Four teams of students from the UMKC health sciences schools took part in the third-annual UMKC Interprofessional Education (IPE) Healthcare Reasoning competition on March 2 on the health sciences campus.
The team of pharmacy student Anthony Spallito, nursing student Becca Stockhausen, and medical students Louis Sand and Dylan Schwind took home the first-place award. The second-place team was made up of pharmacy students Ashley Ragan and Andrew Yates and medical students Diana Jung and Sahaja Atluri.
This year’s event had teams manage a patient case in which they had to decide what tests to order, then use the test results to answer clinical questions. The teams were judged on interprofessional teamwork, communication, case progression/problem-solving, diagnosis and treatment.
“It was a close competition and every team did very well,” said Stefanie Ellison, M.D., School of Medicine IPE coordinator. “I was impressed with their ability to manage the patient case interprofessionally.”
Deans from the UMKC health sciences schools, Russ Melchert, School of Pharmacy, and Mary Anne Jackson, M.D., School of Medicine, served as judges in the final round. Faculty members from the health sciences schools also served as judges throughout the competition.
The event is planned each year by a group of UMKC pharmacy and medical students. School of Pharmacy students Michael Scott and Joseph Bredeck, and School of Medicine students Jordann Dhuse and Paige Charboneau planned this year’s event and the patient cases.
Organizers work to modify the competition each year to improve the overall experience for students. The group modified this year’s cases and developed Google Classroom as an electronic medical record for students to receive test results and images.
At least two different schools were represented on each team in the two-round, case-based competition. Eight medical students, seven pharmacy students, one nursing and one dental student took part in the competition.
One team from Washington University in St. Louis withdrew at the last minute because of weather concerns. Ellison said event organizers hope to expand the competition into a local and even a regional event in the future with local teams from outside of UMKC as well as beyond Kansas City.
Professional health care is increasingly a team activity. The University of Missouri-Kansas City health sciences schools are making learning a team activity as well.
Each year, students from the schools of medicine, dentistry, nursing and pharmacy gather to participate in a series of learning events as part of UMKC Health Sciences Interprofessional Education Program. Nearly 450 students from the schools filled 49 classrooms and lecture halls across the campus on Sept. 7 to take part in small group discussions on health disparities, focusing on their particular roles in meeting patient needs.
“Developing a culture of interprofessional practice and collaboration is a goal of our health professions campus in order to provide safe and high-quality care for our patients in Kansas City,” said Stefanie Ellison, associate dean for learning initiatives at the School of Medicine and a co-coordinator of the IPE program.
In February, students met in Interprofessional Medical Patient Advocacy and Collaborative Teams, or IMPACTS, for the first time and completed a small group, case-based activity on roles and responsibilities. This September event is the second time they met in the same IMPACTs and they were assigned a project prior to the case-based activity. Each group was given a list of 10 areas of need such as transportation, housing, child care, job assistance or finances that can limit the ability of the lower-income and underserved populations to obtain needed health care. The groups were to research five different areas of need and come back with a list of resources to help meet those needs in material they could present to their own patients.
“It is our goal to improve their learning and utilization of resources to address the health disparities or social determinates of health in Kansas City,” Ellison said.
Hunter Faris, a third-year medical student who participated in the IPE program last year, served as one of the small group facilitators this year.
“We’re talking about the social determinants of health and how our particular fields can tackle those issues,” Faris said. “This is more about what can we really provide a patient in an effective manner where we’re not being redundant. This is helping us learn to better work as a team.”
The health sciences IPE program consists of other events including a Poverty Simulation that will take place in September and October and an annual IPE competition in the spring in which small groups of students from the different schools work together to address case-based patient scenarios and in front of a panel of judges.
“These IPE events are beneficial because we understand what the other health professionals can provide and how we’re able to work together to provide care for our patients,” Faris said.
Interprofessional education is implemented as part of the required curriculum across the UMKC health professions programs to meet their program accreditation requirements.
A team students from the UMKC School of Medicine showed its mettle in winning an interprofessional education reasoning competition at Creighton University on March 24 in Omaha, Nebraska.
Fourth-year students Diana Jung and Saber Khan, and third-year students Yicheng Bao and Becky Kurian teamed with Creighton pharmacy students Amy Cimperman and Caressa Trueman to present the winning case in the 2018 Regional Interdisciplinary Clinical Reasoning Competition.
Teams were comprised of a mix of medical, pharmacy and nurse practitioner students.
