Medical Education Commons^™

Spotlight On An Interprofessional Clinical Team, Andrew Chapman, Md, Emily Hajjar, Pharmd, Ms, Bcps, Bcacp, Bcgp, Lora Rhodes, Msw, Lsw, Melissa Denton, Rdn, Cso, Ldn, Lauren Hersh, Md

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Take a closer look at a clinical team at Thomas Jefferson University Hospital and how they practice interprofessionally every day!

The Senior Adult Oncology (SAO) Center at Jefferson Health focuses on cancer care for adults over the age of sixty-five, taking a whole-person approach in creating a personalized treatment plan.

JCIPE interviewed an SAO team about their roles, their interprofessional dynamic, and what they have learned from each other. The team then reviewed the case of C.S.

Who Are We Inviting To The Ipe Table?, Daniel S. Ferguson, Ms

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” – Martin Luther King

Health outcomes and life expectancy in the United States of America differ substantially based on race. For example, people of color are more likely to die of cardiovascular disease or stroke; more likely to have diabetes; and have higher infant and maternal mortality rates as compared to their white counterparts (Frieden, 2013). Achieving health equity is a key focus of Healthy People 2030 (HHS, 2013), which prioritizes addressing social determinants of health, including access to timely, high-quality healthcare and effective …

Jcipe Updates

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

JCIPE Updates

From The Editors

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As we begin a new year, we in the Jefferson Center for Interprofessional Practice and Education (JCIPE) are grateful for a fall semester and holiday season which brought connection and renewed our commitment to collaboration and inclusivity. We enjoyed seeing many of you in person again at our 8th biennial conference, when we hosted approximately 165 interprofessional colleagues from across the country and even around the world, to ponder and discuss issues of the day. We learned so much about what drives you and the field of interprofessional collaborative practice, and we appreciate this opportunity to reflect on our takeaways …

Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 14, Number 1, Fall 2023/Winter 2024

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue:

• Letter from the Editors
• JCIPE Updates
• Who are we inviting to the IPE table?
• Spotlight on an Interprofessional Clinical Team
• Team Care Planning: Black Maternal Health Case
• Translation of Collaborative Skills from Undergraduate Interprofessional Education Curriculum to the Workplace: Results of a Pilot Program
• Meet an IPE Staff Champion
• Meet an IPE Student Champion

Barriers To Research Among Residents In Oral And Maxillofacial Surgery, Annie H. Ho, Matthew J. Sansevere, Joli C. Chou

Department of Oral and Maxillofacial Surgery Faculty Papers

PURPOSE/OBJECTIVES: Research is an integral part of oral and maxillofacial surgery (OMS) residency training. This study aimed to identify the current barriers perceived by OMS residents toward conducting research during training.

METHODS: A cross-sectional, questionnaire-based study was conducted. The survey was distributed to 670 OMS residents across the United States in 2021 and consisted of questions regarding demographics, residency program requirements and resources, and perceived barriers to research. Data were analyzed using descriptive statistics, Fisher's exact tests, Kruskal-Wallis tests, and post hoc Dunn's test with a statistical significance of P < 0.05.

RESULTS: The response rate was 24.2%. Most participants' programs had …

Analysis Of Anonymous Student Narratives About Experiences With Emergency Medicine Residency Programs, Molly Estes, Jacob Garcia, Ronnie Ren, Mark Olaf, Shannon Moffett, Michael Galuska, Xiao C. Zhang

Department of Emergency Medicine Faculty Papers

Background: Academic emergency medicine (EM) communities have viewed anonymous online communities (AOC) such as Reddit or specialty-specific “applicant spreadsheets” as poor advising resources. Despite this, robust EM AOCs exist, with large user bases and heavy readership. Insights about applicants’ authentic experiences can be critical for applicants and program leadership decision-making. To date, there are no EM studies to qualitatively assess EM AOC narratives during the application cycle. Our goal was to perform a qualitative analysis of students’ EM program experiences through a publicly available AOC. Methods: This was a qualitative analysis of a publicly available, time-stamped, user-locked AOC dataset: “Official …

Early Immersion In Team-Based Event Review: Experiential Patient Safety Education For Pgy 1 Internal Medicine Residents, Michelle Perkons, Alexis Wickersham, Sonia Bharel, Timothy Kuchera, Rebecca Jaffe

Department of Medicine Faculty Papers

INTRODUCTION: In recent years, there has been a national push to incorporate high-fidelity quality improvement and patient safety (QIPS) education into physician training programs. In fact, integration of robust patient safety education became an Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirement for residency programs in 2017. We developed a curriculum to not only fulfill the ACGME's requirement but also provide PGY 1 internal medicine residents with the skills needed to become active participants in ongoing patient safety work throughout their training and careers.

