Zeien Justin, Hanna Jeffery, Yee Sara, De Castro Abel, Puracan Jasper, Ervin Bonnie, Kang Paul, Harrell Susan, Hartmark-Hill Jennifer
Anesthesiology, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Public Health, The University of Arizona Mel & Enid Zuckerman College of Public Health, Phoenix, AR, USA.
J Interprof Care. 2023 Jan-Feb;37(1):91-99. doi: 10.1080/13561820.2021.2016663. Epub 2022 Jan 11.
Interprofessional education (IPE) is a core component of the curricula for many healthcare and social work training programs and has been shown to increase student self-efficacy, communication skills, and attitudes toward other professions. Street medicine programs expand options for teaching interprofessional, team-based care of vulnerable populations, such as those experiencing homelessness. Street Medicine Phoenix is an interprofessional team of health professions students and faculty that provides outreach to Phoenix's homeless population. This study demonstrates the impact of volunteering in our street medicine program on the perceived development of interprofessional skills and behaviors. Volunteer teams, with representatives from medicine, nursing, social work, physical therapy, occupational therapy, public health, and undergraduate studies, completed the Interprofessional Collaborative Competencies Attainment Survey (ICCAS) before and after semester-long, monthly outreach events. Results demonstrate statistically significant improvements in overall ICCAS scores for all volunteers, but there was no relationship between number of shifts completed and ICCAS score improvement. Based on these findings, street medicine programs could be considered as an option for providing interprofessional learning to students in healthcare and social work degree programs. Street medicine outreach can supplement didactic and simulation skill-building activities in the IPE curricula with point of care, real-world experiential learning.
跨专业教育（IPE）是许多医疗保健和社会工作培训项目课程的核心组成部分，并且已被证明可以提高学生的自我效能感、沟通技巧以及对其他专业的态度。街头医疗项目为教授针对弱势群体（如无家可归者）的跨专业团队式护理提供了更多选择。凤凰城街头医疗项目是一个由健康专业学生和教师组成的跨专业团队，为凤凰城的无家可归者群体提供外展服务。本研究展示了参与我们街头医疗项目志愿服务对跨专业技能和行为的感知发展的影响。志愿者团队由医学、护理、社会工作、物理治疗、职业治疗、公共卫生和本科专业的代表组成，在为期一学期的每月外展活动前后完成了跨专业协作能力达成调查（ICCAS）。结果表明，所有志愿者的ICCAS总体得分有统计学意义的显著提高，但完成轮班次数与ICCAS得分提高之间没有关联。基于这些发现，街头医疗项目可被视为为医疗保健和社会工作学位项目的学生提供跨专业学习的一种选择。街头医疗外展可以通过即时护理、真实世界的体验式学习来补充IPE课程中的理论教学和模拟技能培养活动。
