the heart disease group project (hdgp): a longitudinal, team-based, self-study case using...

The Heart Disease Group Project (HDGP): A Longitudinal, Team-Based, Self-Study Case Using Interprofessional Teams Timothy R. Ulbrich, PharmD; John D. Sutton, MD; Heather A. McEwen, M.L.I.S., M.S.; Susan P. Bruce, PharmD, BCPS; Mark Penn, MD, MBA Northeastern Ohio Universities Colleges of Medicine and Pharmacy Patient Mr. Smith Background Acknowledgements . The Heart Disease Group Project (HDGP), as part of the longitudinal curriculum, takes place over six months during the second Medical (M2) and Pharmacy (P2) year. Teams of 8-10 medical and pharmacy students are presented with a 66-year old patient entering the health care system for the first time with a myocardial infarction (MI). Each team is responsible for researching competency-based topics including patient care, medical knowledge, practice based learning, systems based practice, communication skills, and professionalism. Six meetings (3 mandatory and 3 voluntary) are held, and consultants (in addition to a medicine and pharmacy faculty member) attend these meetings to answer student questions. Each team is required to submit one cumulative paper, prepare team members for a randomly assigned oral presentation, and perform self and peer evaluations. Dr. John Sutton for his work developing the HDGP and for his commitment to interprofessional education CLINICAL ASPECTS PSYCHOSOCIAL ASPECTS 66 year old Caucasian Male No recent contact with health care system All diagnoses new this admission Medicare A and B coverage Six new medications started No Medicare Part D coverage No adult immunizations noted Self-employed, wife unemployed Obese (BMI 35), poor diet and exercise habits Recent guardianship of grandson Ex-smoker (45 pack year history) No advance directives Project Assignment s Professionali sm Interpersona l / Communicatio n Skills Systems Based Practice Practice Based Learning Medical Knowledge Patient Care • Dietary recommendations • Exercise plans • Discharge instructions • Discharge summary • Reflective essay • Peer evaluations • Oral team presentation • Lifestyle Modifications (description in conversation format) • Discussion of Living Will and DPOA •Indications for adult immunizations •EKG physiology & summary •Cardiac biomarker results, physiology •Physiologic basis of signs and symptoms •Hyperlipidemia pathophysiology • Summary of Part A, B benefits • Summary of Medicare D Plan • Summary of resources for grandson • State of Ohio DPOA and Living Will • Multidisciplinary Management Team • Four EBM treatment summaries • Four EBM Diagnosis summaries Assessment Challenge s Successes Future Plan •Timing in the curriculum •Self-direction •Coordinating schedules for students •Team dynamics •Skill level of learners •Technology support •Identify the complexities of patient care (clinical & psychosocial) •Recognition of the value of team •Experience peer evaluation •Experience team-based care •Active, engaged and self- directed learning •Interprofessional learning activity •Increase teamwork •Encourage sharing of knowledge among students •Provide a debriefing process •Expand consultant list •Research project to assess outcomes

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The Heart Disease Group Project (HDGP): A Longitudinal, Team-Based, Self-Study Case Using

Interprofessional TeamsTimothy R. Ulbrich, PharmD; John D. Sutton, MD; Heather A. McEwen, M.L.I.S., M.S.; Susan P.

Bruce, PharmD, BCPS; Mark Penn, MD, MBANortheastern Ohio Universities Colleges of Medicine and Pharmacy

Patient Mr. Smith

Background

Acknowledgements.

The Heart Disease Group Project (HDGP), as part of the longitudinal curriculum, takes place over six months during the second Medical (M2) and Pharmacy (P2) year.

Teams of 8-10 medical and pharmacy students are presented with a 66-year old patient entering the health care system for the first time with a myocardial infarction (MI).

Each team is responsible for researching competency-based topics including patient care, medical knowledge, practice based learning, systems based practice, communication skills, and professionalism.

Six meetings (3 mandatory and 3 voluntary) are held, and consultants (in addition to a medicine and pharmacy faculty member) attend these meetings to answer student questions.

Each team is required to submit one cumulative paper, prepare team members for a randomly assigned oral presentation, and perform self and peer evaluations.

Dr. John Sutton for his work developing the HDGP and for his commitment to interprofessional education

CLINICAL ASPECTS PSYCHOSOCIAL ASPECTS

66 year old Caucasian Male No recent contact with health care system

All diagnoses new this admission Medicare A and B coverage

Six new medications started No Medicare Part D coverage

No adult immunizations noted Self-employed, wife unemployed

Obese (BMI 35), poor diet and exercise habits

Recent guardianship of grandson

Ex-smoker (45 pack year history) No advance directives

Project Assignments

Professionalism

Interpersonal / Communication Skills