A Workshop Series of the Institute of Medicine
Global Forum on Innovation in Health Professional Education
(IHPE Global Forum)
Workshop I: Interprofessional Education for Collaboration:
Learning How to Improve Health from Interprofessional
Models Across the Continuum of Education to Practice
August 29–30, 2012
The Keck Center of The National Academies
500 Fifth Street, NW
Washington, DC 20001
Room 100
Workshop Objectives:
• To engage in forward-looking dialogue around the importance of aligning health professional education with the needs of clinical practice, consumers, and the health care delivery system;
• To explore the opportunity for shared decision making, distributed leadership, and team-based care, amongst other interprofessional education (IPE) and practice innovations, to fundamentally change health professions curriculums, pedagogy, culture, human resources, and assessment and evaluation metrics; and
• To discuss how innovations in IPE will impact patient and population health as identified through the “triple aim” of better health, higher quality, and lower cost.
DAY 1: AUGUST 29, 2012
9:00 a.m. | Welcome and Introductions Scott Reeves, Workshop Planning Committee Co-Chair Lucinda Maine, Workshop Planning Committee Co-Chair |
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9:15 a.m. | Why Focus on IPE as a Key Health Professions Education Innovation? Objective: To frame the importance of better alignment between health professions education and the needs for better health, better care, and lower costs. George Thibault, Josiah Macy Jr. Foundation Q & A |
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10:00 a.m. |
Panel Discussion: Making the Case for the Integration of Practice Redesign and Education Reform • Interprofessional practice: Craig Jones, Vermont Blueprint for Health • Education reform: Barbara Brandt, University of Minnesota Academic Health Center • Student: Sandeep Kishore, Young Professionals Chronic Disease Working Group Respondents: • Patient perspective: Rosemary Gibson, Author, Wall of Silence, Archives of Internal Medicine • Employer perspective: Paul Grundy, IBM Healthcare Transformation Q & A |
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12:00 p.m. | LUNCH |
1:00 p.m. | White Paper Presentation Objective: To lay the foundation for the small-group discussions around actualizing educational reform relevant to practice in the five areas for innovation—curriculum, pedagogy, metrics, culture, and resources—using elements of the triple aim as the outcome focus. Lucinda Maine, Co-Chair Q & A |
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2:00 p.m. | Small-Group Breakout Sessions Instructions Lucinda Maine, Co-Chair |
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Using an appreciative inquiry approach, address the following questions: • What are the strengths and opportunities in using IPE to improve practice through better health, better care, better access, or lower costs? • Using curricular redesign, pedagogical innovation, culture, metrics, and human resources, how do we drive IPE competencies (and beyond?) toward the outcomes captured in the triple aims (better health, higher quality, lower cost)? Additional guidance: • Could discuss these IPE questions focusing on any educational stage along the learning continuum from undergraduate/prelicensure to continuing education. • Can consider non-professionals insofar as professionals learn to interact with non-professionals as part of the team as well as other professionals. • Provide specific examples of places where IPE educational innovations in the five areas are designed to impact health, care, access, or costs. |
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2:30 p.m. | Break into Small Groups Objectives: To explore opportunities for improving health, care, access, or lower costs through the use of IPE in the areas of curricular innovations, pedagogic innovations, cultural elements, human resources for health, and metrics that positively impact the triple aim; to identify exemplars and best practices that are already applying such innovations; and to identify |
