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7/23/2020
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2nd HIPE Conference - Virtual
July 23rd, 2020
Hossein Khalili, BScN, MScN, PhDDirector, UW Center for Interprofessional Practice and
Education (UW CIPE);
Co-Founding Lead, InterprofessionalResearch.Global
Leadership Team, Global Confederation for
Interprofessional Practice & Education; Board Member,
Canadian Interprofessional Health Collaborative (CIHC);
Adjunct Research Professor, Western University
Harnessing the Power of Innovative (and Collaborative)
IPECP Research and Scholarship During and Beyond the Covid-19
Pandemic
Acknowledgment
COVID-19 Taskforce
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Outline
Early Challenges and Opportunities for IPECP During COVID Era1
What Does Innovative (& Collaborative) IPECP Research Look Like?3
How to Engage in Innovative (& Collaborative) IPECP Research4
Wrapping Up5
The Need For Innovative (and Collaborative) IPECP Research 2
• Recognize the unique opportunities of the Covid-19 pandemic for innovative and collaborative IPECP research and scholarship at local, national and global levels;
• Discuss the rationales for, and the power of innovative (and collaborative) IPECP research and scholarship;
• Describe what innovative (and collaborative) IPECP research and scholarship look like;
• Identify how to engage in, and conduct innovative (and collaborative) IPECP research and scholarship.
Learning Outcomes
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Let’s see who we have with us today!Zoom Poll
Please use the chat function to respond to the following:1. Please provide 2 key words/phrases for the IPECP project you are involved.
2. Are there any specific theory/ies that you are using for your IPECP research/program?
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Unprecedented Times With Exceptional,
Unparalleled, and Unusual
Circumstances!
UN, 2020
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COVID-19 has been a Shock to Education
• Even before the COVID-19 pandemic, the Learning Poverty rate in some low-and middle-income countries was 53%.
• 1.6 billions students have been effected - the largest simultaneous shock.
• 30-70% of higher education trainings (including health professional [HP] education) are postponed or cancelled!
• Millions of HP students have lost their valuable clinical/community education.
UN, 2020; World Bank. 2020, International Association of Universities; 2020
IPECP International DevelopmentsInternationally, two significant developments in IPECP are emerging:
• Transitioning from traditional face-to-face instruction to online education.
– Challenges: how to meaningfully and effectively move large scale immersive, experiential, and practical learning experiences to a virtual platform
– need reconceptualization of, and new approaches to collaborative teaching/learning and assessment
• Cancelling/Postponing IPECP activities.
– raising concern about the prioritization of profession-specific education over interprofessional collaborative competency development
Langlois et al., 2020; Lackie et al., 2020
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The Future of Health Care & Health
Systems Relies on the Quality of, and
Collaboration among the Next
Generations of HCPs!
WHO, 2010; Frenk et al, 2010; Khalili et al., 2019
A Silver Lining in Collaborative Practice
Anderson et al, 2020; Langlois et al., 2020; Lackie et al., 2020
Telehealth: a Decade of Change in a Week
• A decades-challenge of telehealth integration is forced to be resolved (Mueller, 2020).
• Next Steps: To advance Telehealth Growth from Profession-Based into an Interprofessional Endeavour, & to Interprofessional eHealth and digital health!
HP Students Part of Response Team
• Students are embracing collaboration too!– students working collaboratively
to support childcare needs, do grocery shopping, collect PPE,….
• Next Steps: providing intentional IPECP experiences to prepare resilience collaborative-ready graduates!
COVID-19: a shared experience that helped increased collaboration among, and a sense of “interprofessional team” in healthcare!
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We Are In This For A Long Haul!
How Prepared Have HCPs
Been?
HCPs Experience During COVID19 Pandemic
• “I’m afraid for all of our friends in our unit,… we’re seeing a lot, we’re seeing things that we were never prepared to see, that we never thought we would see, that are completely unfathomable.”
• “I’m on the Front Lines. I Have No Plan for This.”
• “I just feel like I went into this specialty to save lives, and it kills me that we can’t save everybody.”
• “This is not enough. If this is our new reality, then we must do better.”
https://www.nytimes.com/interactive/2020/06/12/opinion/coronavirus-doctors.html
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The Magnitude of COVID-19 Impacts on
Health Education and Systems Is Yet to
be Fully Realized or Close to Being Over!
Anderson et al, 2020; Lackie et al., 2020
Pandemics Management Is an Interprofessional Domain
• Pandemic requires high level of interaction and collaboration at all levels.
