor of journal sends article to experts in the field -impartial reviewers evaluate the quality of the submitted manuscript -check accuracy of research methods and findings -if article lacks scholarly validity, they reject it
answer
peer review
question
When peer-reviewed articles are accepted for publication they exemplify the ____ _____ _____ in a field, because they do not publish articles that fail to meet criteria
answer
best research practices
question
What are predatory publishers?
answer
scam companies that get money for publishing articles from students or faculty that look real
question
Reliable health science databases with peer-reviewed articles
answer
PubMed Scopus (more multidisciplinary) CINAHL (nursing allied health literature)
question
important philosophy of patient care (1990s-present) "process of combining the best available research evidence with your knowledge and skill to make collaborative, patient-centered decisions within a given healthcare situation" -base on patient's wishes, best research evidence from journal articles, clinical expertise of team (has become very important recently)
answer
evidence-based practice
question
steps of evidence-based practice
answer
PATIENT CARE QUESTION ARISES develop a searchable question (use medical database and efficiently search literature) critically evaluate findings (take research course, apply to patient) use clinician's judgment and the patient's values and circumstances when deciding to implement treatment EVALUATE THE PROCESS
question
Ways to frame questions for EBP- What is PICO? Keep in mind that members of a team may have different PICO depending on their expertise
answer
Patient/Population/Client Intervention-- what do you want to do with the patient Comparison-- compare one treatment to another Outcome-- what do you want to achieve for the patient?
question
Example of whose PICO? i.e. P-- 58 year old male with ALS I-- teaching patient/family cough techniques and suctioning C-- O-- Maintain clear airway and prevent pneumonia vs. P-- 58 year old man with ALS I--stand/pivot transfer C-- sliding board (other options) O-- prevents fall *Each team member would find best evidence for his/her role in providing care
answer
clinician physical therapist
question
What format do we cite articles in for PubMed?
answer
APA (American Psychological Association)
question
Doisy College and School of Nursing Librarian
answer
Mary Krieger, MLIS, RN
question
How to get to medical library homepage
answer
Google SLU Medical Library (to get full text) PubMed Find Article-->Find it at SLU, Download PDF (Save)
question
connects search terms when using PubMed database
answer
AND
question
filters you can use
answer
time written, language filter
question
document-delivery service at SLU
answer
Illiad (normally within 48 hours)
question
What do we send to on the setting to do plain text?
answer
file-->abstract
question
Cruess and Cruess wrote on what?
answer
healthcare professionalism
question
has a cognitive base which includes definable attributes, basis of medicine's social contract with society
answer
medical professionalism
question
Both medicine and _____ have legitimate expectations- "each of the other," medicine's obligations arise from _____ expetations and there are consequences if expectations are not met
answer
society
question
linking professionalism to the _____ _____ is beneficial to the teaching of professionalism
answer
social contract
question
What are these concepts of? -our professional status is not an inherent right (when you graduate with a degree you do not just get status) -this right is GRANTED BY SOCIETY -it must be constantly earned by meeting the obligations expected of a professional -if we fail to meet its obligations, society will change our status
answer
medical professionalism
question
Two roles of health provider (professionalism encompasses both) served simultaneously, analyzed separately
answer
healer (make me better) professional (bedside manner)
question
bad professionalism
answer
on phone when customer waiting for checkin, etc.
question
What do these words describe: caring, compassion, listening, insight, openness, respect patient dignity/autonomy, presence
answer
healer
question
What do these words describe: autonomy, regulation, responsibility to society, team work
answer
professional
question
What do these words describe: competence, commitment, confidentiality, altruism, trustworthy, integrity, code of ethics,
answer
both professionalism and healer
question
doing the right thing at the right time (being a good person)
answer
altruism
question
Society uses the concept of the profession as a means of organizing the delivery of complex services which it requires, including that of _____
answer
healer
question
Society's expectations for health professionals: -fulfill role of healer, assured competence, timely access to care -respect for patient autonomy, altruistic service, morality, integrity, honesty, accountability and transparency (if you say you will followup, do it) -team health care, source of objective advice (not biased), promotion of public good
answer
competence ethics trust
question
State sanctioned authorities in professional regulation -major regulatory role, set and maintain standards, discipline, advise public of a physician's disciplinary action important that these people demonstrate morality and virtue, assure competence (difference in how we treat concussions), transparent, governed by an institutional code (normally put into position by government)
answer
state sanctioned authorities
question
self-regulation: -maintain competence (go through continuing education), participate in and submit to the process of self-regulation (turn in self), support professional associations and regulatory bodies, ensure integrity
answer
obligation (individual)
question
self-regulation: -demonstrate morality and virtue, assure competence, be open and transparent, be governed by institutional code
answer
obligation (collective)
question
issue with ER
answer
lack of transparency (lidocaine but said to call it novocaine because patient would probably know novocaine more) but also, patient-centered care, trying to cater more towards making the patient understand
question
FROM PANEL: PT HIM MLS PA OT MRI
answer
Physical therapy Health Information Management Medical Laboratory Science Physician Assistant Occupation Therapy Magnetic Resonance Imaging
question
What level of education needed: PT HIM MLS PA OT MRI
answer
-doctorate, then exam -BS HIM and then certifying exam -associate (Med Lab Tech), bachelor (Med Lab Science), masters for supervisory -masters PA program, sit for national certifying exam -masters in OT -professional eduation
question
Continuing education: PT HIM MLS PA OT MRI
answer
30 hours every 2 years 24 hours every 2 years 33 hours every 2 years 100 credits every 2 years, certification exam every 10 years 24 credits a year 24 credits a year
question
What do they do? -pediatrics to geriatrics, veterans, outpatient settings mostly (people come to you), lots of athletic injuries, hospital base and wellness centers -never touch patients, care for data, many people go on to get further education, information data and analytics, sell yourself in many ways -diagnostic center based on this, most practice in hospitals or clinics, some commercial labs where samples are shipped and evaluated, collect blood samples, interpret samples -practice medicine under physician and work under any specialty -behavioral health problems -diagnostic imaging, radiation therapy treatment, hospitals or outpatient centers, work with all ages (pediatric very different)
answer
PT HIM MLS PA OT MRI
question
What do they like? -invited into life during a raw part of their lives and help them do something they want to be doing, IPE and working closely with coworkers -diverse field (i.e. investigator to solve a puzzle in forensic science), patient safety, quality assurance -no direct patient contact but still can help, focusing on molecular cellular defects that cause symptoms -practice medicine and continually learn; ability to educate -occupation=things you need to and want to do, like to work with clients to make sure they can do these -pictures beautiful (match for science and photography)
answer
PT HIM MLS PA OT MRI
question
What is the struggle? -compliance with exercises, insurance and prices, struggle of not having it known what the field even entails -people haven't heard of the field, IPE is difficult, want to ensure accuracy of information and the healthcare reform changes -unrecognized profession, difficulty recruiting students (10% vacancy rate), hard to keep up with medical technology -humans make mistakes, lots of pressure, legislation challenges -preventing issues that could've been prevented (wearing helmets, etc.), insurance companies -safety within radiowaves, deadly projectiles or bad burns on patients are possible
answer
PT HIM MLS PA OT MRI
