question

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

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