• There are mental, emotional, financial, and community-wide psychosocial costs to all including to the HCPs and students.
– Over half of HCPs are suffering from anxiety, depression or both.
• IPECP has never been more important than now as the life and death of people are at stake. Collaboration Saves Lives!
Anderson et al, 2020; Vega & Nyarko, 2020; Readdy, 2020
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It Is Possible to Counter These Shocks,
and to Turn Crisis Into Opportunity!
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This is our Time and Opportune to
Shape/Build our Dream Health Education
and Health Systems of the Future by
Leveraging on the Pandemic’s Silver Lining.
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Isaac Newton Changed the World While in Quarantine From the Plague
Ott, 2020
During the ensuing year of isolated study and reflection, Newton developed the basis for calculus, as well as foundational theories in gravitation, motion, and optics.
Working on:
• pending manuscripts,
• conducting (secondary) data analyses,
• conducting research left behind on the back burner, and
• more importantly pursuing new ideas/research
IPECP Research Centers
It’s Time to Consider Establishing IPECP Research Centers To Advance the Science/Knowledge of IPECP!
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We Need to Protect and Mobilize the Next
Generation of HCPs
as well as Advancing IPECP Field & Research!
In times of crises, research and ongoing data collection are also essential means of response.
What does Contextual Innovation in IPECP Research look like?Good ideas are concepts that work for, and help the real people in the real world.
To be Innovative, we need to: • Identify and focus our research/scholarship on the ‘pain points’
or ‘frictions’ in the IPECP field • Focus on creating IPECP knowledge and scholarship related/
tailored to the unmet or under-met needs of our clients/ stakeholders
IPECP Research Requires Contextual Innovation!
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Let’s Discuss the Next Slide in Breakout Rooms!(about 5-7 minutes)
• What are the current and ongoing ‘pain points’ in IPECP field?• What are the unmet or under-met needs of our clients/
stakeholders?
IPECP Research Requires Contextual Innovation!
• Share Your IPECP Experiences during COVID?
– Your challenges & ways you have overcome those
– Your silver linings
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Let’s Hear Your Stories!
Guidance on Global Interprofessional Education and Collaborative Practice Research: Discussion Paper
Appendix: Proposed Interprofessional Lexicon
Khalili, H., Thistlethwaite, J., El-Awaisi, A., Pfeifle, A., Gilbert, J., Lising, D., MacMillan, K., Maxwell, B., Grymonpre, R., Rodrigues F., Snyman, S., Xyrichis, A. (2019). Guidance on Global Interprofessional Education and Collaborative Practice Research: Discussion Paper. A joint publication by InterprofessionalResearch.Global, & Interprofessional.Global.
www.research.interprofessional.global
IPECP Research Priorities
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Building the science & scholarship of IPECP through the discovery and integration of innovative evidence informed strategies
Identifying & applying innovative approaches that embrace and address the inherent complexity of Interprofessional endeavors
Developing evidence of IPECP impact along the continuum from IPE to IPC in service delivery
IPECP Research Priorities
• Interdependency & Complementarity • Interprofessional Accreditation• Interprofessional Collaboration• Interprofessional Competencies (Communication,
R&R, V&E, Teamwork, Conflict Resolution, Collaborative Leadership, & Person/Population-Centered Care)
• Interprofessional Measurements• Interprofessional Policies• Interprofessional Socialization & Dual Identity• Partnership & Relationship Building• Power Sharing & Shared Decision-Making• Quadruple Aim (better health, better care, better value,
& better work experience)
• Social Determinants of Health
New Concepts/Domains• Online IPE• Telehealth & eHealth• Online IPE Simulation• Interprofessional
Resiliency• Pandemic Preparedness
WHO, 2010; Frenk et al, 2010; CIHC, 2020, IPEC, 2016; Khalili et al., 2019; Khalili, 2020; Langlois et al., 2020; Lackie et al., 2020
Core Concepts/Domains of IPECP Field
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• What is the application of existing competency frameworks into virtual IPECP?
• What and how to assess the impact of our IPECP in virtual environments?
• Should we expand our IPECP core dimensions to be inclusive of critical thinking and creativity as essential transferable skills needed for 21st century? (Harari, 2018)
Relevancy of Core Concepts/Domains during/post-COVID
Theoretical Underpinning & Theoretical Relevancy
• Many IPECP curricula and research are “undertheorized”.
– Theories provide structures for knowledge development, hypothesestesting, and findings interpretation.
• Theoretical relevancy is as important as theoretical underpinning.
– Does virtual IPECP require additional/different underpinning conceptual and theoretical frameworks?
