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Full-Text Articles in Entire DC Network
The Influence Of Love Versus Lust On Consumer Judgments, Jung-Yun Kang, Young-Jee Han
The Influence Of Love Versus Lust On Consumer Judgments, Jung-Yun Kang, Young-Jee Han
Asia Marketing Journal
According to previous literature, love involves a feeling of emotional bonds, attachment, and commitment to a specific target from a long-term perspective. In contrast, lust is defined as a sexual desire to engage in sexual activities from a short-term perspective. This research investigates the influence of feelings of love or lust on consumers" long-term benefit-seeking and risk-taking behaviors. Study 1 examined whether consumers" long-term benefit-seeking behaviors depend on feelings of love or lust. As a result, consumers who experienced feelings of love were more likely to prefer products that provide long-term benefits (e.g., a hybrid car) than those who experienced …
Coria '18 And Palmer '17 Receive 2016 Scholarly Excellence In Equity And Diversity Awards, University Relations
Coria '18 And Palmer '17 Receive 2016 Scholarly Excellence In Equity And Diversity Awards, University Relations
Campus News Archive
Two University of Minnesota, Morris students have received the 2016 Scholarly Excellence in Equity and Diversity (SEED) Award: Amy Coria ’18, Chicago, Illinois, and Nicole Palmer ’17, New Ulm. Sponsored by the Office for Equity and Diversity (OED), the systemwide award honors and acknowledges diverse students doing outstanding work across the University of Minnesota, both in and out of the classroom.
The Rider (2016-10-31), Jesus Sanchez
A Visualization Model Used For Determining The Effectiveness Of Information Retrieval In A Scientific Database, Nestor L. Osorio, Samantha Johnson
A Visualization Model Used For Determining The Effectiveness Of Information Retrieval In A Scientific Database, Nestor L. Osorio, Samantha Johnson
Library Philosophy and Practice (e-journal)
In this study, we demonstrate that a visualization model can determine the effectiveness of searching a bibliographic database, when three descriptive metadata fields are compared. The Inspec database was searched to create a bibliography of articles about a broad scientific topic, interplanetary travel. We collected metadata from 823 Inspec articles and used the Sci2 Tool to create co-occurrence networks based on subject terms, title keywords, and classification codes from each of the articles. The Watts-Strogatz clustering coefficient model was used to create molecular organization of the networks. This method identified subject domain clusters for each of the three selected metadata …
Risk For Type 2 Diabetes Among Snap Participants With Prediabetes, Diana L. Malkin-Washeim, Phd, Mph, R.D., Cde, Shirley Gerrior, Phd, R.D.
Risk For Type 2 Diabetes Among Snap Participants With Prediabetes, Diana L. Malkin-Washeim, Phd, Mph, R.D., Cde, Shirley Gerrior, Phd, R.D.
Journal of Social, Behavioral, and Health Sciences
This study explored food security status among Supplemental Nutrition Assistance Program (SNAP) participants with prediabetes in relation to food choice decisions over a 30-day benefit cycle that potentially increases the risk of Type 2 diabetes. A cross-sectional, quantitative design based on food choice process model constructs was used. SNAP participants (n = 36) with prediabetes, aged 21–70 years, were recruited as outpatients from Bronx Lebanon Hospital Center and completed self-reported questionnaires on demographics and health, food security, and food frequency over time. Descriptive statistics, Pearson chi square tests, and regression analysis were performed using SPSS. Two post-hoc tests, the …
Causes, Effects, And Remedies In Conflict Management, Kamran Khan, Syed Karamatullah Hussainy, Yumna Iqbal
Causes, Effects, And Remedies In Conflict Management, Kamran Khan, Syed Karamatullah Hussainy, Yumna Iqbal
The South East Asian Journal of Management
While workplace conflicts have been widely studied in the literature, this research provides a holistic view of the causes and effects of such, and how managers or a management can resolve the conflicts among their teams and organization through a detailed, multidimensional framework carried out on one of the biggest textile firms of Pakistan. With an initial sample of 145 respondents, 37 questionnaires were dropped because of invalid and incomplete answers; therefore, the study was carried out on 108 respondents. Conflicts are a part of human nature, but management should play an important role in dealing with these issues, as …
Work-Family Conflict And Job Satisfaction: The Mediating Role Of Person-Organization Fit Study On Employees Of The Bri Aceh Region, Mahdani Ibrahim, Yusra Yusra
Work-Family Conflict And Job Satisfaction: The Mediating Role Of Person-Organization Fit Study On Employees Of The Bri Aceh Region, Mahdani Ibrahim, Yusra Yusra