gaps where IPE could be used to achieve better health, care, or access or lower costs, but where it is not yet being applied, and brainstorm strategies for promoting implementation in these areas. | ||
1. Better health • Group leader: Pamela Jeffries, Johns Hopkins University School of Nursing Assistance by Harrison Spencer, Workshop Planning Committee member 2. Better care (higher quality using teamwork and shared decision making) • Group leader: Lorna Lynn, American Board of Internal Medicine Assistance by Brenda Zierler, Workshop Planning Committee member 3. Enhanced access (enhanced access to education of patients/populations as learners and educators of team-based, collaborative care) • Group leader: Sally Okun, PatientsLikeMe Assistance by Mattie Schmitt, Workshop Planning Committee member 4. Lower cost • Group leader: Thomas Feeley, MD Anderson Cancer Center Assistance by George Thibault, Workshop Planning Committee member |
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4:00 p.m. | BREAK (reconvene in large group) | |
4:30 p.m. | Debriefing of Small-Group Session Moderator: Scott Reeves, Co-Chair |
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4:45 p.m. |
Canadian Interprofessional Health Leadership Collaborative • Sarita Verma, Co-Lead, Canadian Interprofessional Health Leadership Collaborative |
• Maria Tassone, Co-Lead, Canadian Interprofessional Health Leadership Collaborative Q & A |
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5:30 p.m. | ADJOURN |
DAY 2: AUGUST 30, 2012
8:00 a.m. |
Breakfast and Report by Three Regional Collaboratives in India, Uganda, and South Africa • Sanjay Zodpey, India Collaborative • Nelson Sewankambo, Uganda Collaborative • Marietjie de Villiers, South Africa Collaborative Q & A panel discussion |
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9:00 a.m. | Recap of Day 1 Scott Reeves, Co-Chair |
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9:15 a.m. |
Small-Group Report Back • Pamela Jeffries, Johns Hopkins University School of Nursing • Lorna Lynn, American Board of Internal Medicine • Sally Okun, PatientsLikeMe • Thomas Feeley, MD Anderson Cancer Center Q & A panel discussion with small-group leaders |
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10:00 a.m. | BREAK | |
10:15 a.m. |
Reflection Panel |
Moderator: Brenda Zierler, University of Washington • Patient perspective: Brigid Vaughan • Employer of health workers: Marilyn Chow, Kaiser Permanente • Philanthropy: Gillian Barclay, Aetna Foundation • Population health: John Finnegan, University of Minnesota Q & A panel discussion |
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11:45 a.m. | Closing Address Social accountability in medical education: An Australian rural and remote perspective Paul Worley, Dean of the School of Medicine at Flinders University, Australia |
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12:15 p.m. |
Summative Comments and the Way Forward • Maryjoan Ladden, Robert Wood Johnson Foundation, Forum member • Jan De Maeseneer, Workshop II planning committee member • Mattie Schmitt, Workshop I and II planning committee member Open forum discussion |
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1:00 p.m. | LUNCH/ADJOURN |
Workshop II: Interprofessional Education for Collaboration:
Learning How to Improve Health from Interprofessional
Models Across the Continuum of Education to Practice
November 29–30, 2012
The Keck Center of The National Academies
500 Fifth Street, NW
Washington, DC 20001
Room 100
Workshop Objectives:
• To derive principles and lessons learned from sustained and exemplar IPE models across the continuum of education;
• To identify and examine academic/practice partnerships that demonstrate purposeful modeling to advance team-based education and collaborative practice; and
• To learn from IPE exemplars across the education/practice continuum that link to better health, higher quality, and improved value for individuals and populations.
