Third-Year Medical Student, East Tennessee State University Quillen College of Medicine.
Third-Year Medical Student, University of Tennessee Health Science Center College of Medicine.
MedEdPORTAL. 2024 Nov 6;20:11465. doi: 10.15766/mep_2374-8265.11465. eCollection 2024.
Teaching learners the benefits and challenges of interprofessional collaborative practice (IPCP) in acute care is best done in the context of authentic patient care rather than classroom settings. Yet differing clinical schedules of students and faculty as well as structured, controlled environments of intensive care units are not conducive to bringing multiple interprofessional learners to the bedside.
We developed a 2.5-hour interprofessional education (IPE) activity based around neurology intensive care unit patients that was implemented using team-based learning (TBL) methodologies, including individual/team readiness assessments (iRAT/tRAT) and application activities comprising interprofessional student-led care conferences in which authentic patients and their unique, deidentified clinical parameters were discussed. Students represented medicine, nursing, chaplain, physician assistant, social work, respiratory therapy, pharmacy, physical therapy, and law programs.
Two hundred ninety-three students participated online during the first year. Mean tRAT scores were 14.9 points higher than iRAT scores (39.5 vs. 24.6 of 44 possible). There was strong agreement from students that the session met educational objectives (all >4.0 on a 5-point Likert scale). Individualized feedback was provided to learners using a rubric; 276 students shared personal reflections of knowledge learned through interactions with other health professional students/faculty.
IPE activities that use authentic patient chart data as the basis for student application exercises are useful learning tools since students must teach and learn from each other, interpret data, and propose care plans based upon their collaborations. This enables students to experience acute care IPCP in a low-stakes environment.
在真实的患者护理环境中而非课堂环境中向学习者传授跨专业协作实践(IPCP)的益处和挑战,效果最佳。然而,学生和教师的临床日程不同,以及重症监护病房的结构化、受控制的环境不利于将多个跨专业学习者带到床边。
我们开发了一个基于神经病学重症监护病房患者的 2.5 小时跨专业教育(IPE)活动,该活动使用团队学习(TBL)方法实施,包括个人/团队准备评估(iRAT/tRAT)和应用活动,包括由跨专业学生主导的护理会议,讨论真实患者及其独特的、匿名的临床参数。学生代表医学、护理、牧师、医师助理、社会工作、呼吸治疗、药学、物理治疗和法律专业。
第一年有 293 名学生在线参加。tRAT 平均得分比 iRAT 高 14.9 分(44 分满分,分别为 39.5 分和 24.6 分)。学生强烈认为该课程达到了教育目标(所有学生的 5 分制评价均大于 4.0)。使用评分表向学习者提供个性化反馈;276 名学生分享了通过与其他卫生专业学生/教师互动所学到的知识的个人反思。
使用真实患者图表数据作为学生应用练习基础的 IPE 活动是有用的学习工具,因为学生必须相互教学和学习、解释数据并根据他们的合作提出护理计划。这使学生能够在低风险环境中体验急性护理 IPCP。