1. Interprofessional Education (IPE) in Experiential Education
AACP Experiential Education Section Webinar December 16, 2013
Gina Baugh, PharmD
Erica Ottis, PharmD, BCPS
Margaret Williamson, PharmD
Jim Scott, PharmD

2. Promoting IPE Activities Throughout an IPPE Curriculum
Gina Baugh, PharmD
Clinical Associate Professor
Director of IPPE
WVU School of Pharmacy

3. Clinical Associate Professor
For questions…
Gina Baugh, Pharm.D.
Clinical Associate Professor
Director of IPPE
WVU School of Pharmacy

4. Taking Interprofessional Patient Safety and Quality Improvement Learning Out of the Classroom
Erica Ottis, PharmD, BCPS
Clinical Assistant Professor
UMKC School of Pharmacy at MU

5. For questions…
Erica Ottis, Pharm.D., BCPS Clinical Assistant Professor UMKC School of Pharmacy at MU

6. Integration of IPE Activities Within Existing Pharmacy and Nursing Courses
Margaret Williamson, PharmD
Assistant Clinical Professor
IPPE Clinical Coordinator
Auburn University Harrison School of Pharmacy

7. IPE Pilots Auburn IPE Program - 2013
Two IPE pilots implemented in Fall 2012
One pilot integrated nursing students into patient care activities within existing IPPE coursework
All P1, P2, ad P3 student pharmacist participate in a longitudinal IPPE experience that involves in-home patient visits with volunteers from the community
Second pilot integrated student pharmacists into a Community Assessment Project (CAP) in a Professional Nursing Concepts across Populations course
Community nursing course for third year nursing students
Auburn IPE Program

8. Objectives Integrate 4th year nursing students into IPPE program
Pharmacy and nursing students working collaboratively to make in home patient visits
Provide patient status updates at weekly team meetings
73 student pharmacists, 9 nursing students, 10 pharmacy faculty, and 2 nursing faculty integrated into IPPE patient care activates
Auburn IPE Program

9. Objectives
Integrate 1st year student pharmacists into CAP within the nursing curriculum
4 student pharmacists
6 nursing students
1 pharmacy faculty
1 nursing faculty
Auburn IPE Program

10. Feedback
Obtained by 16 question survey to participating students and faculty (both nursing and pharmacy)
66% survey response rate
Auburn IPE Program

11. Survey Question % of Participants
Yes No
Unknown
Do you feel that this IP experience allowed for mutual respect between nursing and pharmacy? (n=69) 84 4 10
Do you feel that this IP experience revealed shared values between nursing and pharmacy? (n=69) 87 3 12
Do you feel that this IP experience allowed roles/responsibilities of both students to appropriately & collaboratively assess & address health care needs of patients? (n=69) 81 16
Do you feel this IP experience helped improve your communication abilities with other health care professionals? (n=68) 78 9 15
Do you feel this IP experience helped improve your communication abilities with patients and care givers? (n=67) 73 19
Do you feel this IP experience helped develop your skills to practice with a team based approach to health care? (n=67) 85 7 6
Do you feel this IP experience improved patient care within your IPPE team’s patients? (n=69) 71
As a result of this IP experience, do you feel that you better understand the roles/responsibilities of the other discipline? (n=66) 70 18

12. Feedback Auburn IPE Program - 2013 Overall feedback was positive
Knowledge and appreciation of other disciplines role, expertise, and responsibilities
Perceived improved patient care through collaboration
91% indicated a need to continue IPE collaboration
85% felt the experience helped develop skills to practice with a team-based approach to health care
78% felt the experience improved their communication abilities with other health care providers
Auburn IPE Program

13. Opportunities for Improvement
Scheduling patient visits
Clearer delineation of expectations
Enhanced feelings of inclusion within established disciplinary teams
Auburn IPE Program

14. Ongoing Collaboration
Four 4th year nursing students enrolled in Special Study in Nursing course for Fall 2013
Nursing students fully integrated IPPE course
Team of thirteen P1, P2, and P3s
Expectations delineated through course syllabus
Improved collaboration for scheduling patient visits
Auburn IPE Program

