Making Interprofessional

Simulation Education Work

Expert Panel – IMSH 2012January 2012 – San Diego, CA

Our Panel

Course Director: Renee Pyburn — Sidra Medical and Research Center

Caren Gellin — University of Rochester Jeff Myers – University at Buffalo Darlene Bourgeois — Lahey Clinic Medical

Center Zeynep Salih — Indiana University Betsy Bencken — Center for Virtual Care Nancy Tofil — University of Alabama at

Birmingham

Interprofessional Education

Two or more professions learning with each other, about each other and from

each other

Interprofessional Simulation Education

Two or more professions learning with each other, about each other and from each other in an

immersive simulation environment.

Session Objectives Identify barriers and challenges to

implementing an IPSE in your own institution

Dissect the challenges to implementing an IPSE in your own institution

Integrate faculty suggestions into a plan to overcome these challenges in your institution

Session Outline Each panelist will discuss: One or two commonly identified

challenges in developing interprofessional education programs

Proposed solutions for those challenges

Hold questions until after last speaker

Take questions / open discussion

University of Rochester

Caren Gellin, MDAssistant Director, Pediatric Simulation Program

Pediatrics Pediatric Code Team & High-Risk Deliveries Multidisciplinary Professions: Physicians Mid-level providers Nurses Pharmacists Respiratory therapists Medical, nursing, and pharmacy students Other

Challenge

Getting “buy-in”

Leadership Learners

Solutions

Interprofessional simulation team at every stage

Key stakeholders involved from the beginning

Capitalize on and incorporate the need Establish continued feedback/input Respect time limitations & competing

responsibilities Let the experience win them over!

University at Buffalo

Jeff Myers, DO, EdMDirector

University at Buffalo Program

Developed from ground up for IPSE

AHC Professions: Medicine Nursing Physical Therapy Occupational Therapy Pharmacy Dental

University at Buffalo Program

Administratively independent of schools

Report to VP Health Sciences

“Concierge model”

Challenges

Sustainability funding Curricular integration Scheduling logistics Buy in to process:

Administrative Student Faculty

Solution

Overarching IPE curriculum initiative Curricular integration Logistics

Student buy in: High quality relevant experiences

Administration buy in: Student feedback to administration Accreditation / core competency Faculty shortage

Solution

Generous donation & fiscal responsibility Internal funding

Equitable funding model Student fee? Fee for service? Tuition?

External funding Fee for service Contracts Continuing / specialty education courses

Lahey Clinic Medical Center

Darlene Bourgeois, MSN, RN, CCRN

Lahey Clinic Medical Center

Resident Orientation Day Medical Residents Surgical Residents ER Nurse Rapid Response Nurse Respiratory Therapist Newly Licensed Nurses

Lahey Clinic Medical Center

Resident Orientation Day Agenda

HPS Simulation Skills Training Communication

Faculty Pulmonologists GI Fellows Anesthesiologists Clinical Nurse Specialist in

Oncology Palliative Care Specialist Medical Residents ER Nurse Intensivist OR Nurses

Lahey Clinic Medical Center

In Situ Trauma Simulation Trauma Team Unannounced Wireless Manikin

Challenges

Buy-in from Management

Scheduling

Location, location, location

Solution

Capitalize on a need

With management buy-in scheduling becomes easier

In situ simulation and on-site location

Indiana University

Zeynep N. Salih, MD, FAAPAssistant Professor, Pediatrics/ Neonatology

Indiana University Interprofessional In-situ High Fidelity Simulation in a level

IIIC Neonatal Intensive Care Unit Goal: improve teamwork and staff comfort level during

resuscitations in the NICU. Program initiated as a QI/Research Project after a difficult

resuscitation case Root cause analysis (RCA) indicated a need for

teambuilding and practice Process:

5 member team in resuscitation scenario RNs, RTs, NNPs and physicians Reflects on experiences as a group. Sessions and structured debriefings are

Interdisciplinary Video recorded

Challenges

Scheduling-Negotiating paid education time for hourly paid staff

Infrastructure related issues: Logistics and other difficulties

Unit/Institutional culture: Conflict of interest among faculty

Lack of local mentorship-especially in IPE and simulation research

Obtaining support from leadership

Solution (Every difficulty is also an opportunity!)