Recommendations For IPECP Research
Khalili et al, 2019 & 2020; Lackie, et al, 2020; Langlois et al, 2020
Creating Community of Learning through MD and CoI (Khalili, 2018)
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Diversity
• Diverse Research Team: from multiple disciplines, professions, backgrounds, cultures, and ethnicity
• Various Research Methodologies & Designs: diversity of perspectives/paradigms, levels of experience and professional expertise, varying cultural contexts
Recommendations For IPECP Research
Khalili et al, 2019 & 2020; Lackie, et al, 2020; Langlois et al, 2020
Inclusivity• Inclusive Team: learners, service users, various academic disciplines,
and civil society to be partners in all phases of research.
• Global Research Partnership: sharing expertise, resources, and information will strengthen our efforts, lead to creativity, novel approaches and explanations, and knowledge generation that all will help with building our Global IPECP Community.
• Global IPECP Community: many of IPECP challenges are not limited to specific regions/countries, requiring us to come together as a global community to tackle them. – i.e., the journey toward virtual IPECP has great commonality across the globe.
Recommendations For IPECP Research
Khalili et al, 2019 & 2020; Lackie, et al, 2020; Langlois et al, 2020
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Recommendations For IPECP Research (during/post Pandemic)
• Khalili, H. Breitbach, A., Jensen, G., King, S., Maxwell, B., Nickol, D., Pfeifle, A., Gilbert, J. (2020, Submitted). Global Leadership in IPECP Research; an Intro to Co-Creation of Best Practice Guidelines. Journal of Interprofessional Practice and Education.
• Khalili, H., Xyrichis, A. (2020). A longitudinal survey on the impact of the COVID-19 pandemic on interprofessional education and collaborative practice: a study protocol. Journal of Interprofessional Care.
• Langlois, S., Xyrichis, A., Daulton, B., Gilbert., J., Lackie, K., Lising, D., MacMillan, K., Najjar, G., Pfeifle, A., Khalili, H. (2020). The COVID-19 Crisis Silver Lining: Interprofessional Education to Guide Future Innovation. Journal of Interprofessional Care
• Lackie, K., Najjar, G., El-Awaisi, A., Frost, J., Green, C., Langlois, S., Lising, D., Pfeifle, A., Ward, H., Xyrichis, A., Khalili, H. (Minor Revision). Interprofessional education and collaborative practice research during the COVID-19 pandemic: Considerations to advance the field. Journal of Interprofessional Care.
Pre-Conference Workshop, CAB VII, Oct 20, 2019
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How To Engage In IPECP Research?
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Lessons from Global Response to Covid-19
• Employ Agile methodology
• Leverage digital technologies to adapt and innovate
• Try out low-risk novel ideas/models
• Combine ideas/solutions to address emerging/old challenges
• Develop new processes and practices
• Redefine models/frameworks
Leading Through a Crisis; Unprecedented Times Call for Unprecedented Leadership
Narayandas, Hebbar, Li, 2020
Seek Grant Funding!
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Partner & Collaborate with Local, National & Global IPECP Community
of Scholars & Researchers
InterprofessionalResearch.Global (IPR.Global)
www.research.interprofessional.globalGlobal Research Interprofessional Network
(GRIN)
CIHC-ResearchNet InterprofessionalResearch.Global
(IPR.Global)GRIN-2-Theory Network
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• IPR.Global Updates Blog
• Quarterly Newsletters
• Collaborative Research Opportunities
https://iprglobal.blogspot.com/
Sign Up Here
https://research.interprofessional.global/research/
IPR.Global Research Opportunities
• Covid-19 Impact Longitudinal Survey
• Global IPE Situational Analysis Survey
• Delphi IP lexicon Study
https://research.interprofessional.global/covid19-survey/
Take The Survey
IPR.Global Research Opportunities
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www.research.interprofessional.global
• Hugh Barr IPR.Global Award
• Barbara Fifield Brandt IPR.Global Award
• John H.V. Gilbert IPR.Global Award
2020-2021 IPR.Global Best Research Awards – Call for ApplicationsApplications close Date: Monday, January 11th, 2021 by 11:59 PM PST
2020-21 IPR.Global Best Research Awards
A community of practice of world-renowned and emerging IPECP scholars, leaders,
decision-makers, administrators, service providers, service-users, and students.