15. Questions?

16. InterProfessional Education at WesternU
Jim Scott, PharmD
Associate Dean for Experiential & Professional Affairs
Western University College of Pharmacy

17. IPE – Institutional Level
Vice Provost hired to start and oversee IPE Program
One faculty level person to manage day-to-day operations
Several full-time administrative staff for support
WesternU IPE Program

18. IPE – Campus Environment
Western University of Health Sciences
Graduate-level (only) health sciences colleges
Medical (DO)
Graduate Nursing
Allied Health
Physical Therapy
Physician Assistant
Masters in Health Science Education
Pharmacy
Vet Med
Podiatry
Optometry
Dentistry
WesternU IPE Program

19. IPE – First year in program
First year students from all professional colleges are required to take 2 semesters of IPE
Case-based interactions with students from other colleges
5 cases throughout the 2 semesters
Some required preparatory work in 1st semester (TeamSTEPPS)
Each case requires some on-own preparation, then two 2-hour sessions
WesternU IPE Program

20. IPE – First year in program
Teams
~90 teams of 9 students each
As representative of each professional college as possible
Not 100% ideal…some colleges have more
One faculty/preceptor facilitator per team
Facilitator does not need to be clinical or specialist in the topic…facilitating not teaching
WesternU IPE Program

21. IPE – First year in program
Cases
Not intended to teach therapeutics
Focused on communication, learning about other disciplines
Have evolved over time
Grading based on participation
Interaction, openness to learning about other programs
Graded by facilitator at the end of each session
WesternU IPE Program

22. IPE – Second year in program
Cases
Teams work on cases in group, but most do not meet often
Most of the work is done via
Several cases throughout the year
Most of the work is reviewed by the IPE office and not general faculty/preceptors
WesternU IPE Program

23. IPE – Clinical Year(s) Monthly Case Conference
During regular academic semester months (except December)
Each college is assigned one conference where one of their students will present
All other colleges are expected to send ONE student
WesternU IPE Program

24. IPE – Clinical Year(s) Monthly Case Conference
Presenting student should have a case relevant to multiple disciplines
Other students should be able and willing to participate in small group discussions…usually representing their profession’s role in the case
Case presentation lasts 1.5hrs
Attendees usually identified by Exp. Ed.
One faculty moderator/facilitator in the room
WesternU IPE Program

25. IPE – Clinical Year(s) Monthly Case Conference
We completed one year with two highly assessed cases (video monitored by a team)
Second year consisted of monthly conferences with one person monitoring by video
Currently on our second year of monthly conferences
WesternU IPE Program

26. IPE – Clinical Year(s) Monthly Case Conference – Next Step
Trying to figure out broader applications
One student to a large group of students (whoever is on rotation near campus)
Lose ability for each profession to have an equal voice
Multiple small conferences throughout the month
Logistics more complicated
WesternU IPE Program

27. IPE – Clinical Year(s) Team-OSCE
Cases involve complicated patients requiring input from various practitioners
Synchronous – Students see the patient alone or in small groups, but meet in an interdisciplinary team to develop care plan
Closer to ideal of IPE care
Asynchronous – Students see the patient alone and make recommendations which should include other professions
More real-life in today’s world
WesternU IPE Program

28. IPE – Clinical Year(s) Team-OSCE Several pilots performed
Used standardized patients and monitored via video camera
Students were “evaluated”, but without grades
Next case uses a make medical chart instead of case summary information
More real-life in today’s world
Education-oriented EMR not currently available
WesternU IPE Program

29. IPE – Clinical Year(s) Team-OSCE Pilots involved volunteers
Usually highly-motivated, go-getter students
Students “borrowed” from clinic or nearby rotation sites
Moving towards “required” Team-OSCEs
College participation is optional
If the college opts in, their students will be required to participate
Plan to roll-out for 2014/15
WesternU IPE Program

30. Questions?

31. Thank You Gina Baugh, PharmD Erica Ottis, PharmD, BCPS
Margaret Williamson, PharmD
Jim Scott, PharmD

32. This presentation can be found on the AACP website at…
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