METHODS: Our patient safety curriculum was woven into residents' existing protected educational time and …

A Konnyaku Jelly Model For Ultrasound-Guided Fascia Iliaca Compartment Block, Arthraj J. Vyas, Matthew C. Lo, Arthur Au, Md

Alpha Omega Alpha Research Symposium Posters

Purpose

Konnyaku Jelly:

•Previously used as effective ultrasound-guided IV access phantom

•Withstands multiple needle piercings without phantom deterioration

•<$3 per pack

Harm Reduction In Undergraduate And Graduate Medical Education: A Systematic Scoping Review, Kelsey R. Smith, Nina K. Shah, Abby L. Adamczyk, Lara C. Weinstein, Erin L. Kelly

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Substance use increasingly contributes to early morbidity and mortality, which necessitates greater preparation of the healthcare workforce to mitigate its harm. The purpose of this systematic scoping review is to: 1) review published curricula on harm reduction for substance use implemented by undergraduate (UME) and graduate medical education (GME) in the United States and Canada, 2) develop a framework to describe a comprehensive approach to harm reduction medical education, and 3) propose additional content topics for future consideration.

METHODS: PubMed, Scopus, ERIC: Education Resources Information Center (Ovid), and MedEdPORTAL were searched. Studies included any English language curricula about harm …

Evaluating The Efficacy Of Chatgpt In Navigating The Spanish Medical Residency Entrance Examination (Mir): Promising Horizons For Ai In Clinical Medicine., Francisco Guillen-Grima, Sara Guillen-Aguinaga, Laura Guillen-Aguinaga, Rosa Alas-Brun, Luc Onambele, Wilfrido Ortega, Rocio Montejo, Enrique Aguinaga-Ontoso, Paul Barach, Ines Aguinaga-Ontoso

Department of Medicine Faculty Papers

UNLABELLED: The rapid progress in artificial intelligence, machine learning, and natural language processing has led to increasingly sophisticated large language models (LLMs) for use in healthcare. This study assesses the performance of two LLMs, the GPT-3.5 and GPT-4 models, in passing the MIR medical examination for access to medical specialist training in Spain. Our objectives included gauging the model's overall performance, analyzing discrepancies across different medical specialties, discerning between theoretical and practical questions, estimating error proportions, and assessing the hypothetical severity of errors committed by a physician.

MATERIAL AND METHODS: We studied the 2022 Spanish MIR examination results after excluding …

Perceptions Of Nigerian Medical Students Regarding Their Preparedness For Precision Medicine: A Cross-Sectional Survey In Lagos, Nigeria, Chibuzor Ogamba, Alero Roberts, Sharon Ajudua, Mosopefoluwa Akinwale, Fuhad Jeje, Festus Ibe, Moses Afolayan, Yetunde Kuyinu

Einstein Health Papers

BACKGROUND: Advances in precision medicine in Nigeria suggest improving genomics education and competency among healthcare practitioners to facilitate clinical translation. Due to the scarcity of research in this area, this study aimed to assess Nigerian medical students' perceptions about their preparedness to integrate precision medicine into their future clinical practice.

METHODS: This was an institution-based cross-sectional study of medicine and surgery students in their clinical years attending the two fully accredited colleges of medicine in Lagos, Nigeria, between April and October 2022 using an adapted tool administered via Google Forms. The survey assessed their awareness, perceptions about knowledge, ability, and …

Validation Of The Factor Structure Of The Health Professionals’ Attitudes Toward The Homeless Inventory (Hpathi), Susan Toth-Cohen, Maria Brucato, Kerry Dinardo, Richard Hass

JCIPE Posters

Background

- Considerable stigma exists toward persons experiencing homelessness (PEH)—a vulnerable population at greater risk for health disparities.^{1, 2}

- Many healthcare students begin their programs without interacting with PEH and with preconceived notions influenced by societal stigma.

- Interprofessional education programs, such as the Enhancing Services for People Experiencing Homelessness program below, have incorporated experiential learning into curricula to address student biases and develop understanding and compassion.

• Educating students to understand issues that PEH face can help mitigate healthcare disparities.

- Evaluating the effectiveness of these interprofessional educational experiences requires valid assessment of the attitudes, interest, and confidence …

Making Decisions "In The Dark": Learning Through Uncertainty In Clinical Practice During Covid-19, Urvashi Vaid, Henriette Lundgren, Karen E. Watkins, Deborah Ziring, Grace A. Alcid, Victoria J. Marsick, Dimitrios Papanagnou

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

PURPOSE: The purpose of this study was to explore how decision making and informal and incidental learning (IIL) emerged in the clinical learning environment (CLE) during the height of the Covid-19 pandemic. The authors' specific interest was to better understand the IIL that took place among frontline physicians who had to navigate a CLE replete with uncertainty and complexity with the future goal of creating experiences for medical students that would simulate IIL and use uncertainty as a catalyst for learning.