Each team was presented a patient case, similar to a real-life encounter. They then had two and a half hours to evaluate the chief complaint and medication list, make a working diagnosis, and order needed lab tests and treatments. Teams that advanced to the final round then presented their case to a panel of judges to defend their reasoning and gain feedback.
The UMKC team ranked first among four competing schools in team work and collaboration, concise and professional presentation, and demonstration of appropriate clinical judgement and management.
“I attribute this largely to the early exposure that we get in patient interaction and the presentations we get during our curriculum through clinic, rotations and DoRo,” Jung said. “It was fun and a great learning opportunity.”
Jung said the experience drove home the need for teamwork among health care providers in giving patient care.
“Being able to rely on our pharmacy students for their expertise, played a huge role,” she said. “And having medical students in different years of study allowed us to approach the patient case in a broader point of view.”
The UMKC Interprofessional Education program conducted its second health sciences schools IPE competition on April 7 at the School of Medicine. Four teams of students from the schools of medicine, pharmacy, and nursing and health studies took part in the two-round, case-based competition.
The team of fifth-year medical students Joseph Bennett and Luke He and nursing student Joseph Bredvold won the first-place Emeritus Chancellor Morton Award for Interprofessional Excellence. The second-place team included fourth-year medical students Saber Khan, Zach Randall and Louis Sand, and pharmacy student Ann Lee.
A team of fifth-year medical students Kent Buxton and Christian Lamb, and pharmacy student Brad Erich, tied for third place with the team of Shannon Demehri and Hunter Faris, fifth-year medical students, and nursing student Caleb Jockey.
A panel of interprofessional faculty judged the competition based on diagnosis, treatment, pharmacotherapy, teamwork, communication and decision making. Judges for the event were Paul Cuddy, Pharm.D., Maqual Graham, Pharm.D., Cydney McQueen, Pharm.D., Eileen Amari-Vaught, Ph.D., M.S.N., F.N.P.-B.C., Doug Cochran, M.D., Jim Wooten, Pharm.D., and Emily Hillman, M.D.
Stefanie Ellison, M.D., associate dean of learning initiatives, said many students helped to develop and plan the event and provided support during the competition. Those involved included medical students Jordann Dhuse, Paige Charboneau, Niraj Madhana, Isioma “Miracle” Amayo and Mesgana Yimmer, and pharmacy students Michael Scott, Ijeoma Onyema and Joseph Bredeck.
On the Health Sciences Campus at UMKC, interprofessional education, or IPE, is an important learning tool. It brings together students from dental, medicine, nursing and pharmacy and places them in learning activities focused on team-based patient care. A new video highlights this IPE program and its benefits filmed during a recent poverty simulation exercise.
The UMKC Health Sciences IPE program is directed by Stefanie Ellison, M.D., associate dean for learning initiatives at the UMKC School of Medicine and emergency physician at Truman Medical Centers; and Valerie Ruehter, Pharm.D., director of experiential learning and clinical associate professor for the UMKC School of Pharmacy.
“We can create individual practitioners, but in health care today, it takes an entire team to create positive patient outcomes,” said Ruehter. “With IPE, we give students the chance to become familiar with what every discipline brings to the table, which hopefully will make a more seamless health care system.”
That’s a goal of IPE, said Ellison. “If we have our students learning in silos, but they are expected on day one in practice to begin working together as a team, then we haven’t really done our job. At UMKC, we are breaking down those silos.”
In Kansas City, nearly one in five residents live below the poverty line — a harsh reality shared by many patients UMKC students see on Hospital Hill and beyond.
To better understand the challenges and frustrations of those living in poverty, students participated in a large-scale poverty simulation, part of the Interprofessional Education (IPE) program on the UMKC Health Sciences campus.
In November, more than 100 UMKC medical, nursing, pharmacy and dental students, along with faculty and volunteers, joined to experience the virtual realities of poverty and its effects on patients. The simulation was designed to incorporate IPE, an emerging teaching approach addressing the future of health care, in which a close-knit team of dentists, physicians, nurses and pharmacists provides personalized, integrated attention to patients.
In the simulation, one of five such sessions this fall, students role-played living for a month in poverty, with each “week” lasting 15 minutes. The goals were to keep their home, pay all bills, hold down jobs and feed their family and children each day – all while managing issues such as an illness in the family, a stolen car and expenses to repair their plumbing.
Students could rely on stations around the room, such as employers, a grocery store, a health care center, social services, a pawn shop and a quick cash outlet, to help them meet their goals. Following the simulation, the group members spent time sharing their experiences and discussing lessons learned.
