Rosalind Franklin University of Medicine and Science: A Metacognitive, Social Determinant Model

Member since:  November 2015

Intervention: The Moral Development of Interprofessional Team Based Care: A Metacognitive, Social Determinant Model

Partners:

  • RFUMS DeWitt C. Baldwin Institute for Interprofessional Education
  • RFUMS Health  Clinic: Interprofessional Community Clinic
  • RFUMS College of Health Professions
  • RFUMS College of Pharmacy
  • RFUMS College of Medicine
  • RFUMS Scholl College of Podiatric Medicine
  • DePaul University School of Nursing at RFUMS
  • RFUMS Simulation Laboratory

Occupations represented: Students and professionals from   the following  RFUMS programs: medicine, nursing, nurse anesthesia, pathology assistant, pharmacy, physical therapy, physician assistant, podiatric medicine, and psychology.

OverviewOur initiative focuses on the linkage between educational strategies and patient outcomes  addressing the Triple Aim.   The specific aim of the research program is to change student IP behaviors and improve patient outcomes  through  developing  a hybrid simulation intervention utilizing the ethics and values competencies as defined by the Interprofessional Education Collaborative (IPEC) model and the social determinants of health derived from the community that we serve. 

Three IP groups of health professional students will undergo intensive diagnostic reasoning activities designed to reflect the health and social determinant issues that a typical patient in the local area may experience. Debriefing will be done using metacognitive strategies.   The students will be assessed by cognitive and behavioral measures pre and post intervention.  The same groups of student will then be place within a local diabetes education clinic over 12 weeks and be reassessed at the conclusion of the clinic. The patients will be tested pre and post intervention on BMI, A1C and Locus of Control measures to assess improvement.  This study will be repeated over a 4 year time period to ascertain relationships between IPECP and patient outcomes.  

North Chicago, the location of the study, is a designated Medically Underserved Area/Population ( MUA/P).   This population experiences high levels of obesity and diabetes which is intensified by social determinants of health such as education levels and poverty levels as well as food deserts. Related characteristics observed in the local patient community will be incorporated into the simulation model.

Intervention study question:

  • For students in an Interprofessional ( IP ) class and in an IP clinic , does a moral development and ethical interprofessional simulation intervention positively affect IP team behavior? 
  • For patients being treated in an IP clinic, does being treated by students that received a moral development and ethical simulation positively affect select patient outcomes. 
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