DAY 1: NOVEMBER 29, 2012
8:00 a.m. | Breakfast | |
8:30 a.m. |
Welcome and Introductions • Lucinda Maine, Workshop II Co-Chair • Scott Reeves, Workshop II Co-Chair |
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8:40 a.m. |
Opening Address • Samuel Thier, Professor Emeritus, Health Care Policy and Medicine, Harvard Medical School |
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9:10 a.m. |
New National Coordinating Center (NCC) for IPE and IPP-University of Minnesota • Barbara Brandt, NCC Director |
9:35 a.m. |
IPE as an Educational Innovation: Overview of Principles and Lessons Learned • University of Colorado Mark Earnest, Director, Interprofessional Education • Curtin University, Perth, Australia Dawn Forman, Professor of Interprofessional Education and Clinical Director (via video conference) • Linköping University, Sweden Margaretha Wilhelmsson, Vice Director of Study, Faculty of Health Science |
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10:45 a.m. | BREAK | |
11:15 a.m. |
IPE as an Educational Innovation: Principles and Lessons Learned for Linking IPE to Educational and Practice Outcomes • Kaiser Permanente Colorado Region, Department of Pharmacy Dennis Helling, Executive Director, Pharmacy Operations & Therapeutics • University of Missouri Carla Dyer, Faculty Lead on IPE • Ghent University, Belgium Jan De Maeseneer, Head, Department of Family Medicine and Primary Health Care • Thomas Jefferson University Elizabeth Speakman, Co-Director, Jefferson Interprofessional Education Center |
12:30 p.m. | LUNCH | |
1:15 p.m. |
Student Session: Learning from the Learners • Student 1: Erin Abu-Rish, Multidisciplinary Predoctoral Clinical Research Training Program Trainee, University of Washington School of Nursing • Student 2: Edward Thomas Lewis, Resident Physician, Department of Psychiatry, Medical University of South Carolina • Student 3: Jenny Wong, College of Pharmacy, University of Minnesota • Student 4: Angella Namwase, 2nd Year Bachelor of Nursing Student, Makerere University (via video conference) Q & A panel discussion |
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2:15 p.m. | Move to Small-Group Room Assignment | |
2:25 p.m. | Small-Group Breakouts Objective: To further examine dimensions of successful relationships between education and practice across the interprofessional education continuum. Group 1: What are the local, institutional, and national factors driving the initiation of collaborative partnerships between interprofessional education and practice? Leader: Warren Newton, Vice Dean of Education for University of North Carolina School of Medicine, Family Medicine |
Group 2: What makes collaboration between education and practice for IPE successful and sustainable (support your conclusions with exemplars across the continuum of education from classroom to practice)? | ||
Leader: Donna Meyer, President, National Organization for Associate Degree Nursing | ||
Group 3: How should the outcomes of interprofessional education be measured/assessed assuming the ultimate goal is better health, higher quality, and improved value for individual patients and populations? Leader: Eric Holmboe, Chief Medical Officer and Senior Vice President, American Board of Internal Medicine |
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Group 4: How does one get buy-in from leadership when initiating or sustaining IPE/IPP (including linking education and practice from either perspective)? Leader: Hugh Barr, President of the U.K. Centre for the Advancement of Interprofessional Education (CAIPE) |
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4:00 p.m. | Return to Main Room | |
4:15 p.m. | Debriefing with entire group (discuss general issues that arose during the small-group sessions) Moderator: Lucinda Maine, Workshop II Co-Chair |
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4:40 p.m. |
Canadian Collaborative • Collaborative Representatives: Sarita Verma and Maria Tassone, Co-Leads |
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5:00 p.m. | ADJOURN |
DAY 2: NOVEMBER 30, 2012
8:00 a.m. |
Breakfast and Report by Two Country Collaboratives • Rose Nabirye, Makerere University, Uganda • Stefanus Snyman, Stellenbosch University, South Africa |
9:00 a.m. |
Leaders of the Small Groups Report Back • Q & A panel discussion with small-group leaders |
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9:30 a.m. | BREAK | |
9:50 a.m. |
Practice Session: Integrating Students into Interprofessional Practice • David Collier, Director, Pediatric Healthy Weight Research and Treatment Center, Department of Pediatrics, Brody School of Medicine at East Carolina University • Steven Chen, Associate Professor of Clinical Pharmacy serving in University of Southern California (USC) safety-net clinics |
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10:50 a.m. | “STRETCH YOUR LEGS” BREAK | |
11:00 a.m. |
Learning from “Exemplar” Academic/Practice Partnerships • Kathryn Rugen, Nurse Consultant, Veterans Affairs Centers of Excellence in Primary Care Education • Valentina Brashers, Professor of Nursing and Attending Physician in Internal Medicine, University of Virginia |
12:00 p.m. |
Keynote • James Lloyd Michener, Professor and Chair of the Department of Community and Family Medicine, Duke University Medical Center |
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12:30 p.m. |
Summary and Assessment • Martha Gaines, Associate Dean for Academic Affairs and Experiential Learning; Director of Center for Patient Partnership, University of Wisconsin |
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1:00 p.m. | LUNCH/ADJOURN |