Stepwise Approaches to Building Sustainable Models of Interprofessional Education (IPE) and Collaborative Care in Ambulatory Community Settings

Monday, Jul 30, 2018, 3:00 pm - 4:30 pm

Developing expertise in IPE and interprofessional collaboration (IPC) in patient care is essential to educating healthcare professionals prepared to function effectively within today's emerging patient-centered healthcare teams. When disciplines work collaboratively, communication and teamwork are enhanced, thus improving quality of care (Institute of Medicine, 2015; Jennings, et al., 2016). But multiple barriers prevent IPE in ambulatory community settings, including limited space, fewer resources, and fewer disciplines and/or patients available at the same time. The goal of this workshop is to assist those engaged in IPE/IPC plan next steps to build and expand sustainable IPE/IPC models in community settings.

Workshop Learner Objectives:

  • Succinctly articulate why IPE experience in ambulatory settings is a valuable learning experience for healthcare students
  • List three challenges to implementing IPE/IPC initiatives in ambulatory community settings available to the learner
  • List three strategies to implement IPE/IPC initiatives in ambulatory community settings available to the learner

Throughout the workshop, we will:

  • Describe lessons learned, funding, and other resources utilized during the facilitators' stepwise progression from didactic IPE to simulated IPE experiences to student-led interprofessional care that positively impacts patient outcomes at three local clinics serving disadvantaged populations 
  • Demonstrate, facilitate, and summarize a Troika Consulting, or “three-person” peer collaboration to gain input regarding potential IPE/IPC implementation challenges, and a 15% Solutions exercise (Lipmanowicz & McCandless, 2014) to elicit IPE/IPC strategies 

Use of such "liberating structures" helps those directly involved gain insight on challenges and clarify/articulate potential strategies to address them, recognizing that "questions that spark self-understanding may be more powerful than advice about what to do" (Lipmanowicz & McCandless, n.d., Troika Consulting). Liberating structures, including troika consulting and 15% solutions, have been successfully used to design the Transformation of Nursing Summit (Lipmanowicz & McCandless, n.d., Introduction; Campaign for Action, n.d.); and by other IPE/IPC teams and workshops at past National Center events.

Actice Learning Activities:
Introduction: Brief description of facilitators' experience, as above.

Review Materials/Demonstrations: Brief review of one-page written summary of “Troika Consulting” exercise steps and list of potential challenges to IPE/IPC expansion in ambulatory care. Facilitators will ask a volunteer to briefly present their challenge and  demonstrate peer provision of questions and feedback.

Troika Consulting: Participants write down an IPE/IPC goal and challenge to its achievement (2 minutes), then form interdisciplinary groups of three for quick round robin consultations, with each sharing a challenge and receiving peer feedback, then switch to the next person. Workshop facilitators will keep time and circulate to answer questions.

Review Materials/Demonstration: Brief review of a one-page written summary of the “15% Solutions” exercise steps and list of potential IPE/IPC implementation strategies in ambulatory settings. References for further reading will also be disseminated.

15% Solutions: Participants write down an actionable 15% solutions IPE/IPC expansion strategy (2 minutes), followed by quick round robin consultations, as above.

Summarize/Take-Away Messages: Brief observations of patterns.


Interprofessional Continuing Education

This activity has been planned and implemented by the National Center for Interprofessional Practice and Education. In support of improving patient care, the National Center for Interprofessional Practice and Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team. The intent is to provide accreditation and continuing education credit for this workshop. For questions regarding continuing education, please email