METHOD: Using a modified constructivist, grounded theory approach, we describe physicians' IIL while working during times of heightened uncertainty. …

Nurse Engagement In Antibiotic Time-Outs: The Collaborative Process Of Leveraging Design To Disseminate Research Findings, Mary Lou Manning, Maribeth Kradel-Weitzel

College of Nursing Faculty Papers & Presentations

INTRODUCTION: Research findings and knowledge translation are typically disseminated via presentations at professional meetings and publication in peer-review journals. However, other opportunities to translate research evidence into practice exist, including the use of visual cues.

AIM: The aim of this paper is to describe the collaborative process of translating key research findings into a clear and compelling visual communication tool.

DESIGN: As part of a multimodal research dissemination strategy, the researchers partnered with the University Health Communication Design Program faculty to develop a visual communication strategy to promote the use of antibiotic time-outs by nurses in a health system. An …

Expanding The Primary Care Interprofessional Team: Creating Space For Behavioral Health Consultants, Rachelle Rene, Phd, Bcb, Hsmi, Cgp, Mollie Cherson, Mphil, Lcsw

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Statement of issue or problem addressed

Despite a growing need for mental and behavioral health services, access to these services has been limited due to constraints in insurance coverage and location of services outside of medical care. As a result, mental and behavioral health needs have frequently fallen to the primary care system to support.

2023 James B. Erdmann Award Recipients

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The Jefferson Center for lnterprofessional Practice & Education (JCIPE) congratulates this year's interprofessional education (IPE) and collaborative practice (CP) award winners and thanks them for all of their efforts to support and advance this work on campus and beyond. Their contributions are immeasurable!

Interview Of John E. Lewis, Jr., Md, Ms, Facep, John E. Lewis, Jr., Md, Ms, Facep, Ciera M. Osborne, Otd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Dr. John E. Lewis, Jr., Assistant Professor of Emergency Medicine at the Emory University School of Medicine, presented the keynote at the 2022-23 J-SICCC Kick-Off event, exploring the systemic racism fueling the health disparities in our society in a raw, real, and electrifying way. I sat down with Dr. Lewis to continue the conversation. Through his sharing, Dr. Lewis helps us understand our own journeys, what drives us, and how we can improve our healthcare teams and patient interactions. This interview dives deeper into the roots of our disconnections to find the only treatment that will work to make the …

Spotlight On Interprofessional Clinical Teams, William F. Bucher, Bs, Rrt-Nps, Alicia Graf, Ma, Ccc-Slp, Margaret Lafferty, Md, Faap, Dot Mcelwee, Msn, Nnp-Bc, Elizabeth Przychowicz, Rn, Bsn, Cbc, Marie Snyder, Pt, Dpt, Pcs, Eileen Winter, Msw, Lsw

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Take a closer look at a clinical team at Thomas Jefferson University Hospital and how they practice interprofessionally every day!

The Jefferson Intensive Care Nursery (ICN) offers advanced care for infants who are born under critical circumstances or require specialized treatment for medical, surgical, or cardiac disorders. JCI PE interviewed the ICN team about several topics, including their roles, their interprofessional dynamic, and what they have learned from each other over the years. The team also reviewed the case of "Baby C during the interview. (Responses have been edited for length and clarity.)

Preparing The Healthcare Workforce Of Tomorrow Through Interprofessional Simulations: A Review Of Simulation Technologies Used At Jefferson Center For Interprofessional Practice & Education, Susan Toth-Cohen, Phd, Otr/L, E. Adel Herge, Otd, Otr/L, Faota, Amber King, Pharmd, Bcps, Fnap

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Interprofessional (IP) collaborative practice is believed to be an essential component of healthcare system transformation via the "Quadruple Aim" (IPEC. 2016) IP simulations provide invaluable opportunities for learners to practice, discuss, and improve teamwork and communication skills for clinical situations (Thistlethwaite, 2012). Furthermore, IP simulations help students gain a nuanced understanding of, and appreciation for, the roles and responsibilities of colleagues from different professions (Thistlethwaite, 2012). As a result, students increase their understanding of how practice is enhanced as they gain additional perspectives on care and improve their ability to engage in effective IP teamwork (IPEC, 2016). IP simulations allow …

Meet An Ipe/Cp Alumna Champion From Thomas Jefferson University, Kyra Shreeve, Bsn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As a Jefferson College of Nursing student (JCN), I had the opportunity to be involved in several JCIPE initiatives, including the Jefferson Student lnterprofessional Complex Care Collaborative program (J-SICCC, formerly Student Hotspotting) and Team Simulation & Fearlessness Education (TeamSAFE). As a member of J-SICCC, I worked with an interprofessional team of students to support a patient with complex social and healthcare needs. The TeamSAFE training was incorporated within the JCN curriculum, and after participating as a student I was able to volunteer as a co-facilitator. In addition, I had the chance to work with one of the JCN faculty members, …

