Redesigning the Clinical Learning Environment to Improve Interprofessional Care and Education: Multi-Method Program...

Area of Science:

• Medical Education
• Healthcare Management
• Interprofessional Collaboration

Background:

• Maine Medical Center received a grant to redesign clinical learning environments for interprofessional care and education.
• The Interprofessional Partnership to Advance Care and Education (iPACE) model was developed and piloted on an adult inpatient medicine unit.

Purpose of the Study:

• To describe the iPACE model.
• To evaluate the outcomes associated with the iPACE model.

Main Methods:

• A multimethod pragmatic observational strategy using surveys and focus groups.
• Relational coordination (RC) surveys measured interpersonal communication and relationships within teams.
• Comparison between a historical sample (pre-iPACE) and model participants (iPACE).

Main Results:

• iPACE respondents reported significantly higher RC scores (4.26 vs 3.72, P < .0001).
• iPACE respondents were more likely to report a professionally rewarding experience (4.4 vs 3.5, P < .0001).
• Learners found the model effective for interprofessional practices but raised concerns about physician role development; patient experience was positive.

Conclusions:

• The iPACE pilot positively impacted team functioning, professional experience, and patient experience.
• Increasing learner autonomy and preserving traditional learning venues may improve acceptance.
• The model shows promise for enhancing interprofessional care and education in clinical settings.