The South East Asian Journal of Management
The objective of this research is to analyze the influence of person–organization fit (P-O fit) on work–family conflict (WFC) and job satisfaction (JS) relationships at Bank Rakyat Indonesia, Aceh Regional in Banda Aceh. The sample includes 127 employees, those who have worked more than two years. The data are collected via questionnaire. The equipment of data analysis is structural equation modeling (SEM), which proceeds using analysis of moment structure (AMOS). The results of the study show the varible P-O fit role as a mediator variable in the relationship of WFC and job satisfaction. WFC does not have a direct effect …
College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan
College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan
The Qualitative Report
Patient care in the university setting is indelibly connected to college health care providers. College health care providers adapt to a specific set of circumstances unique to the university context in their patient care roles. The authors therefore sought to investigate the patient care phenomenon from college health care providers’ lived experiences. The patient care phenomenon was explored via in-depth interviews with 11 college health care providers at universities in the Midwest and Northeast regions of the United States. The phenomenological theoretical framework of the study revealed five themes of patient care during data analysis: health education, behavioral health, student …
Hubungan Kemampuan Penyesuaian Diri Dan Pola Berpikir Dengan Kemandirian Belajar Serta Dampaknya Pada Prestasi Akademik Mahasiswa, Muhamad Arifin, Ahmad Dardiri, Anik Nur Handayani
Hubungan Kemampuan Penyesuaian Diri Dan Pola Berpikir Dengan Kemandirian Belajar Serta Dampaknya Pada Prestasi Akademik Mahasiswa, Muhamad Arifin, Ahmad Dardiri, Anik Nur Handayani
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
The purpose of this study to uncover the relationship between (1) the ability of adjustment (X1) with academic achievement (Z); (2) patterns of thinking (X2) with academic achievement (Z); (3) regulated learning (Y) with academic achievement (Z); (4) ability of adjustment (X1) with regulated learning (Y); and (5) patterns of thinking (X2) with independent learning (Y). The design of this study using a quantitative approach to look at the relationships of independent variables on the dependent variable and causal relationships. Model analysis of patterns of relationships between variables using path analysis (path analysis). The study population was a graduate student …
Pengaruh Strategi Flow Diagram Dalam Pembelajaran Inkuiri Terbimbing Terhadap Keterampilan Berpikir Tingkat Tinggi Dan Keterampilan Proses Sains, Vinda Nur Fitriana, Parno Parno, Wartono Wartono
Pengaruh Strategi Flow Diagram Dalam Pembelajaran Inkuiri Terbimbing Terhadap Keterampilan Berpikir Tingkat Tinggi Dan Keterampilan Proses Sains, Vinda Nur Fitriana, Parno Parno, Wartono Wartono
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
This study aims to determine differences in higher order thinking skills and science process skills of students learn who use guided inquiry learning with Flow Diagram strategy and guided inquiry learning. The research design uses quasi-experimental with Pretest-Posttest Control Group Design. The population in this study were students of class X MIA SMA Negeri 1 Kalitidu the academic year 2015/2016. The sample used in this research is class X MIA 4 as an experimental class and class X MIA 2 as the control class with a total of 2 class of 64 students. Instruments used include high-level thinking skills tests …
Developing Audio-Visual Media Of Fables And Folktales For English Speaking Activity In Junior High School Classroom, Zahrah Zakiya Ahda
Developing Audio-Visual Media Of Fables And Folktales For English Speaking Activity In Junior High School Classroom, Zahrah Zakiya Ahda
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
This study aims at developing a simple audio-visual media of folktales and fables as media for speaking activity in Junior High School. The research adopts R&D design. The media is in the form of Flash media. There are two self-made digital stories and two narrated stories from folktales and fables in Asia. Each story is followed up by questions. Three classes were used as the participant in the tryout. For instruments, a checklist was used by the experts and English teachers; another checklist was used by the students. The result showed that the product is well accepted and liked by …
Humanization Through Action Research As Methodology, Jeffrey D. Radloff, Cole Joslyn, Brenda Capobianco
Humanization Through Action Research As Methodology, Jeffrey D. Radloff, Cole Joslyn, Brenda Capobianco
The Qualitative Report
