Dental Education’s Role in Interprofessional Education (IPE)6324ac7891d2e48c6619-47da4c5a06409c18a55f1e56aa713b40.r92.… · Medical University of South Carolina ... MUSC: “An

Dental Education’s Role in Interprofessional Education (IPE)

Richard W. Valachovic D.M.D., M.P.H. ADEA President and CEO

2006

•  Interviews of leaders from seven U.S. academic health centers

•  Conclusions •  Minimal formal IPE activities at dental institutions •  Insufficient communication between university and dental school leadership •  Designated person necessary for IPE success

2012

ADEA TEAM STUDY GROUP FINDINGS (2012)

86% Response Rate

Medicine and Nursing most frequent collaborators

Most collaborations were volunteer-type activities

Lack of formal assessment of IPE

Leadership was essential for initiating and sustaining programs

97% Response Rate

Conducted July 2014

Modified from an existing AAMC IPE Survey Instrument

2014 ADEA Dental Institutions IPE Survey

RESULTS


58%

32%

10%

0% 0% 0%

10%

20%

30%

40%

50%

60%

70%

Yes, as a formal university-‐led and promoted program.

Yes, not as a formal university program.

No, but in planning/development stage.

No, it was once considered but not implemented.

No, not being considered at this Gme.

Do You Offer IPE Experiences?

68%

24%

8%

0% 0% 0%

10%

20%

30%

40%

50%

60%

70%

80%






Public Dental Schools

Do You Offer IPE Experiences?

44% 44%

12%

0% 0% 0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%






Private Dental Schools Do You Offer IPE Experiences?

61%

23%

34%

0%

10%

20%

30%

40%

50%

60%

70%

Required ElecGve Extracurricular

IPE Program Type

32%

11%

7%

16%

35%

0%

5%

10%

15%

20%

25%

30%

35%

40%

An interprofessional curriculum commiMee

A university-‐based office

Provost/Chancellor office

Specific college Other

Responsible Administrative Unit

Funding for IPE Activities

29%

71%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Yes No

All Schools

41%

59%

9%

91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes No

Publics vs. Privates

Publics Privates

32 34

44

38

0

5

10

15

20

25

30

35

40

45

50

D1 D2 D3 D4

Dental Student Year of IPE Participation

0 5 10 15 20 25 30 35 40 45 50

Osteopathic Medicine

Social Work

Public Health

Pharmacy

Medicine

Nursing

Other Professional Schools Collaborating with Dentistry

0 5 10 15 20 25 30 35 40 45 50

Standardized paGent exercise

SimulaGon exercise

Shared clinical duGes

Lecture presentaGon

Case-‐based discussion

Community service/service learning

Small group exercise

Key IPE Experiences

0 10 20 30 40 50 60

Substance abuse

NutriGon

Biomedical science discipline

PreventaGve health

Ethics

PaGent safety/error reducGon

Community health

Team skills

Roles/responsibiliGes

IPE Experience Content Focus Areas

0 5 10 15 20 25 30 35

OSCE Oral exam

No assessment at this Gme WriMen exam

Peer assessment Standardized paGent exercise

SimulaGon exercise Surveys

Group project Small group parGcipaGon

ReflecGve wriGng

Assessing Students’ IPE Experiences

17 14

11

24

0

5

10

15

20

25

30

Yes, provided by the university

Yes, provided by the dental school

Yes, provided by another

professional school

No

IPE Faculty Development

0 5 10 15 20 25 30

Lack of insGtuGonal support

Comparable readiness of students

Limited parGcipaGon from other professions

Lack of classroom space

Funding LimitaGons

Academic calendars and schedule

Major Challenges to IPE

Conclusions


90% of dental institutions offer IPE programming in their curriculum.

60% of those programs are mandatory.

2014 ADEA Dental Institutions IPE Survey Conclusions

68% of dental schools had a formal designated IPE position or point person.

