Episode #88: Interprofessional Education and Practice Yesterday, Today, and Tomorrow featuring Dr. Andrea Pfeifle
Episode #88: Interprofessional Education and Practice Yesterday, Today, and Tomorrow featuring Dr. Andrea Pfeifle
Introduction to the Episode:
In this episode we talk with Dr. Andrea Pfeifle, about the history and future of interprofessional education (IPE) and collaborative practice (IPCP), her experiences as a leader in today’s environments, and some of the barriers that have inhibited progress.
Andrea shares her interprofessional journey and a little of how a special relationship with a young boy and his family ignited her love affair with interprofessional collaboration. She also tells how an invitation, from the Dean of Medicine at University of Kentucky, to lead an interprofessional education initiative at the university launched her interprofessional leadership career and changed her life forever.
In the interview Andrea shares her perspective on how IPE and IPCP have advanced in the last ten years. Some examples she shares are the transformation of health professions education, the development and dissemination of interprofessional collaborative practice competencies, expansion of IPE across universities and colleges, and the establishment of the National Center of Interprofessional Practice and Education.
When it comes to factors that have helped foster IPE and IPCP over the years, Andrea shares with our listeners she feels there is a sense intuitively that it’s the “right thing to do” and it “feels right”, which makes it easier to engage people as champions. Many key stakeholders and groups have engaged in the effort in the last ten years and some key publications have also contributed to making it happen as well.
There have been some barriers along the way, too! Andrea talks about some of the barriers including the implicit bias that lies beneath the healthcare system and shapes the models of care, decisions, reimbursement, and structure of healthcare. Another significant challenge Andrea mentions is scalability.
We discuss the need for simultaneous action to move IPE and IPCP forward and the importance of having infrastructures, education and practice partnerships, and outcome measurement.
At the close of the interview Andrea shares her hope over the next 10 years is that integrated team practice is the standard and it’s designed with patients, families, and learners.
This interview includes a remarkable synthesis of the efforts and actions taken to advance IPE and IPCP and is full of important information describing the current state. If you’re interested in IPE and IPCP you will want to stop what you are doing and listen now!
During this episode we discuss:
Impact of accreditation requirements
The value of interprofessional education and practice
Positive faculty experiences
Impact of the IPCP competencies
Supporting organizations
Funding initiatives
Interprofessional journals and publications
Discussions needed regarding implicit bias in the healthcare system
The vigilance and nurturing required for IPE and IPCP
Positive impact of the COVID-19 pandemic
The lack of transparency of IPCP in healthcare settings
Elevating IPCP continuing education in the practice setting
NAP Lexicon to advance collective work
Polarities within IPE and IPCP
Examples of IPCP models and initiatives
Prior IPE and IPCP episodes on Healthcare’s MissingLogic Podcast:
Episode #5: Interprofessional Education and Interprofessional Collaborative Practice: Why isn’t it Sustainable?
Episode #15: What Nobody Tells You About Aligning Interprofessional Education and Practice
Best way to reach Andrea:
Social Media:
Twitter: @AndreaLPfeifle
LinkedIn: www.linkedin.com/in/andreapfeifle
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Works Cited and Referenced in the Podcast:
Brandt BF, Kitto S, Cervero RM. Untying the Interprofessional Gordian Knot: The National Collaborative for Improving the Clinical Learning Environment. Acad Med. 2018 Oct;93(10):1437-1440. doi: 10.1097/ACM.0000000000002313. PMID: 29901656.
Health Professions Accreditors Collaborative. (2019). Guidance on developing quality interprofessional education for the health professions. Chicago, IL: Health Professions Accreditors Collaborative.
Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative.
Interprofessional Education Collaborative. (2016).
Core competencies for interprofessional collaborative practice: 2016 update. Washington, DC: Interprofessional Education Collaborative.
Josiah M. Jr. Foundation. 2018. Improving environments for learning in the health professions. Recommendations from the Macy Foundation Conference. New York: Josiah Macy Jr. Foundation.
Gruppen L, Irby D, Durning, Maggio L. 2018. Interventions designed to improve the learning environment in the health professions: a scoping review. AMEE MedEd Pub. 7:73.
Weiss KB, Passiment M, Riordan L, Wagner R for the National Collaborative for Improving the Clinical Learning Environment IP-CLE Report Work Group. Achieving the Optimal Interprofessional Clinical Learning Environment: Proceedings from an NCICLE Symposium. http://ncicle.org. Published January 18, 2019. doi:10.33385/NCICLE.0002
American Interprofessional Health Collaborative. (2020). Organizational Models of Interprofessional Practice and Education in the United States: Results from a National Survey. Minneapolis,MN: National Center for Interprofessional Practice and Education.
NAP’s website & link to Lexicon
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, Ke Y, Kelley P, Kistnasamy B, Meleis A, Naylor D, Pablos-Mendez A, Reddy S, Scrimshaw S, Sepulveda J, Serwadda D, Zurayk H. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010 Dec 4;376(9756):1923-58. doi: 10.1016/S0140-6736(10)61854-5. Epub 2010 Nov 26. PMID: 21112623.