Medicine and Health Sciences Commons^™

Development Of A Longitudinal Curricular Evaluation Framework For Intra- And Interprofessional Teamwork, Tobie Jones, Curt Stilp, Martha Driessnack, Jared P. Austin, Constance R. Tucker, Kristi Tonning, David T. Bearden, Cynthia Taylor, Linda Brown, Patricicia A. Carney

Faculty Publications - College of Medical Science

Objectives: To describe the development and evaluation of a university-wide competency and evaluation framework for intra- and interprofessional education (IPE) teamwork.

Methods: Development of the framework was based on existing literature and specific contexts of the schools within our university. Evaluation and program alignment regarding use of the framework were achieved through qualitative interviews with deans of the Schools of Medicine, Nursing, and Pharmacy, and focused on how they evaluated student progression towards the university-wide teamwork competency. Interview data were analyzed using classical content analysis.

Results: Despite efforts to carefully design the framework, interviews revealed that significant variation exists regarding …

How Partnerships For Community-Based Health Professions Training Were Affected By National Changes In Funding, Patricia A. Carney, Eric M. Wiser, Cynthia Taylor, Debbie Cole, Shelley Dougherty, Chris Gustaferro, Meredith Lair, Curt Stilp

Faculty Publications - College of Medical Science

Background: Area Health Education Centers (AHEC) have contributed to U.S. healthcare workforce training since 1971. National funders recently refocused efforts from K-12 students to matriculated health profession students, which reduced annual funding by $75,000 (25%) per year per Center.

Objectives: To describe how community partnership changed due to funding reductions.

Methods: Key informant interviews were conducted with all four regional center directors with community partnerships.

Lessons learned: Hosted regional centers navigated partnerships in ways that did not significantly change programs because the host institutions supported continuing the partnerships. Independent centers experienced significant changes in partnerships by ending well-established programs and …

What Works In Rural Interprofessional Practice And Education? A Study Of Student Reflections, Curt Stilp, Candyce Reynolds

Faculty Publications - College of Medical Science

Background: Team-based care has been proposed as a way to utilize rural healthcare resources wisely. Thus, the need to educate healthcare profession students in the fundamentals of rural team-based practice has increased in recent years. Thisstudy sought to examine student reflections of a rural interprofessional practice and education (IPE) program in an effort to learn how students described their experience and what they valued.

Methods and findings: Student reflection journals from a formal rural IPE program were examined for themes related to post-experience values, attitudes, and beliefs. In general, the time spent in rural IPE led to understanding what it …

Economic Models For Sustainable Interprofessional Education, Patricia A. Carney, David T. Bearden, Molly L. Osborne, Martha Driessnack, Curt C. Stilp, Judith Gedney Baggs, Jared P. Austin, Kristi Tonning, Jennifer Boyd

Faculty Publications - College of Medical Science

Limited information exists on funding models for interprofessional education (IPE) course delivery, even though potential savings from IPE could be gained in healthcare delivery efficiencies and patient safety. Unanticipated economic barriers to implementing an IPE curriculum across programs and schools in University settings can stymie or even end movement toward collaboration and sustainable culture change. Clarity among stakeholders, including institutional leadership, faculty, and students, is necessary to avoid confusion about IPE tuition costs and funds flow, given that IPE involves multiple schools and programs sharing space, time, faculty, and tuition dollars. In this paper, we consider three funding models for …

A Spatial Analysis Of Physician Assistant Programs, J. Glenn Forister, Curt Stilp

Faculty Publications - College of Medical Science

Purpose: The Accreditation Review Commission on Education for the Physician Assistant projects a total of 273 accredited programs by the summer of 2020. Over the past 10 years, the number of Central Application Service for Physician Assistants (CASPA) applicants per seat has increased by 53%. However, no studies have addressed the current geographic relationship of applicants to programs and program growth. The purpose of this study was to describe the geospatial patterns and relationships of physician assistant (PA) programs and CASPA applicants.

Methods: Program directory information for established (n = 159), satellite (n = 18), and new PA programs (n …

Learning By Doing: The Md-Pa Interprofessional Education Rural Rotation, Ryan Palmer, Curt Stilp

Faculty Publications - College of Medical Science

While much investment has gone into developing interprofessional education (IPE) curriculum for healthcare professional students, many of these efforts have focused on classroom rather than clinical environments. Implementing robust IPE experiences into clinical training is often complicated by obstacles such as differing rotating schedules and differing curricular requirements. The Combined Medical-Physician Assistant Student Rural Rotation (Med-PARR) at the Oregon Health and Science University takes a practical approach to these challenges. Med-PARR students participate in focused IPE activities that overlay, or 'float', on top of each trainee's profession-specific curricular requirements. Through critical reflection, goal setting, and a community-based project, students get …

Book Review: Where No Doctor Has Gone Before: Cuba’S Place In The Global Health Landscape, Curt Stilp

Faculty Publications - College of Medical Science

Robert Huish, Assistant Professor at Dalhousie University, Department of International Development Studies, presents an overview of the Cuban health system, the Cuban medical education system, and the government’s effort to provide care beyond its borders. This is a practical book that gives the historical background of how Cuba has survived decades of economic sanctions to become one of the world leaders in universal health care. The author examines the different aspects of Cuban health care using credible evidence and a variety of sources including the author’s own experiences in Cuba learning how health care and medical education is delivered.

Patient Satisfaction And Disease Specific Quality Of Life After Uterine Artery Embolization, Wendy J. Smith, Elizabeth Upton, Elizabeth J. Shuster, Arnold J. Klein, Martin L. Schwartz

Faculty Publications - College of Medical Science

Objectives: This study was undertaken to evaluate changes in fibroid specific symptom severity and health-related quality of life (HRQOL) after uterine artery embolization (UAE) and to consider the impact of these changes on satisfaction with the procedure.

Study design: A validated, fibroid specific, symptom, and HRQOL questionnaire was mailed to 80 women who had undergone UAE from 1998 through 2002. Pre- and postprocedure symptom severity and HRQOL scores were obtained. The primary outcome measure was change in fibroid symptoms and HRQOL after UAE. Secondary outcomes included objective measures of patient satisfaction, and the decrease in uterine volume after UAE.