”It was sad to realize that all my time was spent thinking about just getting the minimum needs taken care of, and that sometimes even the minimum isn’t enough,” one student said.
Interim Chancellor and Provost Barbara A. Bichelmeyer addressed the participants after observing the simulation. She noted that the first place people went was the employer, and that many sought help from the pawn shop rather than turning to other resources. And the one station that didn’t get much business? The medical center, a point not lost on the room full of future health-care providers.
“Today’s program shows poverty is not about people not being well-intentioned, but about people not being well-resourced,” Bichelmeyer said.
The simulation, created by the Missouri Association for Community Action, was created to help people — such as future health-care providers — understand the challenges of living in poverty day to day. It lets participants look at poverty from a variety of angles and then discuss the potential for change within their communities.
The UMKC Health Sciences IPE program is directed by Stefanie Ellison, associate dean for learning initiatives at the UMKC School of Medicine and emergency physician at Truman Medical Centers; and Valerie Ruehter, director of experiential learning and clinical assistant professor for the UMKC School of Pharmacy.
According to Ellison, who coordinated the simulation with Ruehter, the day purposely included data about poverty in Missouri.
“The activity is very personal and designed to have students walk in the shoes of someone in poverty,” Ellison said. “The takeaway is to empathize with our patients and learn very specifically about the problems our patients face.”
“We sometimes get frustrated when our patients aren’t doing what we asked them to do or don’t show up for clinic appointments,” Ruehter said. “This is an opportunity for students to come together and wear the other shoe, to see that it’s not always as easy as we think it might be. We can create individual practitioners, but in health care today, it takes an entire team to create positive patient outcomes. With IPE, we give students the chance to become familiar with what every discipline brings to the table, which hopefully will make a more seamless health care system.”
That’s a goal of IPE, Ellison said. “If we have our students learning in silos, but they are expected on day one in practice to begin working together as a team, then we haven’t really done our job. At UMKC, we are breaking down those silos.”
At the conclusion of the simulation, students heard a call to action: to do more, learn more, go where the patients are and ask how you can help change the system, even a little bit.
“If what we do at UMKC is to help our health-care professionals in the future think about the humanness of the people they are working with, both their peers and their patients, then I think we will have made a really significant contribution,” Bichelmeyer said.
More than 400 students from the UMKC School of Medicine, School of Pharmacy, School of Dentistry and School of Nursing and Health Studies have taken part this fall in five interprofessional education sessions of the Missouri Community Action Poverty Simulation.
In each simulation, about 80 students act as people living for a month in poverty. Students are assigned to families and receive a description of their role and goals of the simulation. They work to keep their home, pay all bills, keep their jobs, and feed their family each day. Some students serve as teenagers or young children and are asked to behave as their character descriptions.
Participants receive challenges such as an illness in the family, expenses to repair their plumbing, and getting robbed or fired. Students spend four “weeks” living in poverty. Each “week” lasts 15 minutes. There are stations around the room for students to visit to help meet their goals, such as the employer, a “Foodarama” for groceries, a health care center, child care, community action agency, inter-faith services, social services, and a pawn shop and quick cash business.
The simulation is required for students pursuing M.D., D.D.S. B.S.N., Pharm.D. and P.A. degrees. Doctor of Nursing Practice graduate students help run the simulations along with past participants and volunteer faculty and staff.
The final session this semester took place on Nov. 11.
Interprofessional education at UMKC’s health sciences schools has spawned an interprofessional competition.
Nearly 50 students from the schools of dentistry, medicine, nursing and pharmacy worked together as members of nine interprofessional teams putting their combined skills to the test in the first Interprofessional Education and Collaboration Healthcare Reasoning Competition.
The daylong, case-based simulation competition took place in conjunction with the fifth-annual Interprofessional Education Faculty Symposium at the School of Medicine. It was the brainchild of a smaller group of seven students from different disciplines who formed a UMKC IPE Student Interest Group to promote interprofessional education.
“This started with the IPE interest group,” said Stefanie Ellison, M.D., IPE coordinator for the School of Medicine. “Seven or eight student were really interested in this. It was their energy that made it happen and everything fell in place.”
Members of the student interest group include Morgan Beard, Vincent Cascone, Maggie Kirwin, Grant Randall, Alie Reinbold, Mitchell Solano, and Robert Weidling.
Weidling said the group developed the competition after taking part in a similar event at Creighton University. The team spent the next eight months working on the structure of the competition. Ellison and Emily Hillman, M.D., assistant program director and clerkship director for emergency medicine, and faculty sponsor for the school’s Sim Wars team, provided faculty guidance.
