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1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic

BACKGROUND: Experiential education opportunities, such as interprofessional practice, are currently limited in HIV care. This intentional interprofessional experiential education (IPEE) offering aimed to improve healthcare student attitudes, perceptions, and skills regarding interprofessional practi...

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Autores principales: Ann Justo, Julie, Derrick, Caroline, Baliko, Beverly, Blake, Elizabeth W, Brandon Bookstaver, P, Crawford, Kimberly, Custer, Sabra S, Dunn, Brianne L, Grubbs, James, Harrison, Adrena, Phaup, Tricia, Ray, Donna D, Reitmeier, Melissa C, Sanasi, Kamla, Shah, Ansal, Ahuja, Divya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808745/
http://dx.doi.org/10.1093/ofid/ofz359.127
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author Ann Justo, Julie
Derrick, Caroline
Baliko, Beverly
Blake, Elizabeth W
Brandon Bookstaver, P
Crawford, Kimberly
Custer, Sabra S
Dunn, Brianne L
Grubbs, James
Harrison, Adrena
Phaup, Tricia
Ray, Donna D
Reitmeier, Melissa C
Sanasi, Kamla
Shah, Ansal
Ahuja, Divya
author_facet Ann Justo, Julie
Derrick, Caroline
Baliko, Beverly
Blake, Elizabeth W
Brandon Bookstaver, P
Crawford, Kimberly
Custer, Sabra S
Dunn, Brianne L
Grubbs, James
Harrison, Adrena
Phaup, Tricia
Ray, Donna D
Reitmeier, Melissa C
Sanasi, Kamla
Shah, Ansal
Ahuja, Divya
author_sort Ann Justo, Julie
collection PubMed
description BACKGROUND: Experiential education opportunities, such as interprofessional practice, are currently limited in HIV care. This intentional interprofessional experiential education (IPEE) offering aimed to improve healthcare student attitudes, perceptions, and skills regarding interprofessional practice and HIV care. METHODS: An interprofessional team of faculty and clinicians designed a 2-week rotation, with each offering consisting of 6–9 students from 4 professions (medicine, nursing, pharmacy, social work). This intentional IPEE was delivered at a single ambulatory care infectious diseases clinic in Columbia, SC. It included time in clinic with providers from varying professions, didactic lectures, a peer health advocate session, and a team capstone project (i.e., simulated, then actual student team visit with an HIV-infected patient, plus note documentation/team presentation). Twelve offerings occurred from October 2016 to February 2019. Anonymous pre- and post-IPEE surveys were provided to each student at baseline and directly after to assess attitudes, perceptions, and skills regarding interprofessional practice and HIV care. Wilcoxon signed-rank tests were used to compare pre- vs. post-survey items. Multivariable logistic regression was used to evaluate predictors for interest in HIV as a specialty. RESULTS: Of 87 students, 84 (97%) completed both surveys (21 medicine, 25 nursing, 19 pharmacy, 19 social work). Attitudes toward healthcare teams significantly improved in 7/11 items (all P-values ≤ 0.019), teamwork perceptions improved in 5/8 items (P ≤ 0.017), and self-perceived team skills improved in all 6 items (P < 0.001). Students rated provider time in clinic as most valuable (mean 4.6, median 5 on 5-point Likert scale). Following the IPEE, the proportion of students interested in HIV care increased from 53% to 67% (P = 0.07). After adjusting for program year and profession, interest in HIV at baseline was a significant predictor of interest in HIV post-IPEE (aOR 8.2, 95% CI 2.6–25.5). CONCLUSION: Short-term, intentional IPEE can positively impact student attitudes, perceptions, and skills regarding interprofessional practice and HIV care. Clinical educators should incorporate intentional HIV IPEE in healthcare curricula. DISCLOSURES: All Authors: No reported Disclosures.
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spelling pubmed-68087452019-10-28 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic Ann Justo, Julie Derrick, Caroline Baliko, Beverly Blake, Elizabeth W Brandon Bookstaver, P Crawford, Kimberly Custer, Sabra S Dunn, Brianne L Grubbs, James Harrison, Adrena Phaup, Tricia Ray, Donna D Reitmeier, Melissa C Sanasi, Kamla Shah, Ansal Ahuja, Divya Open Forum Infect Dis Abstracts BACKGROUND: Experiential education opportunities, such as interprofessional practice, are currently limited in HIV care. This intentional interprofessional experiential education (IPEE) offering aimed to improve healthcare student attitudes, perceptions, and skills regarding interprofessional practice and HIV care. METHODS: An interprofessional team of faculty and clinicians designed a 2-week rotation, with each offering consisting of 6–9 students from 4 professions (medicine, nursing, pharmacy, social work). This intentional IPEE was delivered at a single ambulatory care infectious diseases clinic in Columbia, SC. It included time in clinic with providers from varying professions, didactic lectures, a peer health advocate session, and a team capstone project (i.e., simulated, then actual student team visit with an HIV-infected patient, plus note documentation/team presentation). Twelve offerings occurred from October 2016 to February 2019. Anonymous pre- and post-IPEE surveys were provided to each student at baseline and directly after to assess attitudes, perceptions, and skills regarding interprofessional practice and HIV care. Wilcoxon signed-rank tests were used to compare pre- vs. post-survey items. Multivariable logistic regression was used to evaluate predictors for interest in HIV as a specialty. RESULTS: Of 87 students, 84 (97%) completed both surveys (21 medicine, 25 nursing, 19 pharmacy, 19 social work). Attitudes toward healthcare teams significantly improved in 7/11 items (all P-values ≤ 0.019), teamwork perceptions improved in 5/8 items (P ≤ 0.017), and self-perceived team skills improved in all 6 items (P < 0.001). Students rated provider time in clinic as most valuable (mean 4.6, median 5 on 5-point Likert scale). Following the IPEE, the proportion of students interested in HIV care increased from 53% to 67% (P = 0.07). After adjusting for program year and profession, interest in HIV at baseline was a significant predictor of interest in HIV post-IPEE (aOR 8.2, 95% CI 2.6–25.5). CONCLUSION: Short-term, intentional IPEE can positively impact student attitudes, perceptions, and skills regarding interprofessional practice and HIV care. Clinical educators should incorporate intentional HIV IPEE in healthcare curricula. DISCLOSURES: All Authors: No reported Disclosures. Oxford University Press 2019-10-23 /pmc/articles/PMC6808745/ http://dx.doi.org/10.1093/ofid/ofz359.127 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Ann Justo, Julie
Derrick, Caroline
Baliko, Beverly
Blake, Elizabeth W
Brandon Bookstaver, P
Crawford, Kimberly
Custer, Sabra S
Dunn, Brianne L
Grubbs, James
Harrison, Adrena
Phaup, Tricia
Ray, Donna D
Reitmeier, Melissa C
Sanasi, Kamla
Shah, Ansal
Ahuja, Divya
1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title_full 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title_fullStr 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title_full_unstemmed 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title_short 1950. Intentional Interprofessional Experiential Education in an HIV/Infectious Diseases Clinic
title_sort 1950. intentional interprofessional experiential education in an hiv/infectious diseases clinic
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808745/
http://dx.doi.org/10.1093/ofid/ofz359.127
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