other groups, and how assessment might actually be used as an agent of change? One way they differ, thought Forum member and workshop co-chair Eric Holmboe from the American Board of Internal Medicine, would be if the individual Global Forum members who represent multiple nations, professions, and sectors were to endorse the importance of involving patients in the assessment process. To his knowledge, that has not been done. Forum Co-Chair Afaf Meleis from the University of Pennsylvania School of Nursing noted that the nurse’s Magnet Review Credentialing does involve patients in the assessment of organizations, so the process of involving patients in assessments could build on that model.

Forum member Malcolm Cox from U.S. Department of Veterans Affairs (VA) responded very positively to the notion of engaging patients in assessments. In his view, this would be well received by the patient community as well as the VA health system, which has already begun to move in this direction. Other health systems would similarly benefit from such a shift, he added. And although Walker agreed, she also expressed a fear of assessing the wrong aspects that could send the wrong messages about IPE. She echoed Aschenbrener’s call for establishing the evidence, but questioned whether it might be possible to assess while innovating? Can different ways of assessing be developed at the same time new methods of learning are created, like within the area of technology? In that same regard, Aschenbrener believed that assessing some aspect of simulation would be key because simulation is a very important tool for the health professions currently. Walker said that a number of tools and materials already exist, like TeamSTEPPS and social and emotional intelligence; the challenge is in figuring out how best to leverage these tools in terms of assessment, rather than trying to create something new. McNeilly built on that idea using the 360-degree assessment as an example. This tool is well known to many and involves input and performance feedback from a full range of sources that could be used in formative assessments from IPE to practice, particularly if students are involved in all aspects of the assessment process. Coffey then closed the session by saying that too often, assessment is thought of as a way of looking back rather than looking forward, and there is a potentially strong role for assessment as a tool for moving innovation forward.

IDEAS FOR FUTURE STEPS

Eric Holmboe led the final session to develop ideas for future steps. To develop them, he instructed each of the small group leaders to speak with other Forum members seated at their table and come up with one important next step that would move one or more of their ideas forward. The small group leaders, whose presentations were noted earlier in this chapter, led



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