Workshop Participant Name Format Update

Adjust participant names for Pharmacy students (P), Medical students (M), and Facilitators (F) with their respective roles indicated. Complete the Pre-Workshop Survey if not already done. Refer to the chat for details.

• Workshop
• Participant Name
• Format Update
• Survey
• Facilitators

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Presentation Transcript

1. **Complete Pre-Workshop Survey if not already done** (See Chat) Please change your Participant name as follows: Pharmacy students put P before your full name Medical students put M before your full name Facilitators put F before your name, and include your role (example: social worker, PT, etc.)

2. Virtual Interprofessional Healthcare Team Roles & Responsibilities Workshop

3. Licensed Clinical Social Worker Objectives Physical Therapist Physician Patient Speech Language Pathologi st Pharmaci st Registere d Dietitian Nutritioni st Identify 5 members of the interprofessional healthcare team in the ambulatory setting Identify when to consult interprofessional healthcare team members in the ambulatory setting Describe the role of at least 5 members of the interprofessional healthcare team in the ambulatory setting Recognize the importance of communication amongst members of the interprofessional healthcare team

4. Expectations Have your Workshop Packet ready participate in activities Have your extra supplies handy Keep yourself muted except during the small group breakout session Keep video ON during the small group breakout session Enter all questions into the chat

5. Outline Time Activity 15 min Introduction 110 min Review roles and responsibilities of IP team members: Physician Pharmacist Dietitian Speech Language Pathologist Physical Therapist Social Worker 35 min Small group breakout sessions 15 min Q&A with Interprofessional Facilitators 5 min Wrap up and survey

6. Traditional Model of Care Doctor Patient

7. Interprofessional Model of Care Pharmacists Social Work Psychologists Family MD/DO Physical therapy Patient Nurse practitioner Caregivers Nurses Occupational therapy Speech & language therapy Registered dietitian

8. Models of Interprofessional Care There are some established interprofessional care models: Examples: Skilled nursing facilities, rehab facilities, anticoagulation clinics, some heart failure clinics, some geriatric clinics Often, physicians are the gate keeper of the services provided by other providers. Examples: Most primary care clinics and subspecialty clinics The more you know about interprofessional providers roles, the more likely you will be to work effectively with them

9. Interprofessional care benefits patients Randomized controlled trial Patients: 128 pts in VA hospital in TN, >65 yrs Intervention: 2 years of outpatient interdisciplinary care (PCP, SW, APN, psychologist) vs. standard ambulatory care Results: Intervention group had: Less IADL impairments Less depression Better life satisfaction Better MMSE scores Smaller increases in # of clinic visits Burns, R et al. Interdisciplinary geriatric primary care evaluation and management: two-year outcomes. J Am Geriatr Soc, 2000

10. So what do they do exactly?

11. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

12. Interprofessional Workshop Licensed Clinical Social Worker Physician Assistant Physician Nurse Practitioner Pharmacist Registered Dietitian Nutritionist Patient Chaplain Speech Language Pathologist Psychologist Respiratory therapist Physical Therapist Nurse

13. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

14. Mr. S CC: Shoulder pain x 3 weeks, better with rest, worse with movement PMH/PSH: COPD, HTN, OA, sleeve gastrectomy Meds: albuterol inh, amlodipine, budesonide/formoterol, cholecalciferol, acetaminophen Soc Hx: former smoker, primary caregiver for wife. Support from nieces. PE: Right shoulder has pain with abduction against resistance and with internal rotation, no pain with external rotation or extension. +Empty can test, +Hawkin s test. X-rays: moderate OA R shoulder

15. Mrs. S CC: Wt loss PMH/PSH: metastatic SCC tongue, trach/PEG, HTN, CAD Meds: ASA, atorvastatin, hydrocodone/acetaminop hen, Lisinopril, metoclopramide, metoprolol, PEG Soc Hx: former heavy smoker, husband is caregiver, needs assistance with all ADLs x 2 wks; husband does all IADLs x 6 months. Niece helps out, too. ROS: memory loss PE: frail-appearing, needs assistance rising from chair, unsteady gait, poor balance.

16. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

17. Physician: Training Training 4 years medical school (allopathic or osteopathic) Med school length may vary at international schools (optional) additional degrees (PhD, MPH, JD, DDS) (required) Internship/Residency (optional) Fellowship(s) (optional) Board-certification Testing USMLE Step 1, Step 2 CS, Step 2CK, Step 3 Board exams Continuing Medical Education

18. Physician: Role Establish: Diagnosis Workup Management Consult interprofessional providers Mrs. S: weight loss, unsteady gait, memory Mr. S: right shoulder pain, caregiver stress, h/o bariatric surgery

19. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

20. Pharmacist Training: Pharm D (usually 4 years post-grad) May do a residency 1st year usually general 2nd year usually specialty Role: To achieve positive outcomes from the use of medication which improves patients' quality of life with minimum risk. To help cure disease, eliminate or reduce symptoms, arrest or slow a disease process, prevent disease; diagnose disease American Association of Colleges of Pharmacy. Role of a Pharmacist, 2009. Web. 23 Jun. 2016.