The purpose of this action research study was to critically examine the use of action research as a mechanism to enhance graduate students’ development as emerging qualitative researchers. Although action research has been recognized as an effective means of transforming teaching practices, studies examining its use among graduate students learning to become qualitative researchers are lacking. Participants profiled in this study include two graduate students and one teacher educator. The context of the study was a graduate level course on action research where all three participants identified starting points, employed distinct action strategies, engaged in sustained, critical reflection, and developed …
Employer Branding: An Islamic Perspective, Norasyikin Binti Shaikh Ibrahim
Employer Branding: An Islamic Perspective, Norasyikin Binti Shaikh Ibrahim
The South East Asian Journal of Management
This paper discusses employer branding from an Islamic perspective. Islam is a way of life and so do the employer and employee relationship, which strengthens employer branding in an organization. The definition, importance and process related to employer branding are discussed in the context of human resource management, such as job satisfaction and work environment. In addition to that, related human resource management practices such as recruitment and selection were discussed in an Islamic context. Related concepts such as employee value proposition (EVP), ethics and Islamic values were discussed with reference from Al-Quran and Hadith. The paper concludes with a …
Hazard Perception And Demand For Insurance Among Selected Motorcyclists In Lagos, Nigeria, Adeleke Ismaila, Olowokudejo Folake Feyisayo, Sunday Stephen Ajemunigbohun
Hazard Perception And Demand For Insurance Among Selected Motorcyclists In Lagos, Nigeria, Adeleke Ismaila, Olowokudejo Folake Feyisayo, Sunday Stephen Ajemunigbohun
The South East Asian Journal of Management
This study examines hazard perception effects on the demand for insurance with special focus on motorcycle riders in Lagos state. For this purpose, the researchers have been able to examine selected hazard perception determinants and their effects on the insuring attitude and desire of motorcycle riders. An explanatory research design was employed and a convenience sampling type of the nonprobability sampling technique was adopted. Data was gathered by interviews conducted at motorcycle parks along the Lagos-Badagry expressway. The sample consisted of 126 respondents made up of commercial motorcycle riders within the sample areas. Data collected was analysed using multiple regression …
H.O.P.E. For Indigenous People Battling Intergenerational Trauma: The Sweetgrass Method, Mark Standing Eagle Baez, Patricia Isaac, Carla Allison Baez
H.O.P.E. For Indigenous People Battling Intergenerational Trauma: The Sweetgrass Method, Mark Standing Eagle Baez, Patricia Isaac, Carla Allison Baez
Journal of Indigenous Research
H.O.P.E. for Indigenous People Battling Intergenerational Trauma: The Sweetgrass Method
The Sweetgrass Method, when applied to practitioners/clinicians, embraces the three strands. The first strand in the braid (Introspection) focuses one’s mental state by grounding the self to the present moment with healthy/healing approaches, in addition to recognizing and reflecting on one's thoughts, emotions and actions. The second strand in the braid (Collaboration) weaves the importance as professionals in the area consultation (with other professionals or traditional practitioners) for support on services that are working for the client, as well as receiving feedback on services that may need to be tailor-made …
The Camino De Santiago De Compostela (Spain) And The Via Francigena (Italy): A Comparison Between Two Important Historic Pilgrimage Routes In Europe, Guido Lucarno
International Journal of Religious Tourism and Pilgrimage
The Italian section of the Via Francigena, a Medieval pilgrimage route to Rome, has not yet been commercialised to its full potential when compared to the Camino de Santiago in Spain. There are many reasons for this under development. First, there is an absence of a specialised organisation focused on utilising the resources available; a difficulty that could be overcome by the forming a tourism body with the specific charter for developing these resources and attracting tourism. Second, the weight of the cultural heritage of Rome in the contest for religious tourism takes away from the valorisation of other pilgrimage …
The Role Of Religious Tourism In Creating Destination Image: The Case Of Konya Museum, Murat Kocyi̇gi̇t
The Role Of Religious Tourism In Creating Destination Image: The Case Of Konya Museum, Murat Kocyi̇gi̇t
International Journal of Religious Tourism and Pilgrimage