Starting the program with a needs assessment analysis

Continuous, sincere efforts to communicate and negotiate with all the parties involved.

Focus on your goals-resist the temptation to give up when confronted with challenges about interprofessional education.

Collaborate, collaborate!

Constant efforts to learn and network: Locally-Found mentors at local project

development teams; medical sociologist, statistician and a human factors researcher

Nationally-attending several workshops at IMSH

Interprofessional, collaborative and funded research project which brought visibility, motivation and much needed funding to the hourly paid staff.

Center for Virtual Care

Betsy Bencken, NREMT-B, MSTracie Barbour, NREMT-B

Center for Virtual Care

School of Medicine – School of Nursing & Hospital Based Providers

Pre-Hospital Providers: students and in practice Community Practitioners Integrated Learning – team approach

Challenges

Silos

Hierarchy

TIME!!!

Solutions

Identify “cheerleaders” in each domain

Start small and build on success

Lead by example

Solution

Just do it! Have all at table from beginning Focus on the learning objectives

Be sure to include behavioral/team objectives Design with all interested parties being heard Hedgehog principle

Good to Great – Jim Collins Change first what you have most control

over, then branch out.

University of Alabama at Birmingham

Nancy Tofil, M.D., M.Ed.

University of Alabama at Birmingham

>15,000 learners, 8 simulators (newborn-adult) Multidisciplinary Sessions

Cross cover simulation Resuscitation rounds Mock codes Mock pediatric traumas Radiology contrast emergencies 3rd year medical students/senior nursing

students Genetic counselors/geneticist (March 2012)

Challenges

Students Course schedules Size of classes Course directors unfamiliarity with

applications of simulation Professionals

Silos of learning Different schedules Different leadership people and structure

Solution

Just do it! Have all at table from beginning Focus on the learning objectives

Be sure to include behavioral/team objectives Design with all interested parties being heard Hedgehog principle

Good to Great – Jim Collins Change first what you have most control

over, then branch out.

Sidra Medical and Research Center

Renee Pyburn, RN, MSSenior Project Manager, Simulation

Qatar Interfprofessional Health Council

Vision, Mission, & Purpose of Qatar Interprofessional Health Council:

Vision: To lead the education and development of health care professionals and healthcare systems which exemplify best practices in interprofessional care for the people and State of Qatar and the region.

Mission: The QIHC will focus on embedding interprofessional collaboration in healthcare education and practice. Working with partners locally, regionally, and internationally, the QIHC will lead and foster collaborative interprofessional initiatives.

Purpose: To provide a venue for communication and collaboration regarding interprofessional education and practice.

Deliverables-QNRF Grant

Faculty Development Modules

• What is IPE?• Core competencies• Pedagogical model• Integration into

courses

Student prep learning modules

• What is IPE?• Core

competencies• Collaboration

and Teamwork

Collaborative student learning activities

• Low fidelity team-building exercises

• Medium fidelity video-based scenarios

• Medium to high fidelity simulation

• High fidelity simulation

Challenges Organizing and involving universities and healthcare

institutions from the whole of Qatar including: Weill Cornell Medical College-Qatar University of Calgary School of Nursing Qatar University School of Pharmacy College of the North Atlantic-Qatar (Allied Health) Hamad Medical Corp. (public healthcare system) Sidra Medical & Research Center (private/publicly

funded healthcare provider) Facilitating communication among the group Securing funding Setting up goals and timelines

Solutions

Organized the Qatar Interprofessional Health Council in 2009-meets monthly. Members may attend in person or virtually via Skype.

Communication-via web-based portal hosted by Qatar University. Meetings set up via Doodle.

Funding-successfully obtained a 3-year grant from Qatar National Research Fund

Setting of goals and timelines: Three phases of project (approximately one year each): Development of detailed plan to implement inter-

professional health care education at the participating health care education institutions.

Implementation of the plan Evaluation of the outcomes using agreed upon measures

of success Simulation will be one method of delivering IPE

Questions & Open Discussion

Thank you!