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.