Rethinking IPE duration: a five-year comparative analysis of competency development across two introductory IPE course models.

Best practices have not yet been established in the interprofessional education (IPE) literature to guide the ideal dose and duration of IPE experiences across the curriculum. As such, the content, structure, and delivery format of IPE offerings vary significantly across institutions. The University of Minnesota had the rare opportunity to evaluate learner-perceived collaborative competency outcomes due to the transition of its centrally offered introductory IPE course.

The intersection of Interprofessional Education and One Health: A qualitative study in human and veterinary medical institutions.

Interprofessional Education (IPE) and One Health are two common and overlapping frameworks for teaching collaborative practice. IPE is common at human medical institutions, while One Health is more common in graduate and veterinary programs. The connection between IPE and One Health is still being explored both in scholarship and in real-world professional settings.

"Many people know nothing about us": narrative medicine applications at a student-run free clinic.

Narrative medicine is an approach to healthcare that acknowledges the stories of patients' lives both within and beyond the clinical setting. Narrative medicine has been increasingly recognized as a promising tool to support modern educational needs in health professions training, such as interprofessional practice, while enhancing quality of care. Here, we describe the development, implementation, and application of a narrative medicine program at the University of Minnesota Phillips Neighborhood Clinic.

Centering Community Voices: Establishment of a Community Advisory Board at a Student-Run Free Clinic.

Student-run free clinics (SRFCs) are common throughout the U.S. and have potential to meet the needs of both health professions trainees and patients in underserved communities.

Characterizing the Community Collaborations of a Community-Based Student-Run Clinic.

Introduction: Community-based student-run free clinics (SRCs) can advance health on a community level by reaching populations not served by other organizations and serving as an access point to the healthcare system. However, little is known about the scope of community-engaged efforts undertaken by SRCs, including interorganizational partnerships and relationship-building activities. The primary objective of this study was to characterize the community collaborations of an interprofessional SRC located in a high-poverty area.

Defining and Characterizing Frequent Attenders: Systematic Literature Review and Recommendations.

Purpose: To decrease cost and improve efficiency, health care organizations have focused on frequent attenders - patients with high health care utilization. Prior studies have investigated singular health care settings, used varying definitions of frequent attendance, and inconsistently identified factors correlated with frequent attendance. The purpose of this article is to suggest a uniform definition of frequent attenders for different health care settings and to determine factors correlated with frequent attendance.

Teamwork in clinical reasoning - cooperative or parallel play?

Teamwork is fundamental for high-quality clinical reasoning and diagnosis, and many different individuals are involved in the diagnostic process. However, there are substantial gaps in how these individuals work as members of teams and, often, work is done in parallel, rather than in an integrated, collaborative fashion. In order to understand how individuals work together to create knowledge in the clinical context, it is important to consider social cognitive theories, including situated cognition and distributed cognition.

Interprofessional Health Care Escape Room for Advanced Learners.

Background: Interprofessional education is essential to ensure that health care graduates are prepared for collaborative practice. One way to prepare students for interprofessional practice is to expose them to interprofessional activities throughout their educational program.

Method: In this article, we present the design and curricular implementation of an interprofessional health care escape room-a type of serious game in which teams of interprofessional participants were provided with a fictitious case.

Development and validation of a tool to assess the readiness of a clinical teaching site for interprofessional education (InSITE).

Interprofessional education within clinical teaching sites is a key part of training for pre-professional students. However, the necessary characteristics of these interprofessional clinical teaching sites is unclear. We developed a tool, the Interprofessional Education Site Readiness, or InSITE, tool, for individuals at a site to use as a self-assessment of the site's current readiness for providing interprofessional education.

Escaping the professional silo: an escape room implemented in an interprofessional education curriculum.

Communication skills among healthcare professionals are a necessary component in ensuring quality outcomes for patients. This report describes the design and curricular implementation of an interprofessional escape room, an innovative way to promote communication and positive team dynamics among students. In this interactive, serious game, teams of approximately eight interprofessional participants were provided with a fictitious patient case in a simulated hospital environment.

