Project Sponsor(s): Dr. Lindsey Martin, Dr. Amy Amspoker & Ms. Annette Walder
Project Title: Houston Center of Excellence in Primary Care Education (CoEPCE): A Mixed Method Evaluation of Interprofessional Healthcare Teams
Project Description: In 2010 the VA Office of Academic Affiliations (OAA) funded five Centers of Excellence in Primary Care Education (CoEPCE) to provide education and training to medical doctors, nurse practitioners, pharmacists, mental health clinicians and social workers to develop and foster a sense of interprofessionalism and teamwork among a diverse group of clinicians. In 2015, the Michael E. DeBakey VA Medical Center was funded to be an additional site in this nationwide clinical demonstration project.
All VA CoEPCE’s conduct a rigorous program evaluation using quantitative and qualitative methods to measure the level of interprofessionalism among trainees, better understand the role of interprofessional healthcare teams in VA, and assess Veteran satisfaction with the care received by interprofessional trainees.
CoEPCE faculty and trainees, and the Veterans receiving care from trainees, are key stakeholders in this evaluation. Our goal is to collect data to make continuous and ongoing improvements to the interprofessional educational curriculum offered to the trainees. Furthermore, we aim to enhance interprofessional team experiences for both faculty and trainees involved in the program. Ultimately, it is the hope that these improvements will contribute to improved healthcare delivery for the Veterans served at the Michael E. DeBakey VA Medical Center.
We are currently collecting both quantitative (e.g. self-reported surveys/questionnaires and existing data) and qualitative (e.g., direct observation, key-informant interviews) data to better understand faculty and trainee perceptions of the interprofessional educational training, and Veteran perceptions of the care provided by the interprofessional teams. These data will enable us to identify barriers and facilitators to implementing this program, the feasibility of providing care as part of an interprofessional team, the level of trainee adoption of interprofessionalism (e.g. do trainees like providing care to Veterans as part of an interprofessional team?), and level of Veteran satisfaction with care delivered by the interprofessional teams.
Institution and Location: Center for Innovations in Quality, Effectiveness and Safety (IQuESt) at the MEDVAMC
Eligibility for international students?: No
Expectations of student:
- The student must devote 10 hours per week to the project (consistent with a 3-credit course) and will develop a timeline of activities in collaboration with supervisor(s). The student will meet at least monthly with the faculty supervisor(s) to evaluate progress.
The student should be available to assist with both in-person and electronic data collections on Tuesday, Thursday and/or Friday mornings, if possible. Additional time must be devoted to data entry that will include entering survey data as well as completing detailed fieldnotes of direct observation activities. Students will also need dedicated time to conduct literature searches on interprofessional medical education.
Prerequisite training: Some basic familiarity with qualitative and quantitative methods would be helpful, but is not required. Familiarity with databases (e.g., Excel, Access) is also a plus. Methodological training (e.g. data entry, collecting qualitative data) will be provided.
Knowledge and skills student can expect to gain: The CoEPCE evaluation team lead (Amspoker) and co-lead (Martin) are applied social and behavioral scientists (social psychology & medical anthropology, respectively), so students can expect to gain practical experience applying their social science/humanities knowledge to improve the quality of medical education and the patient experience of healthcare. Students will gain and/or build upon skills in qualitative and quantitative methods to assist the evaluation team in better understanding the potential benefits of interprofessional education on key stakeholders: the faculty leading the CoEPCE program, the trainees and patients. Skills students will gain in qualitative methods include collecting direct observation data (e.g. of faculty/trainee huddles) and conducting key informant interviews with stakeholders. Students will also learn how to analyze this qualitative data using a variety of techniques that may include traditional coding and rapid analysis. Skills in quantitative data collection include administering surveys, data entry and management. Students will also have the opportunity to assist the CoEPCE evaluation team in preparing abstracts, presentations and/or manuscripts based on the data collected and analyzed.