“The most important goal of our event was to help students understand the importance of interprofessional teamwork,” Weidling said. “We wanted students to be put into a position where they were forced to augment their weaknesses with the strengths of the other interprofessional students, such as relying on pharmacy students to employ complex pharmacological treatment plans, medicine students to produce a robust differential diagnosis, and nursing students to craft care plans.”
For the competition. At least two different schools were represented on each team of five to six students. Each team was given a case with pertinent patient history and vital statistics, then given 90 minutes to prepare a treatment plan using their personal skills and other resources, such as Internet access. After 90-minute, teams gave 10-minute presentations to an interprofessional panel of judges made up of faculty from the health sciences schools. Each presentation offered the team’s treatment plan for the patient and how the team worked together to develop the plan.
The top four teams from the first round of competition were then given a new, unique case to prepare without using any outside resources.
Teams were evaluated on skills such as collaboration, demonstration of medical knowledge, ability to manage health-care decision and using their individual roles and responsibilities, and use of evidence-based medicine.
Ellison said the winning teams maximized their roles.
“Their knowledge and the skill sets of each team member allowed them to best take care of the patient,” she said. “That’s how we function every day.”
Weidling said the students enjoyed the event and that group is already planning for the next competition with hopes of creating a regional event for health sciences school throughout the midwest.
“The most common comment I heard was that all of the interprofessional team members felt valued and left with a greater appreciation of what each of our varying medical disciplines do,” Weidling said.
The top four winning teams selected by the judges were:
More than 500 students from the University of Missouri-Kansas City’s four health sciences schools — dentistry, medicine, nursing and pharmacy — gathered across the health sciences campus on Feb. 19 to gain a better understanding of each other’s roles and responsibilities as health care providers. The day marked the beginning of the third year of a campus-wide interprofessional education program.
Health professions programs across the country have accreditation standards to provide activities for students to learn with, from and about one another so that they are practice ready to provide safe, team-based care. School of Medicine Associate Dean for Curriculum Stefanie Ellison, M.D., one of the event coordinators, said the interprofessional education program at UMKC has achieved those standards with its series of activities spread throughout yearly activities within each professional program.
“All of these programs have their own accreditation requirements for interprofessional education,” Ellison said. “With our curriculum, we believe we’re now meeting all of those requirements.”
The afternoon-long activity focused the students’ attention on how to provide patient care in a safe manner.
Students from the School of Medicine’s anesthesiologist assistant and physician assistant programs participated in the program along with third-year students in the M.D. program. Students from all of the health sciences programs were divided into groups of 10 to participate in the first of this year’s three collaborative learning activities. A second group activity is planned for next September with a focus on ethics and values. The third group session focusing on interprofessional communication and teams and teamwork will follow in October or November.
The IPE activities occur annually so that all health professions students in ten programs will gain skills and attitudes in interprofessional practice as they contribute in all three events before obtaining their professional degrees.
Ellison said IPE coordinators at UMKC’s heath sciences schools are also working on events such as service learning projects and other activities that can be embedded into each school’s curriculum to create an on-going practice of interprofessional collaborative learning.
Faculty from the UMKC Health Sciences Campus at Hospital Hill recently attended the Fourth Annual Interprofessional Education Symposium: Building a Bridge Between Education and Practice in the Bloch Executive Hall Auditorium.
The UMKC Schools of Dentistry, Medicine, Nursing and Health Studies, and Pharmacy continue to emphasize interprofessional education in curriculum through large-scale instructional activities and at clinics through team grants.
Attendees said they want to increase the infusion of team education and practice in the curriculum because it is best for patient care.
“Hospitals are the third leading cause of death, and when you say that out loud, it’s frightening,” said Karen Cox, executive vice president and COO at Children’s Mercy, a panel speaker at the event. “That’s why we have to work together. We may be different, but not that different.”
Other panel speakers included Mark Steele, chief medical officer and COO at Truman Medical Centers; Tony Huke, clinical manager and residency director at Truman Medical Centers; Brett Ferguson, chair of oral and maxillofacial surgery at Truman Medical Centers; and Felicia Menefee, chief nursing officer ambulatory care at Saint Luke’s Hospital. Mattie Schmitt, professor emerita at University of Rochester, was the keynote speaker.
Donald Bowman, a patient, provided his perspective.
“Remember that an important member of an interprofessional team is the patient,” he said. “It’s important that team members, though they are likely to change, communicate deeply and thoroughly with their colleagues and show me that they care.”