Redesigning the Clinical Learning Environment to Improve Interprofessional Care and Education: Multi-Method Program Evaluation of the iPACE Pilot Unit.
Document Type
Article
Publication Date
10-2020
Institution/Department
Interprofessional Partnership to Advance Care & Education (iPACE)
Journal Title
J Grad Med Educ
MeSH Headings
Academic Medical Centers, Education, Medical, Graduate, Focus Groups, Humans, Internal Medicine, Internship and Residency, Interprofessional Relations, Maine, Pilot Projects, Program Evaluation, Surveys and Questionnaires, Teaching Rounds
Abstract
BACKGROUND: In 2016, Maine Medical Center received an Accreditation Council for Graduate Medical Education Pursuing Excellence in Innovation grant to redesign the clinical learning environment to promote interprofessional care and education. The Interprofessional Partnership to Advance Care and Education (iPACE) model was developed and piloted on an adult inpatient medicine unit as an attempt achieve these aims.
OBJECTIVE: We describe the iPACE model and associated outcomes.
METHODS: Surveys and focus groups were employed as part of a multimethod pragmatic observational strategy. Team surveys included relational coordination (RC): a validated proprietary measure of interpersonal communication and relationships within teams. Pre-iPACE respondents were a representative historical sample from comparable inpatient medical units surveyed from March to April 2017. iPACE respondents were model participants surveyed March to August 2018 to allow for adequate sample size.
RESULTS: Surveys were administered to pre-iPACE (N = 113, response rate 74%) and iPACE (N = 32, 54%) teams. Summary RC scores were significantly higher for iPACE respondents (iPACE 4.26 [SD 0.37] vs 3.72 [SD 0.44],
CONCLUSIONS: This pilot may have a positive effect on team functioning and team member professional experience and patient experience. Learner acceptance may be improved by increasing autonomy and preserving traditional learning venues.
ISSN
1949-8357
First Page
598
Last Page
610
Recommended Citation
Hallen S, Van der Kloot T, McCormack C, et al. Redesigning the Clinical Learning Environment to Improve Interprofessional Care and Education: Multi-Method Program Evaluation of the iPACE Pilot Unit. J Grad Med Educ. 2020;12(5):598-610. doi:10.4300/JGME-D-19-00675.1
