Creating Optimal Clinical Learning Environments Through Interprofessional Bedside Rounding Models: Lessons From the iPACE Story | JoVE Visualize

Area of Science:

Medical Education
Healthcare Systems Engineering
Patient Safety

Background:

The Accreditation Council for Graduate Medical Education's Pursuing Excellence in Clinical Learning Environments (CLE) project spurred the development of innovative educational models.
Optimal clinical learning environments (CLEs) emphasize team-based, interprofessional collaborative care and innovation in patient safety and quality improvement.
Systems engineering principles, including design thinking, can be applied to refine healthcare delivery and education models.

Purpose of the Study:

To describe the development and implementation of the Interprofessional Partnership to Advance Care and Education (iPACE) model at Maine Medical Center.
To evaluate the impact of the iPACE model on resident education, patient care, and health system outcomes.
To highlight the potential of interprofessional bedside rounding models to foster essential skills for collaborative, patient-centered care.

Main Methods:

The iPACE model was developed using systems engineering principles, including design thinking, for iterative improvement.
Implementation began as a pilot on an inpatient unit and evolved into a standard for bedside rounds.
The model received support from an American Medical Association grant and health system leadership.

Main Results:

The iPACE model received positive patient feedback and demonstrated benefits for care team members and resident education.
The model proved valuable to the health system, showing sustained reductions in length of stay and cost of care.
Learner benefits included increased faculty observation and improved feedback quality.

Conclusions:

The iPACE model successfully redesigned clinical learning environments to expose residents to high-functioning interprofessional teams, enhancing patient care and safety.
Interprofessional bedside rounding models like iPACE are crucial for developing essential collaborative care skills in medical learners.
Strategies to enhance resident and faculty engagement are vital for maximizing the educational benefits of bedside rounding models.