{"id":6346,"date":"2019-03-01T15:19:47","date_gmt":"2019-03-01T20:19:47","guid":{"rendered":"https:\/\/www.med.unc.edu\/aging\/?p=6346"},"modified":"2019-03-06T12:37:48","modified_gmt":"2019-03-06T17:37:48","slug":"ipe-geriatrics-experience-myth-busting-multidisciplinary-teams","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-experience-myth-busting-multidisciplinary-teams\/","title":{"rendered":"IPE Geriatrics Experience: &#8216;Myth Busting&#8217; and Multidisciplinary Teams"},"content":{"rendered":"<p>With all the buzz about interprofessional education (IPE) across UNC&#8217;s medical campus and beyond, you\u2019d be forgiven for thinking that IPE is the very latest trend. However, since 2012, a group of \u201cGeriatrics Champions\u201d from all six Health Sciences Schools has presented a multidisciplinary, team-based geriatrics education event for hundreds of students annually.<\/p>\n<figure id=\"attachment_6345\" class=\"thumbnail wp-caption aligncenter\" style=\"width: 802px\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-6345\" src=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/03\/IPGerExp_Jan2019_C-300x179.jpg\" alt=\"IPE Geriatrics Champions left to right: Sue Coppola, Denise Dews, Kimberly Sanders, Carrie Palmer, Amy Weil, Sharon Williams, Carol Guiliani, Christine Downey, Caroline Nelson\" width=\"792\" height=\"473\" srcset=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/03\/IPGerExp_Jan2019_C-300x179.jpg 300w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/03\/IPGerExp_Jan2019_C-768x458.jpg 768w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/03\/IPGerExp_Jan2019_C-1024x611.jpg 1024w\" sizes=\"auto, (max-width: 792px) 100vw, 792px\" \/><figcaption class=\"caption wp-caption-text\">IPE Geriatrics Champions left to right: Sue Coppola, Denise Dews, Kimberly Sanders, Carrie Palmer, Amy Weil, Sharon Williams, Carol Guiliani, Christine Downey, and Caroline Nelson<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>IPE Geriatrics Experience is a two-day event held in January that brings 10 faculty members and 250 students from 10 disciplines (Physical Therapy, Occupational Therapy, Social Work, Nutrition, Speech and Hearing, Dentistry and Dental Hygiene, Nursing, Pharmacy, and Medicine) together to discuss case studies and collaborate on care plans. For many students, it\u2019s a rare chance to learn in a team environment with colleagues from different disciplines and Schools. The 2019 IPE Geriatrics Experience took place at the School of Social Work on the last two Wednesdays in January.<\/p>\n<p><strong>IPE Geriatrics Genesis<\/strong><\/p>\n<p>The idea for the event came from a committed group of \u201cGeriatrics Champions\u201d from a handful of disciplines. Each expert knew the value of team-based interdisciplinary care, especially for older patients, whose multiple chronic conditions can make diagnosis and treatment challenging.<\/p>\n<p>Sue Coppola, MS, OT\/L, OTD, FAOTA, a faculty member with Allied Health Sciences\u2019 Division of Occupational Sciences and Occupational Therapy, describes how the work began decades ago in partnership with Florence Soltys, a pioneer for aging advocacy at the School of Social Work. Earlier IPE Geriatrics events included 5 to 6 disciplines. \u201cEach year we added another discipline, and through our collegial relationships, we continued to grow the event,\u201d says Coppola. \u201cWe kept it going out of love for the experience for our students.\u201d<\/p>\n<p>The Department of Medicine and the Division of Speech and Hearing Sciences are the most recent (2018) additions to the roster. The Center for Aging and Health\u2019s Carolina Geriatric Workforce Enhancement Program grant has contributed funding for the event from 2016 through 2018.\u00a0Since 2012, the robust pre- and post-program evaluation, led by Cherie Rosemond, PhD, PT, shows strong learning outcomes for all disciplines.<\/p>\n<p><strong>Myth-busting and Misconceptions<\/strong><\/p>\n<p>Students pre-register for the event, often with encouragement from their professors. On Day 1 they assemble in the School of Social Work auditorium to hear case studies and observe an interprofessional team meeting led by the panel of Geriatrics experts. The goal is to model a multidisciplinary, team-based discussion of case studies with each faculty member contributing to the conversation and plan for care.<\/p>\n<blockquote><p>\u201cWe give them some guidance with the cases,\u201d says Coppola, \u201cbut it\u2019s more about showing each others\u2019 roles and what you can do in the team.\u201d<\/p><\/blockquote>\n<p>Next, students head to breakout rooms for working group discussions; the groups contain one student from each discipline. Often, discussions reveal misconceptions or gaps in understanding about what their colleagues actually do.<\/p>\n<p>A big part of the experience is students learning the roles of other professions and \u201cmyth busting,\u201d says Amanda Holliday, MS, Assistant Professor in the Department of Nutrition at Gillings School of Global Public Health. For example, says Holliday, students learn that nutrition experts \u201care not just the food police.\u201d<\/p>\n<p>With good nutrition connecting so directly to health, students learn about higher rates of undernourishment in older adults and the need to screen older patients for food insecurity at hospital discharge. It\u2019s important for all team members to think about food and know how to connect food-insecure patients with food in their community, says Holliday, because \u201cwe aren\u2019t yet at the point where we can universally prescribe a grocery bag of food like we can a prescription for a bottle of medication.