Health Sciences Interdisciplinary Clinical Education HSICE

1
Health Sciences Interdisciplinary Clinical
Education (HSICE)

• HSICE Steering Team
• University of Washington

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Goal

• Dentistry
• H.S Library Information Center
• Medicine
• Nursing
• Pharmacy
• Public Health
• Social Work

• Develop, implement sustain an interdisciplinary
  population-based model for clinical education and
  practice in a large, public Research I institution

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Current Model

• Seven independent education training programs
• Some interdisciplinary permeability in classrooms
• Parallel play in the clinical field

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Desired Model

• Conversion from parallel play to
  interdisciplinary permeability at all levels
• Integrate interdisciplinary content and skill in
  all curricula

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Strategies Accomplishments

• Interdisciplinary Clinical Seminars (problem
  case-based)
• 1997 UCONJ 444 - Collaborative Teams in Health
  Care
• 1998 GENST 197 Issues in Interdisciplinary
  Health Care (for entering college freshman)
• 1998-99 Interdisciplinary Seminar at Harborview
  Medical Center for students in multidisiplinary
  inpt/outpt rotations
• 1998-99 Community partnerships in health of
  urban, underserved

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Strategies Accomplishments

• Student generated websites for UConj 444
  discussions
• Website for HMC-based seminar readings, on-going
  interdisciplinary discussions
• Links to related groups

• Web-Based Communication to overcome schedule,
  distance issues for faculty steering team
  students http//healthlinks.washington.edu/cours
  es/hsice

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Strategies Accomplishments

• Conversion from parallel play to intentional
  interdisciplinary interaction in work with the
  urban, underserved
• Inpatient outpatient assignments to key
  services, clinics
• Monthy Interdisciplinary Seminar with Web-based
  ongoing discussion
• Community partners Lighthouse for the Blind,
  Salvation Army

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Cultural Structural Changes Visibility

• Steering Team cohesive functioning
• Mandatory reporting to Provost Regents
• Reporting to H.S. Deans, School curricular groups
• Recruit other faculty to project

• University publicity newpaper, symposium for all
  UIF projects
• Health Science Interdisciplinary Convocation -
  new 1998 students
• Freshman seminar

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Cultural Structural Changes Long-term
Integration

• Steering Team teaching and administrative
  faculty
• Dedicated FTEs dedicated - internal funding
• Set aside interdisciplinary time

• Institutionalize interdisciplinary objectives
  throughout, require I courses
• Core physical assessment, interview modules
  across disciplines

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Evaluation Hypotheses

• Participation in HSICE activities will have a
  positive impact on
• Students
• Health Science and Information Science Schools
  and Services
• Faculty
• Community agencies in relation to the UW
• Health of selected populations

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Primary Evaluation Questions How has
interdisciplinary education through HSICE

• Affected readiness of students for career?
• Changed faculty capacity to support interdisc.
  ed.?
• Changed institutions capacity to support inter.
  ed.?

• Affected participating community agencies?
• Affected UW - community relations
• Affected patient care satisfaction?

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Student Attitudes, Beliefs Before and After
Interdisciplinary Course
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Student Attitudes About Interdisciplinary
Curricular Change
14
Student Attitudes About Interdisciplinary
Curricular Change
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Challenges Bridging the Infrastructure

• Lack of common time (except at night) when all
  students available
• Different program durations and entry level
• Complexity of clinical rotations (duration, time,
  level)
• Models to integrate dentistry, medicine, public
  health
• Skepticism
• Juggling teaching obligations -new, old

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Opportunities

• Internal University Initiative funding
• Major curricular change in medicine
• Bringing technology to bridge infrastructure
  challenges
• Creation of new training sites
• Without walls
• Without traditional hierarchy

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HSPICE Steering Team

• Dentistry Tom Morton
• HS Library/ Library Sci Sherrilynne Fuller,
  Debra Ketchell, Sara Safranek, Ellen Howard
• Medicine Bob Crittenden, Dan Hunt, Dick Root,
  Doug Schaad, Ruth Ballweg, Gino Gianola, Sharon
  Dobie, Grace Landel
• Pharmacy Gail Anderson, Peggy Odegard

• Nursing Pam Mitchell, Basia Belza, Rebecca Kang,
  Rebecca Schirle
• Public Health Ann Marie Kimball, Sarena Seifer
• Social Work Billie Lawson, Gunnar Almgren
• Program Coordinator Bertine Easterling