21. Pharmacist Services they provide: Selection of a specific drug and/or dose Evaluation and review of drug regimen including interactions, dosing Monitoring effects of drug therapy Patient and caregiver education Evaluation of medication usage and therapy American Association of Colleges of Pharmacy. Role of a Pharmacist, 2009. Web. 23 Jun. 2016.

22. How would a pharmacist help Mr. and Mrs. S?

23. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

24. Registered dietitian nutritionists (RDNs) Training: Minimum of a bachelor s degree; course work accredited/approved by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) Completed an ACEND-accredited supervised practice program; typically 6-12 months Pass a national exam from the Commission on Dietetic Registration Additional Certifications (examples) Nutrition support (CNSC) Pediatrics (CSP)

25. Registered dietitian nutritionists (RDNs) Role: Nutrition experts Typical services include: Evaluate and assesses nutrition status of patients Plan and initiate medical nutrition therapy for patients Educate and counsel patients and families on nutritional issues

26. How would an RDN help Mr. and Mrs. S?

27. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

28. Speech Language Pathologist Training: Master s, Doctoral degree Role: In a medical setting assess, diagnose, treat and help to prevent oral motor, swallowing, cognitive-linguistic, speech, and language disorders. They work with individuals affected by a neurological event/disease, head/neck cancer, or possibly debilitation related to an underlying medical disease process www.mayo.edu/mshs/careers/speech-pathology (Accessed 6/29/16)

29. Speech Language Pathologist Typical services: Use physical examination, instrumental technology, and standardized cognitive-linguistic and language tests to diagnose and guide treatment. Develop an individualized plan of care, tailored to each patient's needs. Eg. alternate nutrition or diet modification to reduce aspiration risk Educate patients, their family members and caregivers Develop a treatment plan unique to each individual's strengths and weakness www.mayo.edu/mshs/careers/speech-pathology (Accessed 6/29/16)

30. How would an SLP help Mr. and Mrs. S?

31. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

32. Physical Therapist Training: Doctor of Physical Therapy (3 years post-grad) Role: Restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. Determine patients ability to be independent and reintegrate into the community or workplace after injury or illness. Work to re-establish independence within the home if the patient is unable to participate in community mobility

33. Physical Therapist Typical PT services include: Functional training, therapeutic exercise, balance re- education for pts who have been immobilized, lack flexibility, strength, endurance, or balance Electrical stimulation, hot packs or cold compresses, and ultrasound to relieve pain and reduce swelling. Traction or deep-tissue massage to relieve pain. Train patients to use assistive and adaptive devices, such as crutches, prostheses, and wheelchairs. Teach patients exercises to do at home to expedite their recovery. Documentation of patient s progress with periodic examinations, and modification of treatments when necessary.

34. How would a PT help Mr. and Mrs. S?

35. Interprofessional Workshop Licensed Clinical Social Worker Physical Therapist Physician Patient Speech Language Pathologist Pharmacist Registered Dietitian Nutritionist

36. Licensed Clinical Social Worker Training: Master s or doctorate degree 3000 (MSW) or 2000 (PhD/DSW) supervised clinical hours, and successful completion of licensing exam Role: Applies social work theory/methods to treatment & prevention of psychosocial dysfunction, disability, or impairment, including emotional and mental disorders

37. Licensed Clinical Social Worker Example of services provided: Mental health counseling and therapy Addictions Prevention/Treatment Domestic violence resources Hospice & palliative care Developmental disabilities Transitional care/care coordinators School social work Public welfare Child welfare Homeless family assistance Dementia & Alzheimer s Housing assistance Education about and access to community resources

38. How would a SW help Mr. and Mrs. S?

39. Interprofessional Workshop Licensed Clinical Social Worker Small Group Breakout Sessions Introductions Choose which patient to focus on (Mr. S or Mrs. S) Small group facilitator will give your group discussion questions Physical Therapist Physician Patient Speech Language Pathologist Pharmacist 30 minutes 2-minute warning Registered Dietitian Nutritionist Keep your video ON

40. Q&A Type any questions you have into the chat Indicate if you want to direct it to a certain profession (SW, Pharm, MD, PT, dietitian, speech therapist)

41. Summary Patients benefit from care of interprofessional care teams Understanding the roles of various interprofessional team members and learning to communicate as a member of the interprofessional team will help you provide optimal care to your patients

42. Thank You! Please complete the post-workshop survey (see chat) After survey completion, students may sign off

43. References American Association of Colleges of Pharmacy. Role of a Pharmacist, 2009. Web. 23 Jun. 2016. Burns R et al.(2000). Interdisciplinary geriatric primary care evaluation and management: two year outcomes. JAGS, 38(4),461-6