Teach students, Empower patients, Act collaboratively and Meet health goals: an early interprofessional clinical experience in transformed care

Figures & data

Table 1 Learning outcomes for individual professions mapped to TEAM Clinic’s learning activities

Learning outcomes for individual professions	Group pre-visit planning	Supervised IPE patient assessment	Clinical team collaborative plan development	Facilitated reflection
Medical students
Collaborate as a member of an interprofessional team (EPA 9)	•	•	•
Identify system failures and contribute to a culture of safety and improvement (EPA 13)	•	•		•
Masters of social work students
Identify determinants of health affecting patients with complex medical and social conditions	•	•	•
Collaborate with the team to develop an assessment and management plan that addresses social determinants of health	•	•	•
Clinical pharmacist
Interact effectively with health care teams to collaboratively manage ambulatory care patients’ medication therapy (R1.1.1)	•		•
Interact effectively with ambulatory care patients, family members and caregivers (R1.1.2)		•a
Analyze and assess information to ensure safe and effective medication therapy for ambulatory care patients (R1.1.4)	•	•	•
Demonstrate personal, interpersonal and teamwork skills critical for effective leadership (R3.1.1)	•	•	•

Notes:

a Remote supervision. R#, residency learning objective (numbered).

Abbreviations: EPAs, Entrustable Professional Activities; IPE, interprofessional experience; TEAM, Teach students, Empower patients, Act collaboratively, Meet health goals.

Table 2 TEAM Clinic’s orientation topics and learning objectives

Topics	Learning objectives
Transformation of care	• Describe the purpose of the transformation of care curriculum
Complex patients	• Identify expectations for participation
Social determinants of health	• Define three characteristics of a “complex” patient
Clinical pharmacist’s role in the health care team	• Describe the scale of ACEs and how they may relate to complex patients
Clinical logistics and EHR	• Reflect on provider reactions to complex patients
	• Describe four categories of social determinants of health
	• Recognize the impact of one or more social determinants of health on a patient

Abbreviations: ACEs, adverse childhood experiences; EHR, electronic health record; TEAM, Teach students, Empower patients, Act collaboratively, Meet health goals.

Table 3 Overview of TEAM Clinic

Pre-visit	Clinical interaction
Lunch and learn • Social determinants • ACE scoring • Health care gaps Interprofessional pre-visit planning • Patient’s story • Medication review	Interprofessional clinical care • Student health professional • Facilitated reflection dyads • Social determinant assessment • Medication review • Collaborative assessment and planning • Patient-specific determinants • Teamwork

Abbreviations: ACE, adverse childhood experience; TEAM, Teach students, Empower patients, Act collaboratively, Meet health goals.

Table 4 ACIPE – Evaluation of Interprofessional Clinical Practice Site (5-point Likert)

Student evaluation of the preceptor	Mean	SD
The instruction provided by the preceptor strengthened my knowledge and/or skills in providing care as part of a team	1.36	0.51
The instruction provided by the preceptor strengthened my knowledge and/or skills in patient diversity and cultural sensitivity	1.55	0.52
The instruction provided by the preceptor strengthened my knowledge and/or skills in professionalism and team cooperation	1.45	0.52
The preceptor provided periodic feedback on my performance as part of the team	1.27	0.47
Student evaluation of the site	Mean	SD
The professionals contributed to an interprofessional and collaborative atmosphere	1.27	0.47
The settings (inpatient, outpatient, pre-op, etc.) fostered an interprofessional and collaborative atmosphere	1.36	0.51
There were adequate opportunities for me to learn and practice interprofessional skills	1.55	0.52
Student evaluation of the interprofessional clinical team	Mean	SD
Individual roles in the team were clearly identified	1.45	0.52
I had a trusting relationship with my team members	1.64	0.52
The team acknowledged comments and/or suggestions from each other	1.64	0.52
The team was respectful to each other	1.36	0.52
The team members cooperated successfully to provide patient care	1.36	0.52

Abbreviation: ACIPE, Authentic Clinical Interprofessional Experience.

Table 5 Patient health satisfaction survey responses: selected questions related to team-based and patient-centered care

Survey question	Mean score	Scale	Percent
Clinical program	9.39	0–10	94
Overall experience	8.50	0–10	85
Understood explanation	2.97	1–3	99
Felt respected/heard	3.00	1–3	100
MD involved patient in decisions	2.97	1–3	99
Wait time	4.26	1–5	85
MD/provider informed about your care	3.97	1–4	99

Abbreviation: MD, medical doctor.