Meet An Ipe/Cp Staff Champion From Thomas Jefferson University, Eileen Winter, Msw, Lsw

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

I became involved with JCIPE in 2016 as a faculty advisor to the one Jefferson Student lnterprofessional Complex Care Collaborative program (J-SICCC, formerly Student Hotspotting) team participating from Thomas Jefferson University. I found the students (medicine, nursing, OT, pharmacy, and two combined MD/PhDs) very engaged and enthusiastic. They took initiative and worked hard to establish connections with their patients. At some point during the year, they began meeting regularly at Scott Library at the end of the day. I joined them when I could, and provided them with direction as they tried to help their patients. It was rewarding to …

A Provocateur For Improvement, David B. Nash, Md, Mba

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

I like to think of myself as an internal champion for improving the quality and safety of medical care that we deliver at Jefferson. A central tenet of our work together at the bedside is that care can never be error free because we're working with people. Our goal should always be to make care harm free.

As a result of my dedication to this notion of harm free care, I would like to review some key milestones in my 30 years as a faculty member and connect the dots between my work and certain events. Here is the punch …

Jcipe Updates

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

JCIPE Updates

From The Editors

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

We are excited to share with you the summer 2023 edition of our newsletter! As the weather warms, and we celebrate commencements, we reflect upon our accomplishments in the face of many challenges. JCIPE is thankful for our 140 faculty, staff, resident, and student volunteer facilitators who made our student programming possible over the past year. We could not advance team-based care without their support. Additionally, after three years of largely virtual programming, we are thrilled to have brought all of our in-person simulations back to campus during the 2022-2023 academic year. JCIPE said goodbye to some longtime faculty and …

Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 13, Number 1, Spring/Summer 2023

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue:

• Letter from the Editors
• JCIPE Updates
• A Provocateur for Improvement
• Meet an IPE Faculty Champion
• Meet an IPE Student Champion
• Preparing the Healthcare Workforce of Tomorrow through Interprofessional Simulations: A Review of Simulation Technologies used at Jefferson Center for Interprofessional Practice & Education
• Spotlight on Interprofessional Clinical Teams
• Interview of John E. Lewis, Jr., MD, MS, FACEP
• 2023 James B. Erdmann Award Recipients
• Expanding the Primary Care Interprofessional Team: Creating Space for Behavioral Health Consultants

Design, Printing Optimization, And Material Testing Of A 3d-Printed Nasal Osteotomy Task Trainer, Lauren Schlegel, Eric Malani, Sara Belko, Ayan Kumar, Eric Barbarite, Howard Krein, Ryan Heffelfinger, Morgan Hutchinson, Robert Pugliese

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

BACKGROUND: For difficult or rare procedures, simulation offers an opportunity to provide education and training. In developing an adequate model to utilize in simulation, 3D printing has emerged as a useful technology to provide detailed, accessible, and high-fidelity models. Nasal osteotomy is an essential step in many rhinoplasty surgeries, yet it can be challenging to perform and difficult to receive adequate exposure to this nuanced portion of the procedure. As it currently stands, there are limited opportunities to practice nasal osteotomy due to the reliance on cadaveric bones, which are expensive, difficult to obtain, and require appropriate facilities and personnel. …

Using Individual Collector Blood Culture Volume Data To Improve Fill Volume, Richard S. Kirby, Jenna M. Meloni, Karishma B. Naik, Matthew D. Minnear, Matthew A. Pettengill

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

No abstract provided.

Using Three-Dimensional Printed Models For Trainee Orbital Fracture Education, Martina Rama, Lauren Schlegel, Douglas M. Wisner, Robert S. Pugliese, Sathyadeepak Ramesh, Robert Penne, Alison Watson

Wills Eye Hospital Papers

BACKGROUND: Three-dimensional printing is an underutilized technology in ophthalmology training; its use must be explored in complex educational scenarios. This study described a novel approach to trainee education of orbital fracture repair utilizing three-dimensional (3D) printed models as a teaching tool.

METHODS: Ophthalmology residents and oculoplastic fellows from multiple training institutions underwent an educational session on orbital fractures, learning through four different models. Participants analyzed orbital fractures through computerized tomography (CT) imaging alone and then utilizing CT imaging with the aid of a 3D printed model. Participants completed a questionnaire assessing their understanding of the fracture pattern and surgical approach. …

Impact Of Social Media And Multimedia Platforms: View From The Jacc: Case Reports Some Editors, Estefania Oliveros, Yevgeniy Brailovsky, Alessandro Beneduce, Hooman Bakshi, Edoardo Zancanaro, Indah Sukmawati, Mrinali Shetty, Gina Lundberg

Division of Cardiology Faculty Papers

No abstract provided.