Mary Knab

Refinement of the IPEC Competency Self-Assessment survey: Results from a multi-institutional study

ABSTRACT Effective interprofessional practice requires interprofessional education that facilitates learners’ achievement of competency in the interprofessional domains. Unfortunately, educators currently have a limited number of tools to identify the level of competency of their learners. Previous investigations by some of the authors described the initial characteristics of a tool based on the Competencies for Interprofessional Collaborative Practice. Building on this work, this study describes a multi-institutional, three-part study refining this tool. The series of studies further established the validity, reliability, and usability of the assessment tool. Based on the data derived from this study, we created a shorter, more easily utilised version of the tool that retains previous psychometric strengths. This article describes a tool that consists of two domains, one linked to interprofessional interaction and one linked to interprofessional values. It is believed that this assessment tool may help educators define competence in interprofessional practice and guide assessment of both programmes and learners.

A design thinking approach to evaluating interprofessional education

ABSTRACT The complex challenge of evaluating the impact of interprofessional education (IPE) on patient and community health outcomes is well documented. Recently, at the Radcliffe Institute for Advanced Study in the United States, leaders in health professions education met to help generate a direction for future IPE evaluation research. Participants followed the stages of design thinking, a process for human-centred problem solving, to reach consensus on recommendations. The group concluded that future studies should focus on measuring an intermediate step between learning activities and patient outcomes. Specifically, knowing how IPE-prepared students and preceptors influence the organisational culture of a clinical site as well as how the culture of clinical sites influences learners’ attitudes about collaborative practice will demonstrate the value of educational interventions. With a mixed methods approach and an appreciation for context, researchers will be able to identify the factors that foster effective collaborative practice and, by extension, promote patient-centred care.

Why are you here? Needs analysis of an interprofessional health-education graduate degree program

Little is known about the nature of faculty development that is needed to meet calls for a focus on quality and safety with particular attention to the power of interprofessional collaborative practice. Through grounded-theory methodology, the authors describe the motivation and needs of 20 educator/clinicians in multiple disciplines who chose to enroll in an explicitly interprofessional master’s program in health profession education. The results, derived from axial coding described by Strauss and Corbin, revealed that faculty pursue such postprofessional master’s degrees out of a desire to be better prepared for their roles as educators. A hybrid-delivery model on campus and online provided access to graduate degrees while protecting the ability of participants to remain in current positions. The added benefit of a community of practice related to evidence-based and innovative models of education was valued by participants. Authentic, project-based learning and assessment supported their advancement in home institutions and systems. The experience was described by participants as a disruptive innovation that helped them attain their goal of leadership in health profession education.

Preparing Future Health Professionals for Interprofessional Collaborative Practice Part 1: The Context for Learning

The importance of interprofessional education and practice has been well documented for all health care disciplines. Our health care delivery system is challenged by the need to prepare health professions graduates with skills that get them ready to function as collaborative members of the health care team. Educators have long struggled to create interprofessional learning environments that would inculcate the needed values and competencies. The purpose of this article is to share one institutions path in developing an integrated context for learning across several disciplines to assure that graduates can fulfill their full professional roles in clinical care, education, advocacy, leadership, and quality improvement. Through a program called IMPACT Practice, the MGH Institute of Health Professions has developed an array of opportunities for students from different programs to interact with each other, emphasizing the collaborative skills that will benefit patients and clients as well as contribute to positive change within the health care system. These opportunities are based on core competencies developed by the Interprofessional Education Collaborative (IPEC) as well as institutional core competencies that go beyond IPEC to address the full professional role. In the second part of this article, the IMPACT experience will be described through the journey of one student in the Communication Sciences and Disorders program.

Competent in any context: An integrated model of interprofessional education

ABSTRACT While most graduate health professions programs in the United States have accepted the Interprofessional Education Collaborative’s core competencies for collaborative practice, there is no consistent way to integrate the competencies into courses of study already crowded with uniprofessional competencies. A potential negative effect of treating interprofessional education as an add-on is that learners will not engage deeply with the competencies required to work effectively in health care teams. To design an integrated model, one institution adopted a theory from the management literature that frames professional competence as a way of being, not simply a body of knowledge to master. Viewing competence as a way of being ensures that learners can act collaboratively in any context. The model, called IMPACT Practice, provides multiple settings where learners can practice the competencies and make connections to their uniprofessional studies. By embedding the interprofessional competencies into all programs of study, learners come to see collaboration as a core element of what it means to be an effective health professional.

