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Item type Presentation
Format Text-based Document
Title Interprofessional Oral-Systemic Health StandardizedPatient and Case Study Experience
Authors Hartnett, Erin; Haber, Judith
Downloaded 1-Jun-2018 05:53:51
Link to item http://hdl.handle.net/10755/621703
Interprofessional Oral-Systemic Health
Standardized Patient
and
Case Study Experience
Erin Hartnett, DNP, APRN-BC, CPNP
Program Director
Oral Health Nursing Education and Practice (OHNEP)
Teaching Oral-Systemic Health (TOSH)
NYU Rory Meyers College of Nursing
Surgeon General (2000)
IOM Reports (2011-13)
IPEC Competencies (2011-16)
HRSA Report (2014)
➢ HEENOT
➢ Health History
➢ Oral-Systemic Risk Assessment
➢ Physical Health Exam
➢ Action Plan (preventive
interventions, management
within scope of practice)
➢ Collaboration
➢ Referral
HEENOT Article
http://ajph.aphapublications.org/doi/abs/
10.2105/AJPH.2014.302495
www.smilesforlifeoralhealth.org
Smiles for Life: A National Oral Health Curriculum
Interprofessional Oral-Systemic Health
Experience at NYSIM
Aims:
1) Develop interprofessional oral health competencies by
using simulation as a tool to bridge the education-to-
practice gap
2) Produce a primary care oral health workforce that is
collaborative-practice ready
IP Oral-Systemic
Standardized Patient Experience
I. Brief (5 min):
I. Introductions
II.Goals of IP experience
III.Directions
II.History and physical exam
(45 min)
III.Debriefing (10 min)
IP Oral-Systemic
Case Study Discussion
I. Brief (5 min)
I. Introductions
II. Goals of IP
experience
III. Directions
II. Case Study Discussion
(40 min)
III. Debriefing (15 min)
4.914.71
4.56
5.62 5.515.34
1.00
2.00
3.00
4.00
5.00
6.00
Nursing (n=225) Dentistry (n=233) Medicine (n=445)
Me
an
IC
CA
SS
co
re
Pre
Post
TOSH IP Experience: ICCAS Mean Pre and Post
Scores by Student Type (2013-2015)
(p<0.001, two-tailed)
5.46
5.54
5.41
5.45
5.49
5.42
4.58
4.87
4.61
4.65
4.63
4.71
0.00 1.00 2.00 3.00 4.00 5.00 6.00
Mean ICCAS Score
Post
Pre
Communication
Collaboration
Responsibilities
Patient-Centered
Conflict Management
Team Functioning
TOSH IP Experience: ICCAS Mean Pre and Post
Scores by Topic Area (2013-2015)
(n=874-898) (p<0.001, two-tailed)
Percentage of Faculty Who Agree
IPE Increases these Characteristics (2013 n=49; 2014 n=32; 2015=24)
90%86%
77% 75%
97%
84%
75%
81%83%
71%
79%83%
0
10
20
30
40
50
60
70
80
90
100
InterprofessionalCommunication
InterprofessionalCollaboration
PatientCommunication
Understanding
Pe
rc
en
tag
e (
%)
2013
2014
2015
Percentage of Faculty Who Agree
on Value of the TOSH IPE Experience (2013 n=49; 2014 n=32; 2015 n=22-24)
92%86%
90%88%
78%
90%96%
68%
88%
0
10
20
30
40
50
60
70
80
90
100
Valuable forstudents
Valuable forfaculty
Wouldrecommend
Pe
rc
en
tag
e (
%)
2013
2014
2015
Interprofessional Oral Health Clinical
Curriculum Integration
• Collaborative courses
• IP Clinical Rotations
• Nursing/Dental
• Nursing/Dental/Medical
• Simulation
• Virtual Cases • Service Learning
The Role of the IPE Facilitator
• Ensure introductions
• Be professionally neutral
• Provide direction and focus
• Establish learning climate
• Encourage collaboration
• Focus the group
• Address conflicts
• Give and receive feedback
(Freeman, Wright, & Lindqvist, 2010)(University of Toronto, 2011)
• Create an interprofessionaladvisory council
• Establish formal communication mechanisms
• Involve external communities of interest
• Designate IPE champions
• Measure outcomes
Tips for Building an IPE Program
CHALLENGES
Obtaining “Buy-In”
Scheduling
Scope of Practice Myths
Sustainable Resources
Funding
Evaluation
Evaluating IPE
• Surveys
• Attitudes
• Behavior
• Knowledge, Skills, Ability
• Organizational Practice
• Patient Satisfaction
• Provider Satisfaction
• Faculty Satisfaction
• Smiles for Life Utilization
• Graduate Follow-Up
Knowledge, Trust, Respect, Collaboration