\u201d<\/p>\n<div class=\"\">\n<div class=\"WordSection1\">\n<div>\n<p><strong><strong>IPE in the Real World: Making the Vision Reality<\/strong><\/strong><\/p>\n<p>With the need to develop case studies, register students in advance, secure work spaces, and assign students into 25 groups with balanced representation across disciplines, a lot of planning goes into making IPE Geriatrics Experience a success. And with both undergraduates and graduate students participating, there are some levelling challenges, says Roxanne Dsouza, RDH, MH, with the School of Dentistry and an IPE Geriatrics Fellow. Dsouza helped recruit and register dental school students and assign them to working groups. Even finding days in the academic calendar to meet and plan takes determination. \u201cFinding a date when all the disciplines can get together, that\u2019s huge,\u201d says Coppola.<\/p>\n<\/div>\n<div><\/div>\n<\/div>\n<\/div>\n<p>On Day 2 of the IPE Geriatrics Experience, students meet for closing remarks and reflections. Participants point to the gap between IPE exposure as students and the ability to train and work as a team in the field. In general, clinical training sites aren\u2019t able to accommodate teams of students. Yet increasingly, health care is provided by teams.<\/p>\n<blockquote><p>\u201cStudents say this is all great, but are we ever going to see this in the real world?\u201d says Holliday.<\/p><\/blockquote>\n<p>With insurance companies and Accountable Care Organizations interested in better patient outcomes, lowered costs, and effective team care, the real world may start to walk the IPE talk. The IPE Geriatrics Faculty team has always envisioned and worked for what might be, rather than what is. They hope that someday the vision in the field will match the vision they have for their students.<\/p>\n<p>In the meantime, even though IPE Geriatrics Experience is just a short amount of time, says Coppola, \u201cthe students get to shine by sharing their discipline&#8217;s contributions. And, they get excited about teamwork.\u201d<\/p>\n<p>Addison Francis, a Graduate Student Clinician in Speech Language Pathology, says that the importance of teamwork, especially for geriatric patients, was a key takeaway: &#8220;We can\u2019t do it all on our own.\u00a0<span class=\"apple-converted-space\">A single profession is not able to provide adequate services. In the geriatric population, patients are often\u00a0living with a number of co-morbidities. An interdisciplinary team is essential to ensure that the patient&#8217;s needs are met.&#8221;\u00a0<\/span><\/p>\n<p><strong>IPE Geriatrics Experience Participating Faculty<\/strong><\/p>\n<p>Sue Coppola, Clinical Professor, MS, OT\/L, OTD, FAOTA, Division of Occupational Sciences \/ Occupational Therapy, Department of Allied Health Sciences<\/p>\n<p>Denise Dews, MSW, Clinical Assistant Professor, School of Social Work<\/p>\n<p>Christine Downey, DDS, MS, Clinical Assistant Professor, Adams School of Dentistry<\/p>\n<p>Carol Guiliani, PT, PhD, FAPTA, Professor, Division of Physical Therapy, Department of Allied Health Sciences<\/p>\n<p>Cris Henage, EdD, Program Manager, Geriatric Workforce Enhancement Program, Carolina Geriatric Education Center, Center for Aging and Health, Division of Geriatric Medicine, Department of Medicine<\/p>\n<p>Amanda Holliday, MS, Assistant Professor, Department of Nutrition; Director, Practice Advancement and Continuing Education Division, Gillings School of Global Public Health<\/p>\n<p>Shannon Mitchell, RDH, MS, Clinical Associate Professor and Director of Dental Hygiene, Adams School of Dentistry<\/p>\n<p>Carrie Palmer, DNP, RN, ANP-BC, CDE, Associate Professor and Lead Faculty, DNP Division, School of Nursing<\/p>\n<p>Ellen Roberts, PhD, MPH, Research Associate Professor of Medicine, Division of Geriatric Medicine, Department of Medicine<\/p>\n<p>Cherie Rosemond, PhD, Adjunct Associate Professor, Gillings School of Global Public Health and Director, Partnerships in Aging Program<\/p>\n<p>Kimberly Sanders, PharmD, Clinical Assistant Professor, Eshelman School of Pharmacy<\/p>\n<p>Amy Weil, MD, Professor of Medicine and Social Medicine, Division of General Medicine and Clinical Epidemiology, Department of Medicine<\/p>\n<p>Sharon Williams, Associate Professor and Director, Division of Speech and Hearing Sciences, Department of Allied Health Sciences<\/p>\n","protected":false},"excerpt":{"rendered":"<p>IPE Geriatrics Experience is a two-day event bringing 10 faculty members and 250 students from 10 disciplines together to learn about Geriatrics care in a multidisciplinary team environment. This year the event took place at the School of Social Work on the last two Wednesdays in January.<br \/>\n<a href=\"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-experience-myth-busting-multidisciplinary-teams\/\"> Read more <\/a><\/p>\n","protected":false},"author":31116,"featured_media":6345,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[2],"tags":[84,27,40,39,41,83],"class_list":["post-6346","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-center-for-aging-and-health","tag-geriatrics","tag-interprofessional-education","tag-ipe","tag-multidisciplinary","tag-team-based-care","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>IPE Geriatrics Experience: &#039;Myth Busting&#039; and Multidisciplinary Teams | Center for Aging and Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-experience-myth-busting-multidisciplinary-teams\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IPE Geriatrics Experience: &#039;Myth Busting&#039; and Multidisciplinary Teams | Center for Aging and Health\" \/>\n<meta property=\"og:description\" content=\"IPE Geriatrics Experience is a two-day event bringing 10 faculty members and 250 students from 10 disciplines together to learn about Geriatrics care in a multidisciplinary team environment. 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