Learning Together: Integration of Advanced Practice Providers into a General Medicine Ward Team.


Journal

Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834

Informations de publication

Date de publication:
05 2019
Historique:
pubmed: 18 4 2019
medline: 2 10 2020
entrez: 18 4 2019
Statut: ppublish

Résumé

The Accreditation Council for Graduate Medical Education (ACGME) demands that physicians should be trained to engage in clinical activities with other health profession providers. Incorporation of advanced practice providers (APPs) into medicine ward teams has not yet been described. To describe a pilot and feasibility evaluation of an interprofessional general medicine ward team with internal medicine residents and APPs to encourage resident leadership development, enhance service to education balance, and promote interprofessional collaboration. University of Colorado, Internal Medicine Residency Program. Sixteen internal medicine residents, 16 interns, 19 Department of Medicine faculty members, and 8 advanced practice provider fellows in hospital medicine. The authors describe an interprofessional general medicine ward team including team structure, and roles and responsibilities of each team member. Each team member completed an electronic survey following the rotation and the majority agreed that the pilot team allowed for an enhanced resident leadership role, and helped to restore the service to education balance and interprofessional collaboration. An interprofessional general medicine ward team is feasible, has the potential to optimize service to education balance, and exposes learners to a collaborative interprofessional clinical environment.

Sections du résumé

BACKGROUND
The Accreditation Council for Graduate Medical Education (ACGME) demands that physicians should be trained to engage in clinical activities with other health profession providers. Incorporation of advanced practice providers (APPs) into medicine ward teams has not yet been described.
AIM
To describe a pilot and feasibility evaluation of an interprofessional general medicine ward team with internal medicine residents and APPs to encourage resident leadership development, enhance service to education balance, and promote interprofessional collaboration.
SETTING
University of Colorado, Internal Medicine Residency Program.
PARTICIPANTS
Sixteen internal medicine residents, 16 interns, 19 Department of Medicine faculty members, and 8 advanced practice provider fellows in hospital medicine.
PROGRAM DESCRIPTION
The authors describe an interprofessional general medicine ward team including team structure, and roles and responsibilities of each team member.
PROGRAM EVALUATION
Each team member completed an electronic survey following the rotation and the majority agreed that the pilot team allowed for an enhanced resident leadership role, and helped to restore the service to education balance and interprofessional collaboration.
DISCUSSION
An interprofessional general medicine ward team is feasible, has the potential to optimize service to education balance, and exposes learners to a collaborative interprofessional clinical environment.

Identifiants

pubmed: 30993629
doi: 10.1007/s11606-019-04880-4
pii: 10.1007/s11606-019-04880-4
pmc: PMC6502923
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

769-772

Références

Hum Resour Health. 2015 May 24;13:38
pubmed: 26003337
J Surg Res. 2015 Nov;199(1):7-12
pubmed: 26173380
Pediatr Crit Care Med. 2016 Sep;17(9):e430-6
pubmed: 27464890
BMC Med Educ. 2017 Feb 22;17(1):44
pubmed: 28228099

Auteurs

Emily Gottenborg (E)

Department of Medicine, Division of Hospital Medicine, University of Colorado, Aurora, CO, 80045, USA. emily.gottenborg@ucdenver.edu.

Julia Limes (J)

Department of Medicine, Division of Hospital Medicine, University of Colorado, Aurora, CO, 80045, USA.

Adam Olson (A)

Department of Medicine, Division of Hospital Medicine, University of Colorado, Aurora, CO, 80045, USA.

Brian Wolfe (B)

Department of Medicine, Division of Hospital Medicine, University of Colorado, Aurora, CO, 80045, USA.

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Classifications MeSH