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Monday, February 27 • 10:00am - 10:45am
DEER VALLEY - [Oral Presentation] 2. “We’re on the same team”: What non-physician team members want new physicians to know about their role.

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10:15 AM - 10:30 AM

“We’re on the same team”: What non-physician team members want new physicians to know about their role.

M. Garth-Pelly, E. Shearer, A.J. Millet, S. Bereknyei, A. Aaronson, D. Svec, S. Stafford, Stanford Hospital
Abstract Body: Introduction The ability to use knowledge of our own and other’s role to address the health needs of patients and populations is a core competency for interprofessional collaborative practice1. This research seeks to illuminate topics that non-physician healthcare professionals would like new physicians to know about their role, with the aim of promoting improved interprofessional collaboration. Research Question What do non-physician members of the interdisciplinary team want new physicians to know about their profession and role? Methods We conducted focus groups at one academic center with pharmacists, social workers, case managers, dietitians, nurses, and rehab therapists in adult care. Participant recruitment was via word of mouth, email, fliers, and tabling. A semi-structured interview guide was employed to gather information including 1) self-described role on the healthcare team, 2) experiences collaborating with medical teams, 3) most misunderstood elements of their profession. One medical student researcher conducted all focus groups. Two coders used an exploratory (inductive) approach to develop and apply the codebook. An inter-rater reliability test was performed to assess for coding drift. Team-based theme analysis was performed to identify within-group and across health professional group themes. Results We conducted 7 focus groups with 42 total participants. Preliminary results identified 3 themes. 1) Each profession identified misconceptions they want addressed (eg. rehab therapists described being over-consulted when new physicians believe they need rehab to ensure a patient is mobilizing—they describe mobilization as a team effort and the rehab therapist’s role is to address more skilled needs). 2) Professionals felt their expertise is not sufficiently incorporated into care plans (eg. dietitians feel their expertise in medical nutrition therapy can have a large impact on outcomes but they have insufficient opportunities to impact care). 3) Participants wanted new physicians to show more curiosity to learn about non-physician expertise and roles, stating that if new physicians are unsure, part of the interprofessional experience is to ask. Discussion The experiences of non-physician members on the interprofessional healthcare team show that more remains to be done in medical education to ensure that new physicians understand the roles and how to incorporate the expertise of non-physician colleagues. Medical students should have focused curriculum on healthcare professional roles they will interact with in the clinical setting. 1Interprofessional Education Collaborative (2016). Core competencies for interprofessional collaborative practice. 

avatar for Mariposa Garth-Pelly

Mariposa Garth-Pelly

Mariposa Garth-Pelly is a 2nd year medical student at Stanford University. Prior to medical school she worked as a nurse in an Intermediate ICU at the U.S. Department of Veterans Affairs. In addition to a B.S.N. from Inter American University of Puerto Rico, Mariposa holds a B.A. in Urban Studies from Brown University. Research interests include healthcare team dynamics and interprofessional collaboration.

Monday February 27, 2017 10:00am - 10:45am

Attendees (14)