Lightning Talk

Moving to the Front: A Longitudinal Curriculum for Interprofessional Learners to Advance Health Equity in Primary Care

Monday, September 30, 2024, 2:30 pm - 3:30 pm CDT

Anna Strewler, MS, AGPCNP-BC

Nurse Practitioner, Co-Director

San Francisco VA

Christopher Sha, MD

Associate Professor of Medicine

University of California San Francisco

Erin Watson, PsyD

Clinical Health Psychologist

San Francisco VA

Brittany Linton, PhD

Assistant Chief of Psychology - Integrated Health

VA Palo Alto Health Care System

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Track:

Interprofessional Collaboration and Advocacy to Address Health Equity, Racism and Bias in Practice

Attendee IPE Experience Track: Some experience with IPE

Keywords: interprofessionalhealth equityworkplace learning

Lightning Talk Live Discussion Recording

This lightening talk describes a longitudinal diversity, equity, inclusion and belonging (DEIB) curriculum for interprofessional primary care learners training at the San Francisco VA Healthcare Center. DEIB is often taught in a single or stand-alone session, yet DEIB encompasses topics that require ongoing training and practice to develop deeper knowledge, skills, and abilities. Given this, we introduced a year-long curriculum in September 2021 entitled Moving to the Front (MTTF). The curriculum is integrated into an interprofessional training program that includes psychology externs and residents, pharmacy residents, nurse practitioner (NP) students and residents, and internal medicine residents. A group of 5 core faculty from multiple health professions (NP, psychology, and medicine) developed a mission statement for MTTF to: “Care for patients and each other with equity and compassion, collaborate interprofessionally, and respond to and teach our learners through culturally-affirming, relationship-centered workplace learning in primary care.”

The first session gathered learner input about topics to be explored throughout MTTF and established community agreement principles to support the learning climate. Subsequent session development used a Knowledge, Skills, Attitudes framework to create 9 sessions. The structure of each hour-long MTTF session included: reaffirming the mission & community agreements of MTTF, reviewing objectives for the session, reviewing the previous session’s evaluations, teaching a brief didactic and tangible skill, practicing the skill, and reflecting together. Examples of session content include: upstander & allyship, reducing bias in medical documentation, and interprofessional hierarchy and power dynamics. To date, we have facilitated 40 sessions. Our evaluation of the sessions includes satisfaction data, perceived changes in patient care based on the session, and experience of the learning environment. Core faculty also integrate MTTF content into other parts of the interprofessional training program. As an initial example, MTTF content has been incorporated into the facilitator guide for monthly one-on-one learner-mentor meetings so that learners can more deeply explore their application of DEIB concepts with trusted faculty.

The Summit theme will be addressed by describing an interprofessional curriculum that teaches skills to promote health equity and recognize and mitigate racism and bias amongst interprofessional primary care learners. This Lightening Talk will provide a successful example of an educational intervention to contribute towards more meaningful incorporation of DEIB concepts into health professions education with application to patient care. We will present a practical framework, backed by learning outcomes, that attendees can use to develop similar curricula in academic or practice settings.

Accreditation Details

In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education Office of Interprofessional Continuing Professional Development (National Center OICPD). The National Center OICPD is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

The National Center OICPD (JA#: 4008105) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs).

This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.

Text reads "Office of Interprofessional Continuing Professional Development" and shown are logos for the National Center for Interprofessional Practice and Education,
the University of Minnesota School of Nursing, and the University of Minnesota College of Pharmacy.

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with their participation.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists and Pharmacy Technicians: This activity is approved for contact hours.

Athletic Trainers: This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

Learners can claim CE credit by completing the Daily Evaluation.