The image of a destination comprises perceptions acquired by individuals, oriented to the specifications of a destination. Touristic destinations are, in order to be able to attract more tourists in the competition environment, in charge of developing marketing efforts, making the best of positioning their products and services together with their economic, cultural and social dimensions in the intelligence of tourists. In this direction, the aim of this study is to determine the destination image perceived by tourists who travel with the purpose of religious tourism when they visit to Konya Museum (Mawlana Jalaladdin Rumi). The data for the study …
Management Practices For The Development Of Religious Tourism Sacred Sites: Managing Expectations Through Sacred And Secular Aims In Site Development; Report, Store And Access, Peter Wiltshier, Maureen Griffiths
Management Practices For The Development Of Religious Tourism Sacred Sites: Managing Expectations Through Sacred And Secular Aims In Site Development; Report, Store And Access, Peter Wiltshier, Maureen Griffiths
International Journal of Religious Tourism and Pilgrimage
Through a distillation of practices reflective of the extant literature and socio-economic approaches to inclusive development of sites of religious experiences and worship, we posit that there are seven core conceptual approaches to support evolving site management needs. Therefore, developing sites of special significance necessarily requires the dissemination and sharing of both intellectual and practical contributions to meet those needs in a planned and stakeholder-driven approach. Traditional approaches to development emerged half a century ago with a focus on core competencies and the agreed understanding that open and fair competition would raise quality and assure reasonable profit margins. Creating awareness …
Utilizing Teamstepps Resources Combined With A Simulated Grand Rounds Workshop: Signature Pedagogy For Interprofessional Practice And Education, Mick V. Kaminsky, Ms, Atc
Utilizing Teamstepps Resources Combined With A Simulated Grand Rounds Workshop: Signature Pedagogy For Interprofessional Practice And Education, Mick V. Kaminsky, Ms, Atc
JCIPE Conference
Purpose: To provide hospital professional staff with the opportunity for interprofessional standardized patient conferencing, through simulated bedside grand rounds.
Background: There is a need for conferencing techniques, regarding matters of patient concern, that are capable of providing a particular level of collaboration between providers at hospital interprofessional (IP) rounds1. This is due to the mortality attributed to preventable medical errors2 along with an estimated 3.4 trillion dollars in wasteful healthcare costs/year owing to fragmented oversight.3 The AAMC’s Aligning and Educating for Quality Initiative recognizes the medical conference as a quality improvement endeavor within graduate …
Negotiating Challenges In Community-Based Interprofessional Education Programs, Margaret Brommelsiek, Phd, Jane Peterson, Phd, Rn, Aprn, Faanp
Negotiating Challenges In Community-Based Interprofessional Education Programs, Margaret Brommelsiek, Phd, Jane Peterson, Phd, Rn, Aprn, Faanp
JCIPE Conference
Purpose: Discuss the challenges in delivering interprofessional education and clinical practice in community-based settings.
Background: Implementing interprofessional education (IPE) and clinical practice (IPCP) programs remains challenging despite increased emphasis on IPE. Understanding the challenges in delivering IPE/IPCP community-based programs is important in developing a well-trained interprofessional workforce.
Description of Program: IPE curricula was developed for two community-based IPCP experiences using a flexible framework for negotiating unforeseen challenges working with multiple health professions schools and community partners. Models utilized were a community of practice that allowed for shared interests, learning, and problem-solving, and Plan-Do-Study-Act that provides flexibility as …
Clinical Impact Of A Novel Interprofessional Dental And Pharmacy Student Tobacco Cessation Education Program On Dental Patients, Matthew Boyd, Pharmd Candidate, Jillian Lykon, Pharmd Candidate, Jacqueline M. Theodorou, Pharmd, Bcps, Melissa E. Rotz, Pharmd, Bcps, Shannon Myers Virtue, Psyd, Elizabeth Waldron, Ba
Clinical Impact Of A Novel Interprofessional Dental And Pharmacy Student Tobacco Cessation Education Program On Dental Patients, Matthew Boyd, Pharmd Candidate, Jillian Lykon, Pharmd Candidate, Jacqueline M. Theodorou, Pharmd, Bcps, Melissa E. Rotz, Pharmd, Bcps, Shannon Myers Virtue, Psyd, Elizabeth Waldron, Ba
JCIPE Conference
Objectives:
• To compare the difference between IPE care and standard care (SC) groups regarding dental patients' perceptions of knowledge gained about tobacco cessation, intentions to quit tobacco use, and quit attempts at follow-up.