Majority of IPE content areas encompass the IPEC core competencies

2014 ADEA Dental Institutions IPE Survey Conclusions

Wide variety of collaborations between dental and other health professions

Management of IPE programs varies from centralized to diffuse

Implications


Investment in faculty development is essential

More experiential opportunities for students are indicated

Assessment should move from qualitative to competencies

Leadership should address issues regarding logistics and funding

2014 ADEA Dental Institutions IPE Survey Implications

Examples



Midwestern University College of Dental Medicine-Illinois

Type: Private Year Opened: 2011

Total Enrollment: 520

“Curricular Innovation”

Midwestern: “Curricular Innovation” DMD – Year 4 Grand Rounds

Dental Medicine Osteopathic Medicine Pharmacy OccupaGonal therapy

DMD – Year 3

Head and Neck Diagnosis-‐ Dental Medicine and OMM

DMD – Year 2

Clinical IntegraGon Course

DMD – Year 1

IPE 1-‐Core

IPE 2-‐ HealthCare CommunicaGons


Type: Public Year Opened: 1967


Medical University of South Carolina James B. Edwards College of Dental Medicine

“An Embedded Culture”

MUSC: “An Embedded Culture”

Early adopter of Interprofessional culture – celebrating nine years of “IPE Day.”

Transforming Healthcare for the Future: entry level foundational course for all health professional students. Mapped to the University’s Strategic Plan.

2014 ADEA Dental Institutions IPE Survey Exemplars

MUSC: “An Embedded Culture”

Cares Clinic: is a student-run, free evening medical clinic for underserved and uninsured patients in the Charleston area.

IPE activities are a component of advancement across each level of promotion for faculty advancement and tenure.


Type: Private Year Opened: 1896


University of the Pacific School Arthur A. Dugoni School of Dentistry

“Navigating the Distance”

Dugoni Pacific: “Navigating the Distance”

Prompted by new accreditation standards, UOP initiated the formation of the IPE Standing Committee (Dentistry/Hygiene, Pharmacy, Nursing, Medicine + Student member).

New programming will begin this Fall 2014 and be fully integrated over the next 1-2 years. •  Dental and Pharmacy Students: virtual classes and real time clinical experiences •  Medical Students will rotate with through the Dental specialty clinics.

•  5 week course in oral pathology has been dedicated for IPE didactic/simulation cases in preparation for clinical rotations with Pharmacy and Nursing.

Dugoni Pacific: “Navigating the Distance”

Dugoni Pacific

UOP Pharmacy


Rutgers School of Dental Medicine

Type: Public Year Opened: 1956


“A Climate for Collaboration”

2014 ADEA Dental Institutions IPE Survey Exemplars Rutgers: “A

Climate for Collaboration”

IPE Council meets monthly; redoing strategic plan to fit with IPE

University-wide IPE assessment survey: strength is faculty and student enthusiasm

Strong and committed leadership is critical to success

2014 ADEA Dental Institutions IPE Survey Exemplars Rutgers: “A

Climate for Collaboration”

With no budget, each school donated funds while faculty and students gave their free time

IPE Faculty practice is planned

Invitation from the School of Medicine to participate in case conferences and to co-create IPE cases

Strong and public commitment from leadership at all levels

2014 ADEA Dental Institutions IPE Survey Lessons

Develop working relationship with parent institution

Robust faculty engagement and development programming

Funding is beneficial but not essential

2014 ADEA Dental Institutions IPE Survey Lessons from Exemplars

Collaborate with other dental schools to share and develop best practices


If you have a formal University-led program…

If you have various informal experiences…

Focus on assessment and publish results

Strengthen Leadership at University and Institutional levels


•  Designate an IPE point person •  Consider your nearest health professional institution •  Pursue professional development opportunities •  “Start somewhere. Start small. Just start.”

Documents

Dental Education’s Role in Interprofessional Education (IPE)6324ac7891d2e48c6619-47da4c5a06409c18a55f1e56aa713b40.r92.… · Medical University of South Carolina ... MUSC: “An