- Be prepared
- Know your learners and “invest in the beginning”
- Create a safe and open environment
- Understand and respond to group dynamics
- Encourage diplomacy and allow for various opinions
- Be a positive role model for IP collaboration
- Monitor the situation
- Maintain neutrality and sensitivity
- Focus the conversation on IP practice and collaboration
- Have closure
Be Prepared for “Flying Blind”
- Know that you will not have access to many of the sensory skills you use in the F2F setting
- Consider how the foundations of your F2F IPE Facilitation skills will transfer to the online environment
Don’t Let Technology Take Over
- The more complex it is the more likely there will be “bumps” – go with the flow
- Develop contingency plans that will allow collaboration to move forward in the face of glitches
- Provide support and give learners adequate time to work with new applications and technology: keep tasks very simple at the start to reduce anxiety
Be Explicit, Be Clear
- Expectations about homework, participation and other areas may need to be spelled out very clearly, in multiple places, multiple times
- Simple netiquette rules (e.g. introducing yourself before you speak in a synchronous environment, avoiding use of CAPITALS in the asynchronous setting) should be addressed and consider providing ahead of time
Make Sure the IPE Collaborative Process Gets Its Due
- Look to connect process elements to tasks to deepen collaboration and group development
- Understand that learners may be drawn to the relatively safe structure of a task in the unfamiliar online world. Challenge and support them to address both task and process elements.
Expect IPE Group Processes May Take Longer
- Allow for extra time for learners to find their way in this new world. They will likely spend considerable time at first contributing from their own professional view points
- Watch for signs that the group is feeling greater comfort: asking each other questions, disagreeing with each other, taking leadership
- Foster the IP group process development through implicit (and explicit) encouragement as well as modeling
- Consider following-up with quieter participants through 1:1 contact to support and develop approaches to build their comfort and participation
Make Full Use of Your Co-Facilitator (if applicable)
- If you have a co-facilitator, use them for modeling collaborative practice, content or process support, tech support and mentorship
- Ensure you both do reflective debriefing after every module
- If you do not have a co-facilitator, be open about your need for support from others
- Continue to reflect to allow growth from activity to activity
Take Full Advantage of What the Online Environment Offers
- The online setting has a lot to offer that the F2F setting does not
- Seize every opportunity to bring in online resources, tools, videos that enhance the collaborative learning
Created by: Elizabeth Hanna, Interprofessional Education Specialist, University Health Network
How learners can be helpful in a clinical setting
Clinical Activities
- Assisting with documentation in the EHR (EPIC or other):
- Reconcile meds, problem list
- Document Past Medical/ Surgical history, Family history, Social history, Review of Systems
- After Visit Summary
- Obtain Vital Signs
- Administer and review screening forms (depression, asthma, developmental milestones in children, etc.) with patient/ caregivers
- Review logs (blood glucose in diabetic patients, blood pressures in hypertensive patients, etc.) with patient/ caregivers
- Assess risk factors (smoking, diet, exercise, etc.)
- Communicate with additional providers regarding patient updates or gathering further information (including teachers, other health professionals, other community resources, etc.)
- Identify and contact patients who would benefit from care (visits, immunizations, screenings, etc.)
- Perform phone follow-ups or check-ins (inform patients of results and/or obtain information from them such as BPs, glucose, etc.)
Patient Education
- Provide cessation education or other guidance
- Review discharge/ After Visit Summary/ educational material with patient/ caregivers
- Provide anticipatory guidance
- Provide nutrition education (portion sizes, label interpretation, understanding nutrition recommendations, etc.)
- Identify community resources/ support groups/ etc.
Procedures
- Perform some parts of exam and screenings (diabetic foot exam, etc)
- Draw blood
- Administer immunizations and/or other medications
- Assist with procedures
Assisting with Clinic Flow
- Assist with office QI projects
- Review literature or guidelines for updated recommendations
- Greet patient in waiting area/ accompany to room/ accompany to subsequent stop (lab, radiology, waiting area, etc.)
- Assist with scheduling of subsequent visits (especially to maintain continuity of provider)
Additional resources for IP Educators:
- NCICLE Teaming Resources
The National Collaborative for Improving the Clinical Learning Environment (NCICLE) Teaming Resources Compendium provides a brief overview and hyperlinks for each of the resources submitted for the Teaming Resources Challenge - Duke Well-B Essentials
Five hours of Duke’s well-being restorative content - Interprofessional Telehealth Training Program
Self-paced | 2.5 hours CEU available