• To evaluate perceptions of IPE care.
Background:
Based on the link between tobacco use and oral health and the frequent contact between dental providers and patients, the dental clinic is an ideal setting to address tobacco use.1
• Many dentists feel unprepared providing tobacco cessation education, particularly pharmacologic treatment options.1-3
• Pharmacists promote safe and effective pharmacologic treatment options for tobacco dependence and patients’ perceptions …
Leading Without Permission, Robin Hummel
Leading Without Permission, Robin Hummel
Occasional Paper Series
Author Robin Hummel makes an emphatic, persuasive plea for teachers to seize the reins of instructional leadership and take responsibility - even in the face of recalcitrant administrators and increasingly prescriptive curricula - for their own professional learning and growth. She makes the case for action research as a particularly potent professional development tool, and shows how it serves to liberate teachers from inertia and dependency.
Walking A Hall Of Mirrors, Kami Patrizio
Walking A Hall Of Mirrors, Kami Patrizio
Occasional Paper Series
Mentoring requires careful structuring, thorough preparation, and continual monitoring along with a willingness to look inward to confront the elusive issues of identity, empathy, morality, and emotion.
Using The Comprehensive Assessment Of Team Member Effectiveness (Catme) To Evaluate Interprofessional Student Teamwork In A Longitudinal Interprofessional Learning Experience, Gail Castenada, Doctoral Candidate, Felix Lorenzo, Phd, Manal Alabduljabbar, Doctoral Candidate, Nichole Stetten, Mph, Cph, Doctoral Candidate, Erik Black, Phd, Amy Blue, Phd
Using The Comprehensive Assessment Of Team Member Effectiveness (Catme) To Evaluate Interprofessional Student Teamwork In A Longitudinal Interprofessional Learning Experience, Gail Castenada, Doctoral Candidate, Felix Lorenzo, Phd, Manal Alabduljabbar, Doctoral Candidate, Nichole Stetten, Mph, Cph, Doctoral Candidate, Erik Black, Phd, Amy Blue, Phd
JCIPE Conference
Purpose:
The purpose of this presentation is to describe the Comprehensive Assessment of Team Member Effectiveness (CATME) teamwork evaluation application and its utility for peer assessment of teamwork behaviors among first year health science students participating in a longitudinal interprofessional service learning experience.
Background:
Putting Families First (PFF) is a interprofessional service learning experience required for first year health science students at the University of Florida. During PFF interprofessional teams of students complete multiple home visits to local volunteer families throughout the year in addition to completing several small group facilitated sessions. During the home visits, students work with …
What's In It For Me? Perspectives From Community Participants In An Inter-Professional Service Learning Program, Gail Castaneda, M.Ed, Sabrina Islam, Ms, Nichole Stetten, Mph, Cph, Erik Black, Phd, Amy Blue, Phd
What's In It For Me? Perspectives From Community Participants In An Inter-Professional Service Learning Program, Gail Castaneda, M.Ed, Sabrina Islam, Ms, Nichole Stetten, Mph, Cph, Erik Black, Phd, Amy Blue, Phd
JCIPE Conference
Purpose: This study assessed Interdisciplinary Family Health (IFH) Program participants‘ perceived health outcomes associated with program participation at the University of Florida.
