The ambulatory long-block: an accreditation council for graduate medical education (ACGME) educational innovations project (EIP)
INTRODUCTION: Historical bias toward service-oriented inpatient graduate medical education experiences has hindered both resident education and care of patients in the ambulatory setting.
AIM: Describe and evaluate a residency redesign intended to improve the ambulatory experience for residents and patients.
SETTING: Categorical Internal Medicine resident ambulatory practice at the University of Cincinnati Academic Health Center.
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication
OBJECTIVE:
To assess whether structured team briefings improve operating room communication. Design, Setting, and
PARTICIPANTS:
This 13-month prospective study used a preintervention/postintervention design. All staff and trainees in the division of general surgery at a Canadian academic tertiary care hospital were invited to participate. Participants included 11 general surgeons, 24 surgical trainees, 41 operating room nurses, 28 anesthesiologists, and 24 anesthesia trainees.
INTERVENTION:
The development of the CoRE-Values framework as an aid to ethical decision-making
BACKGROUND: Ethical analysis frameworks can help to identify the ethical dimensions to clinical care and provide a method for justifying clinical decisions. Published frameworks, however, have some limitations to easy, practical use.
AIMS: The aim was to identify a comprehensive yet easy-to-use framework that clarifies ethical decision-making, suitable for use by medical learners and clinical educators.
Simulated interprofessional education: an analysis of teaching and learning processes
Simulated learning activities are increasingly being used in health professions and interprofessional education (IPE). Specifically, IPE programs are frequently adopting role-play simulations as a key learning approach. Despite this widespread adoption, there is little empirical evidence exploring the teaching and learning processes embedded within this type of simulation. This exploratory study provides insight into the nature of these processes through the use of qualitative methods.
Student perspectives on patient educators as facilitators of interprofessional education
BACKGROUND: There has been increasing interest in the active involvement of patients in the education of health professionals. Few have examined the potential role of patient educators in the facilitation of interprofessional education (IPE).
AIM: This qualitative program evaluation examined students' perceptions of their learning in a patient-facilitated IPE event.
A critical examination of the role of appreciative inquiry within an interprofessional education initiative
Appreciative inquiry (AI) is a relatively new approach to initiating or managing organizational change that is associated with the 'positiveness' movement in psychology and its offshoot positive organizational scholarship. Rather than dwelling upon problems related to change, AI encourages individuals to adopt a positive, constructive approach to managing change. In recent years, AI has been used to initiate change across a broad range of public and private sector organizations.
Relationships of power: implications for interprofessional education
Interprofessional education (IPE) is considered a key mechanism in enhancing communication and practice among health care providers, optimizing participation in clinical decision making and improving the delivery of care. An important, though under-explored, factor connected to this form of education is the unequal power relations that exist between the health and the social care professions.
Learning to listen: improving students' communication with disabled people
A significant number of patients requiring critical care are now being managed outside of critical care facilities. There is evidence that staff looking after these patients lack the necessary knowledge and skills to care for them safely, and that effective pre-registration education can play a significant role in addressing these shortfalls in nurses' knowledge and skills.
Learning from lives together: medical and social work students' experiences of learning from people with disabilities in the community
The study aims to evaluate an interprofessional community-based learning event, focussing on disability. The learning opportunity was based on the Leicester Model of Interprofessional Education, organised around the experiences and perceptions of service users and their carers. Programme participants were drawn from medicine and social work education in Leicester, UK, bringing together diverse traditions in the care of people with disabilities.