and a sense of patient ownership. ACO has been referred to as “critical” in
the learners' development and an important opportunity to discuss SDM
on both patient-provider as well as interprofessional team levels and
establish a culture where interdisciplinary care is considered best practice.
A future aim of the conference will be to incorporate it permanently into
Cleveland's primary care clinic while broadening interdisciplinary partic-
ipation.
DEVELOPMENT OF AN INTER-PROFESSIONAL CURRICULUM FOR
HEALTHCARE TRAINING IN A VA PATIENT-CENTERED MEDICAL HOME
Joanna Dognin PsyD*, Kelly Crotty MD, MPH, Craig Tenner MD.
Background
The paradigm shift towards patient-centered medical homes is trans-
forming healthcare by improving access, fostering relationships between
patients and their healthcare team, emphasizing shared decision making
and improving quality and safety. Medical homes rely heavily on effective
collaboration among healthcare providers. Physicians, psychologists,
nurses, social workers, pharmacists, dieticians, as well as administrative
staff, must work together in a well-integrated fashion. Yet a model for such
collaboration is largely absent from healthcare graduate education. Psy-
chologists possess expertise that is particularly beneficial to medical home
implementation, including knowledge and skills in behavioral in-
terventions, group dynamics and qualitative research. Despite the need for
psychologists' skill-set, psychology trainees generally gain little specific
didactic and virtually no experiential education to prepare them for ca-
reers in primary care psychology. Similarly, traditional medical education
often emphasizes separate specialized training rather than collaborative
learning among students of associated health professions. In 2010, the
Department of Veterans Affairs adopted the medical home model, known
as Patient Aligned Care Teams (PACT), nationwide. As a result of our unique
training ground and well-established academic primary care structure, our
PACT was initiated in the ambulatory care clinics of our Internal Medicine
(IM) Residency Program. This program has matured over the past 5 years
and has provided an ideal setting to formalize inter-professional educa-
tional interventions.
Purpose
In 2013, we developed a novel curriculum with didactic and experiential
inter-professional components for IM residents and graduate Psychology
trainees based in a PACT primary care clinic. Seminars were co-taught by
medical and psychology faculty to model effective collaboration and
consisted of relevant topics: Introduction to Collaboration, Motivational
Interviewing, Shared Decision Making, and Population Health. Experiential
learning comprised of: behavioral health consultations (a mechanism by
which residents could request a shared medical visit with a psychology
fellow), monthly inter-professional journal clubs, interdisciplinary tobacco
cessation and weight loss classes.
Design/Methods
Focus groups and qualitative interviews are currently underway with
psychology trainees (n¼9) and medical residents (n¼20) to assess these collab-
orative experiences. We will highlight the impact of this pilot educational
intervention on current curricula and clinical practice in medicine and psy-
chology training.
Results/Findings
Data evaluating the success of our educational interventions is still pending, but
our pilot led to lasting changes within both the psychology and IM curriculum. It
has also directly led to the funding of additional inter-professional
postdoctoral psychology fellow positions and social work training positions.
Motivational Interviewing and Shared Decision Making are now standard ele-
ments of the training curriculum. Finally, the behavioral health consultation is
now an integral part of PACT. To date, 52 behavioral health consultations have
been completed.
Conclusion
Inter-professional education is an essential training component to best
prepare the next generation of health care professionals practicing in the
medical home. We created a novel curriculum that includes both
instructional and experiential collaborative learning. While analysis of its
effect on trainees is ongoing, it has already led to expansion of our di-
dactics, inter-professional patient care, and additional multidisciplinary
positions.
PROMOTING THE SPIRITUAL WELL-BEING OF THE HEALTHCARE TEAM
Cheryl Erwin JD, PhD, Janeta Tansey MD, PhD, Thomas F. McGovern EdDc.
Background
Healthcare providers including physicians and allied health
professionals work in an environment concerned with more than
the mere biological health of the individual. The integration of a spiri-
tual perspective is important, yet healthcare providers report
feeling uncomfortable in this domain. Providers are at risk throughout
their formation and practice for demoralization and loss of meaning due
the demands of healthcare within a fractured and hurting medical
community. Periods of burnout are pervasive through the life-cycle
of providers, from training years through advanced practices.
The associated challenges include an absence of compassion, feelings
of isolation, meaninglessness and impotence, and behaviors of intimi-
dation, substance misuse and suicide. Whether in the form of giving up
(George Engel), suffering (Eric Cassell), or demoralization (Jerome
Frank), provider distress is a manifestation of lost connection with
the spiritual nature of healing. Successful navigation by the provider
and individual growth are stunted by insufficient personal and com-
munity attention to spirituality, humanistic inquiry, narrative explora-
tion, and virtue discourse. In order to take provider well-being seriously
as a spiritual matter, the healthcare professions must attend to the
narratives and practices of authenticity that defend against despair
and self-destruction while at the same time promoting spiritual
well-being.
Objectives
This poster addresses the spiritual well-being of providers and patients
and ways to support the enhancement of well-being. The objectives of
incorporating spirituality practices in the education of healthcare pro-
viders will enable providers to: 1) Identify the practice aspects of spiri-
tuality in their lives, in others, and in patients 2) Understand how
spirituality plays out in life narrative and practice 3) Overcome some of the
challenges to implementing a bio-psycho-social-spiritual approach to
healthcare.
Design
We have implemented practices and programs across three major
academic medical centers which seek to renew spirituality and
re-moralize the caregiver as a core dimension of well-being. Our efforts
directed at patient well-being engage the realm of the clinician's
spirituality. This focus is in keeping with the renewed call for reflection,
self-awareness, and practice-based learning as essential competencies
for all providers.
Findings
Healthcare provides a rich ground for the demoralization of providers. An
awareness of and respect for individual needs must precede the imple-
mentation of ways to support providers' spiritual well-being. The practical
aspects of spirituality in the lives of physicians as persons engaged in
spiritual practices embedded within a professional community include the
need for story-telling and expressions of personal identity. Our
Abstracts / Journal of Interprofessional Education & Practice 1 (2015) 48e77 56
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