Getting on the same page: an interprofessional common reading program as foundation for patient-centered care

ABSTRACT A primary goal of interprofessional education is to produce clinicians who practice collaboratively to provide patient-centered care. This exploratory study evaluated whether students’ attitudes about a literary account of an illness experience endured after a year of professional and clinical education and if students applied lessons learned from a common reading to the delivery of patient centered care. Six focus groups were completed with health professions students and five main themes emerged from the focus group data. Themes include: Seeing family members as stakeholders; Establishing common ground with peers and the larger reason for graduate school; Applying lessons to clinical practice that see the patient as a person; Experiencing an emotional connection with a story and its characters; and Taking alternative perspectives/stepping into the shoes of the patient. Study results are discussed in relation to the interprofessional education literature, with implications for educators and interprofessional curricula also presented. We conclude that a common reading program may provide an effective means for developing health professions students’ knowledge and attitudes in the tenets of patient-centered collaborative care. It has the potential to build community through shared intellectual experience, facilitating meaningful reflection and perspective-taking in interprofessional learners.

Preparing Future Health Professionals for Interprofessional Collaborative Practice Part 2: The Student Experience

Responding to increasing calls for change in systems of care delivery and revisions in the way health professionals are educated, academic programs across the health professions, including speech-language pathology, are placing increased emphasis on interprofessional collaborative practice and interprofessional education. This article provides a foundation for understanding these changes and what is driving them. Using an example from one academic program, it provides a view of the shifting student experience and discusses implications for speech-language pathologists serving as educators and supervisors in external placements. The article concludes with suggestions for integrating competencies for collaborative practice into ones clinical teaching and maximizing effectiveness in fostering student readiness for practice in the complex medical and education environments in which speech-language pathologists practice.

Attitudes of clinician educators towards interprofessional education and collaboration: Insights from two interprofessional scales

ABSTRACT The increasing complexity of healthcare needs underlines the growing importance of interprofessional education and collaborative practice (IPECP) in enhancing quality of patient care. In particular, clinician educators play an influential role in advocating IPECP. The primary goal of our exploratory pilot study is to explore 34 clinician educators’ attitudes towards IPECP by using the adapted 14-item Attitudes Toward Health Care Teams Scale (ATHCTS) and 15-item Readiness for Interprofessional Learning Scale (RIPLS). Mean scores of ATHCTS and RIPLS were 3.81 (SD = 0.90) and 4.02 (SD = 0.79), respectively. Using exploratory factor analysis, we identified four factors: team value (ATHCTS), team efficiency (ATHCTS), teamwork and collaboration (RIPLS), and professional socialisation (RIPLS). The “team efficiency” factor on the ATHCTS scored lowest (factor mean = 3.49) compared with other factors (factor means = 3.87–4.08). Correlation analyses revealed that the “team efficiency” factor had small correlations with other factors (r = −0.05–0.37). Our clinician educators valued IPECP in promoting teamwork and professional socialisation but they perceived IPECP to compromise efficiency. The issue of perceived inefficiency by clinician educators merits attention in order to promote wider implementation of IPECP.

Rothstein Roundtable podcast--"Interprofessionalism: is it Campfire Kumbaya, or the means to the triple aim (better health, better care, lower cost)?".

Everyone wants to get better health and better care at a lower cost. Research shows that interprofessional care is more …

Implementation of a 1-Year Paid Clinical Internship in Physical Therapy

&NA; The challenge of clinical education in todays health care environment demands that we explore alternative models that respond to productivity standards, reimbursement regulations, and the need for a highly competent physical therapist at entry level. This article describes the implementation of a 1‐year paid clinical internship that provides a cost‐effective method for new graduates to ground their first year of practice in a dedicated educational experience. The internship follows completion of all academic course work. Interns graduate after 4 months, with entry‐level competence documented on the Clinical Performance Instrument. They can then sit for licensure and complete the internship as a licensed physical therapist, although they continue to receive constant mentorship throughout the year. Interns are paid a salary from the start of the internship, typically 50% to 67% of an entry‐level salary. They are matched to clinical sites following submission of résumés and an interview process. Surveys of employers show that interns are costeffective over the year, provide opportunities for staff development for clinical instructors, and provide a ready pool for recruitment. Interns benefit from the comprehensive educational experience and the early salary. Challenges have been addressed from the perspectives of the academic program and clinic. This model and possible variations should be explored further as physical therapy educators struggle to prepare therapists for the level of practice necessary for todays health care setting.