'"Collaborating Across Borders,' an international conference on interprofessional education (IPE) held in Tucson, Arizona from November 19-21, drew more than 750 attendees, including health care professionals, educators, policymakers and leaders in the field— the largest-ever gathering of experts on this topic."
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Interdisciplinary Workforce
Featured Items
"The nation faces a substantial shortfall in its combined supply of physicians, APNs, and PAs, even under aggressive training scenarios, and deeper shortages if these scenarios are not achieved. Efforts must be made to expand the output of clinicians in all 3 disciplines, while also strengthening the infrastructure of clinical practice and facilitating the delegation of tasks to a broadened spectrum of caregivers in new models of care."
"Two new reports released today by six national health professions associations and three private foundations recommend new competencies for interprofessional education in the health professions, and action strategies to implement them in institutions across the country. By establishing these competencies, the proponents believe our nation’s health care system can be transformed to provide collaborative, high-quality, and cost-effective care to better serve every patient."
"This report is inspired by a vision of interprofessional collaborative practice as key to the safe, high quality, accessible, patient-centered care desired by all. Achieving that vision for the future requires the continuous development of interprofessional competencies by health professions students as part of the learning
process, so that they enter the workforce ready to practice effective teamwork and team-based care."
"In this paper, three universities, the Rosalind Franklin University of Medicine and Science, the University of Florida and the University of Washington describe their training curricula models of collaborative and interprofessional education."
In Legislation/On the Hill
"The Joint Committee on Public Health voted unanimously in favor of “An act supporting the practice of primary care in the commonwealth.” Sponsored by Representative Jeffrey Sánchez, co-chair of the Committee, the bill eases statutory burdens to maximize the role of physician assistants and nurse practitioners in order to improve access to care for patients and free up physicians’ time for complicated cases requiring their expertise."
"Today, the Administration is announcing a key step in that strategy – the availability of $250 million in new funding provided by the Affordable Care Act to expand the primary workforce. The new funding – part of the Prevention and Public Health Fund – will help prepare the health system to meet the demand for health care workers with a new initiative that will train and support thousands of new doctors, nurses, nurse practitioners, and physician's assistants."
News
"Six national health professions associations have formally joined to create the Interprofessional Education Collaborative (IPEC), a new national organization that will focus on better integrating and coordinating the education of nurses, physicians, dentists, pharmacists, public health professionals, and other members of the patient health care team to provide more collaborative and patient-centered care."
'"Collaborating Across Borders,' an international conference on interprofessional education (IPE) held in Tucson, Arizona from November 19-21, drew more than 750 attendees, including health care professionals, educators, policymakers and leaders in the field— the largest-ever gathering of experts on this topic."
"Ohio plans to spend $1 million to expand an approach to primary care that encourages the family doctor to better coordinate with specialists and others to improve a patient's health, state health officials said Wednesday."
"One of the major features of the Affordable Care Act (ACA) is the idea of Accountable Care Organizations (ACOs). The final regulations from Medicare were issued in October, 2011, so the creation of ACOs seems to be moving forward. ACOs will be groups of primary care doctors, specialists, hospitals, and possible other providers who act together to provide comprehensive care, and receive either more money from Medicare (and probably, eventually, other payers) or, at least, smaller reductions in payments. The only thing that is definitely required to form an ACO is a group of primary care doctors, but since groups of primary care doctors rarely have sufficient capital to fund the necessary infrastructure, so it is likely that almost all will include at least one hospital."
"The state of Oregon is looking for health care providers to adopt a primary care model designed for better health and lower costs. Across the state, more than 80 clinics already have applied to be officially recognized by the state as 'patient-centered primary care homes.'"
Policy Briefs
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Reports
"Earlier this year, James F. Cawley, MPH, PA-C, was honored with the Eugene A. Stead lifetime achievement award from the American Academy of Physician Assistants for his unremitting efforts to increase understanding of the phyisican assistant role in the U.S. healthcare workforce. To celebrate his achievements, we've collected a few of our favorite of Jim's columns from the nearly 8 years he's been writing for us, both since the debut of ADVANCE for NPs & PAs in September 2010 and in our predecessor, ADVANCE for Physician Assistants, since January 2004."
"This report is inspired by a vision of interprofessional collaborative practice as key to the safe, high quality, accessible, patient-centered care desired by all. Achieving that vision for the future requires the continuous development of interprofessional competencies by health professions students as part of the learning
process, so that they enter the workforce ready to practice effective teamwork and team-based care."
"Redesign of professional health education is necessary and timely, in view of the opportunities for mutual learning and joint solutions offered by global interdependence due to acceleration of flows of knowledge, technologies, and financing across borders, and the migration of both professionals and patients. What is clearly needed is a thorough and authoritative re-examination of health professional education, matching the ambitious work of a century ago."
"Anticipated and actual shortages of primary care physicians have led policymakers to consider the roles of nurse practitioners (NPs) in improving access to primary health care services. Physicians and nurse practitioners not only share a commitment to providing high quality care, but also face similar challenges regarding reimbursement and workforce outlook. Recognizing and building on the common ground between the two professions is vital to improving collaboration to meet the complex health care needs of the population. However, advanced practice nursing should not substitute for, or replace, primary care medical practice as provided by general internists, family physicians and other physicians."
Research
"The Patient-centered Medical Home (PCMH) has come to the forefront of primary care practice redesign and can potentially improve health care outcomes and reduce costs. There are several initiatives in medical schools to teach concepts of the PCMH to students, but it is unknown what knowledge and attitudes medical students currently possess. We report students’ awareness and opinions at two medical schools without comprehensive PCMH curricula."
"There is limited penetration of IPE into one of the foundational clinical training episodes for medical students in Liaison Committee for Medical Education–accredited schools. This may be related to misperceptions of the relative value of these experiences and limitations of curricular time. Learning in and from successful models of interprofessional teams in clinical practice may help overcome these barriers."
"The nation faces a substantial shortfall in its combined supply of physicians, APNs, and PAs, even under aggressive training scenarios, and deeper shortages if these scenarios are not achieved. Efforts must be made to expand the output of clinicians in all 3 disciplines, while also strengthening the infrastructure of clinical practice and facilitating the delegation of tasks to a broadened spectrum of caregivers in new models of care."
"In this paper, three universities, the Rosalind Franklin University of Medicine and Science, the University of Florida and the University of Washington describe their training curricula models of collaborative and interprofessional education."
"Thirty-nine volunteer students from 3 health science collegesat Touro University California participated in an exercise designedto promote interprofessional collaboration. In the event, thirteen3-person multidisciplinary teams of students identified potentialmedical errors in a series of case-based scenarios. In an immediatepostevent survey, 33 of 39 respondents (85%) indicated thatthe exercise marked the first time that they had worked on clinicalproblems with students from other health professions. All respondentsagreed that interprofessional education was useful and necessary."



