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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 approach

 - To provide a clinical application of interprofessional learning

 - To inform continuous quality improvement

 

Background: Dell 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.

 

Methods: Students 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.

Topics: 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,

General Information


Intended
Audience
Student,Resident,Faculty,Clerkship Director,Residency Director,
Competencies
Addressed
Patient Care,Systems-Based Practice & Improvement,Interpersonal & Communication Skills,Practice-Based Learning & Improvement,
Educational
Continuum
UME,
Educational
Focus
Assessment,Quality & Safety,Problem-Based Learning,
Clinical Focus

Author Information

Emily Vinas, Ed.D., Department of Women\'s Health/Dell Medical School; Alison Brooks, MD; Christie Anderson, MA; Amy Papermaster, NP; John Luk, MD; Amy Young, MD

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