Background: Service-learning has emerged as a dynamic way in which students derive practical skills to address the needs of their community. Research has probed student perspectives but has seldom explored community feedback. The Interdisciplinary Family Health Program (IFH) is a mandatory Interprofessional service learning experience designed to foster collaborative teamwork across first year health professions students at UF. Students are assigned in interprofessional teams of four to improve a local volunteer family’s health over the course …
Development Of A Data Management System To Support Quality Improvement In Ipe, Jennifer Taylor, Dhed, Mph, Andrea Pfeifle, Edd, Pt, Fnap
Development Of A Data Management System To Support Quality Improvement In Ipe, Jennifer Taylor, Dhed, Mph, Andrea Pfeifle, Edd, Pt, Fnap
JCIPE Conference
It is vital to understand best practices in interprofessional education (IPE) that teaches competencies needed to practice collaboratively to improve patient care.1 Universities are increasingly looking for evidence of their own best practices and a better understanding of the return on investment in IPE. Continuous quality improvement, which seeks to discern what works for addressing a particular problem, for whom, and under what set of specific conditions can support our work in this area but real time and relevant data is needed to support this process.2,3
The Indiana University Center for Interprofessional Health Education and Practice (CIPHEP) brings …
Assessing The Impact Of The Hidden Curriculum On Interprofessional Development Among Medical Clerkship Students: A Mixed-Methods Action Research Analysis, Jim Ballard, Edd, Ms
Assessing The Impact Of The Hidden Curriculum On Interprofessional Development Among Medical Clerkship Students: A Mixed-Methods Action Research Analysis, Jim Ballard, Edd, Ms
JCIPE Conference
Abstract
Objectives: Following this presentation, participants will be able to: 1) describe the utility of assessing the “hidden curriculum” to determine lasting effects of pre-clinical exposure to an IPE curriculum during clinical training, 2) discuss the effectiveness of mixed methodology action research methods for evaluating interprofessional development, and 3) discuss the observed impact of the hidden curriculum during a third year clerkship on interprofessional understanding,
Purpose and Background: Institutions implementing IPE at the pre-clinical level of training may be concerned about the lasting effect of this training during clinical clerkships due to the lack of clinical learning contexts where interprofessional …
Linking Community Service And Interprofessional Education: The Salus University Veterans Readiness Initiative, Karen J. Hanson, Phd, Linda Casser, Od, Faao, Lynn D. Greenspan, Od, Faao, Bre L. Myers, Aud, Faaa
Linking Community Service And Interprofessional Education: The Salus University Veterans Readiness Initiative, Karen J. Hanson, Phd, Linda Casser, Od, Faao, Lynn D. Greenspan, Od, Faao, Bre L. Myers, Aud, Faaa
JCIPE Conference
The interdisciplinary author team has developed a model for community partnered, multisensory (hearing vision balance) outreach screening events to identify Veterans who have sensory/sensorimotor problems and link them with care while also providing an interprofessional (IPE) learning experience for students and faculty. Returning Veterans enrolled in community college to enhance employability sometimes struggle with non-specific visual, auditory and/or vestibular symptoms that interfere with academic performance. These Veterans may have experienced a traumatic brain injury (TBI) or concussion. Salus University has partnered with the Philadelphia VA Medical Center and two community colleges, to conduct an interdisciplinary outreach screening on two community …
Understanding The Healthcare Needs Of Our Veterans, Pat Dillon, Phd, Rn, Elizabeth Emery, Ms, Rd, Cnsc, Donna Fiedler, Msw, Barbara Hoerst, Phd, Rn
Understanding The Healthcare Needs Of Our Veterans, Pat Dillon, Phd, Rn, Elizabeth Emery, Ms, Rd, Cnsc, Donna Fiedler, Msw, Barbara Hoerst, Phd, Rn
JCIPE Conference
Purpose: The program sought to emphasize the importance of interprofessional collaboration and to increase students’ awareness of the healthcare needs of veterans.
Background: The nursing program participates in the Joining Forces Initiative, launched in 2011, to support service members, veterans, and their families through wellness, education, and employment opportunities. Part of the charge is to call attention to critical issues facing service members and veterans and to educate healthcare providers about how to meet their unique needs. The School of Nursing and Health Sciences’ Interprofessional Education Committee saw an opportunity to accomplish both.
Program Description: A short …
Quality And Delivery System Reform: Jcipe Interprofessional Care For The 21st Century: Redefining Education And Practice, Ellen-Marie Whelan, Np, Phd
Quality And Delivery System Reform: Jcipe Interprofessional Care For The 21st Century: Redefining Education And Practice, Ellen-Marie Whelan, Np, Phd
JCIPE Conference
A panel discussion of the findings from recent IOM reports, accreditation progress supporting interprofessional aims and the importance of teams in maximizing value in healthcare.