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An Interprofessional Fais Do-Do: Medical Student Field Notes on a New Integrated Practice Unit
Purpose: - To gauge medical
students’ perspectives on integrated care using an experiential learning
- To provide a clinical application of
- To inform continuous quality improvement
Medical School students attain the Basic Certificate in Quality & Safety
through the IHI Open School online course in year two of our interprofessional
integration curriculum. Recently, our institution opened a Complex Gynecology
Integrated Practice Unit (CGIPU), which also serves as an interprofessional
clinical site for students on the Women’s Health (OB/GYN) clerkship.
followed CGIPU team members and composed field notes on the provision of
high-quality, patient-centric care. They used a truncated list of the IOM
Six Aims for Healthcare on which to base their notes: Timeliness, Efficiency,
Equity, and Patient-centeredness. At the end of each clerkship block,
they submitted a group report based on individual experiences. Reports
were qualitatively analyzed to identify key questions and recommendations
emerging from their observations.
Results: 100% of
students completed individual field notes (N=50). Six group reports were
evaluated. Results revealed positive Patient-centered observations,
specifically the desire to attain patients’ goals, time allotted for visits,
and interprofessional coordination of care. Under Equity, psychosocial
determinants of health and access to care were routinely addressed.
Appointments were lengthy due to the delivery of personalized care.
Recommendations included a better balance of time (Timeliness). Efficiency
focused on technical operations including improved integration of the EHR and
facilitation of online language interpretation.
Discussions: Reports were submitted
to leadership to consider recommendations for quality improvement. The
assignment achieved its purposes.
CREOG & APGO Annual Meeting, 2019, Student, Resident, Faculty, Clerkship Director, Residency Director, Patient Care, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, UME, Assessment, Quality & Safety, Problem-Based Learning,