Drug Therapy Problem Severity Following Hospitalization and Association With 30-Day Clinical Outcomes.

Background: Improved understanding of how drug therapy problems (DTPs) contribute to rehospitalization is needed.

Objective: The primary objectives were to assess the association of DTP likelihood of harm (LoH) severity score, as measured by comprehensive medication management (CMM) pharmacist after hospital discharge, with 30-day risk of hospital readmission, observation visit, or emergency department visit, and to determine whether resolution of DTPs reduces 30-day risk. Secondary objectives were to determine if any eventswere associated with DTPs and preventability of events.

Changes in Health Professional Students' Attitudes Toward the Underserved: Impact of Extended Participation in an Interprofessional Student-Run Free Clinic.

This study assessed the impact of volunteering for 2 years in an interprofessional student-run free clinic (SRFC) on the attitudes of health professional students toward the medically underserved. The Health Professionals' Attitudes Toward the Homeless Inventory was administered to students from six different health professions at three time points: before, after 1 year, and after 2 years of volunteering in an SRFC. The results were compared to students who never applied to the SRFC and those who applied but were not accepted.

The student-run free clinic: an ideal site to teach interprofessional education?

Student-run free clinics (SRFCs) often include an interprofessional group of health professions students and preceptors working together toward the common goal of caring for underserved populations. Therefore, it would seem that these clinics would be an ideal place for students to participate in an interprofessional collaborative practice and for interprofessional education to occur. This article describes a prospective, observational cohort study of interprofessional attitudes and skills including communication and teamwork skills and attitudes about interprofessional learning, relationships and interactions of student volunteers in a SRFC compared to students who applied and were not accepted to the clinic and to students who never applied to the clinic.

Use of automated reminder letters to improve diabetes management in primary care: outcomes of a quality improvement initiative.

Background: Effective management of patients with diabetes mellitus (DM) can be time-consuming and costly. One patient-centred quality improvement strategy is to generate reminder letters to prompt patient action(s), but this strategy's effect on DM outcomes is uncertain.

Aim: To determine whether using the electronic medical record to automatically generate reminder letters for patients not meeting recommended DM targets is associated with improvement in practice level quality metrics for DM management.

Comparative effectiveness of bariatric surgery and nonsurgical therapy in adults with type 2 diabetes mellitus and body mass index <35 kg/m2.

Background: Outcomes of bariatric surgery in patients with a body mass index (BMI) <35 kg/m(2) have been an active area of investigation. We examined the comparative effectiveness of Roux-en-Y gastric bypass (RYGB) to routine medical management (nonsurgical controls; NSCs) in achieving appropriate targets defined by the American Diabetes Association for type 2 diabetes mellitus (T2DM) in patients with class I obesity (BMI 30.0-34.

Seek and ye shall find: consumer search for objective health care cost and quality information.

Significant investments have been made in developing and disseminating health care provider cost and quality information on the Internet with the expectation that stronger consumer engagement will lead consumers to seek providers who deliver high-quality, low-cost care. However, prior research shows that the awareness and use of such information is low. This study investigates how the information search process may contribute to explaining this result.

Selecting a provider: what factors influence patients' decision making?

Each year consumers make a variety of decisions relating to their healthcare. Some experts argue that stronger consumer engagement in decisions about where to obtain medical care is an important mechanism for improving efficiency in healthcare delivery and financing. Consumers' ability and motivation to become more active decision makers are affected by several factors, including financial incentives and access to information.

Effects of Accreditation Council for Graduate Medical Education work hour restrictions on medical student experience.

Background: Residents have a major role in teaching students, yet little has been written about the effects of resident work hour restrictions on medical student education.

Objective: Our objective was to determine the effects of resident work hour restrictions on medical student education.

Design: We compared student responses pre work hour restrictions with those completed post work hour restrictions.