IPR.Global WGs & Taskforces
Global Situational Analysis (Joint with IP.G)
IP Terminology (Joint with IP.G)
Knowledge Exchange
Partnership Development
Research Awards & Fellowships
Covid-19 Taskforce
Communication Taskforce
• A core team (Steering Committee) of 35
scholars and a listserv of 800+ members
• 5 Working Groups (WGs)
• Taskforce/s, as needed
IPR.Global: Who We Are & What We Do?
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UW Center for
Interprofessional Practice
and Education (UW CIPE)
PartnershipServe as a central hub at UW and beyond through establishing broad partnerships to
result in exemplary IPE.
EducationSupport and make available educational programs and opportunities to advance interprofessional practice and education.
ScholarshipResearch, evaluate, and disseminate knowledge about the effect and impact of IPE on learner, patient, community, and population outcomes.
SustainabilityPlan and implement a sustainable infrastructure for the UW CIPE and IPE programs that supports program continuation and expansion.
PRIORITIES
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“COVID-19 is revealing, reinforcing, and
catalyzing new sociocultural relations,
laying bare inequalities and anxieties,
discrimination, and division but also
galvanizing solidarities and collective
action”.
To Wrap Up
Leach, Parker, MacGregor, Wilkinson (2020)
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Adaptability, flexibility, and agility are
needed in our forward-moving towards
innovative collaborative IPECP research
and scholarship.
To Wrap Up
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7/23/2020
• Harari, YN. (2018). 21 Lessons for the 21st Century New York: Penguin Random House. doi: https://doi.org/10.1136/bmj.313.7069.1375• Khalili, H. (2020). Online interprofessional education during and post-COVID-19 Pandemic. Journal of Interprofessional Care. DOI:
10.1080/13561820.2020.1792424• Khalili, H., Thistlethwaite, J., El-Awaisi, A., Pfeifle, A., Gilbert, J., Lising, D., MacMillan, K., Maxwell, B., Grymonpre, R., Rodrigues F., Snyman, S., & Xyrichis,
A. (2019). Guidance on Global Interprofessional Education and Collaborative Practice Research: Discussion Paper. A joint publication by InterprofessionalResearch.Global, & Interprofessional.Global. Retrieved from www.research.interprofessional.global.
• Khalili, H. Breitbach, A., Jensen, G., King, S., Maxwell, B., Nickol, D., Pfeifle, A., Gilbert, J. (2020, Submitted). Global Leadership in IPECP Research; an Intro to Co-Creation of Best Practice Guidelines. Journal of Interprofessional Practice and Education.
• Khalili, H., Xyrichis, A. (2020). A longitudinal survey on the impact of the COVID-19 pandemic on interprofessional education and collaborative practice: a study protocol. Journal of Interprofessional Care.
• Langlois, S., Xyrichis, A., Daulton, B., Gilbert., J., Lackie, K., Lising, D., MacMillan, K., Najjar, G., Pfeifle, A., Khalili, H. (2020). The COVID-19 Crisis Silver Lining: Interprofessional Education to Guide Future Innovation. Journal of Interprofessional Care
• Lackie, K., Najjar, G., El-Awaisi, A., Frost, J., Green, C., Langlois, S., Lising, D., Pfeifle, A., Ward, H., Xyrichis, A., Khalili, H. (Minor Revision). Interprofessional education and collaborative practice research during the COVID-19 pandemic: Considerations to advance the field. Journal of Interprofessional Care.
• Leach, M., Parker, M., MacGregor, H., Wilkinson, A. (2020). COVID-19—A social phenomenon requiring diverse expertise. https://www.ids.ac.uk/opinions/covid-19-a-social-phenomenon-requiring-diverse-expertise/
• Narayandas, D. Hebbar, V., Li, L. (2020). Lessons from Chinese Companies' Response to Covid-19. Harvard Business Review. https://hbr.org/2020/06/lessons-from-chinese-companies-response-to-covid-19
• Mueller, B. (April 4, 2020). Telemedicine Arrives in the U.K.: ‘10 Years of Change in One Week’. NY Times. Accessed April 20 2020 https://www.nytimes.com/2020/04/04/world/europe/telemedicine-uk-coronavirus.html
• Teti, M., Schatz, E., & Liebenberg, L. (2020). Methods in the Time of COVID-19: The Vital Role of Qualitative Inquiries. • Wolkewitz, M. & Puljak, L. (2020)> Methodological challenges of analysing COVID-19 data during the pandemic. BMC Medical research Methodology, 20
(81). https://doi.org/10.1186/s12874-020-00972-6• World Health Organization. (2010). Framework for Action on Interprofessional Education & Collaborative Practice. Geneva, Switzerland: World Health
Organization.
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