Our Lightning Talk will address how health disparities and bias, especially in underserved and marginalized populations, can be addressed in an Interprofessional Simulation through telehealth. The coronavirus pandemic shifted our interprofessional (IP) simulations from in-person to virtual environments. We analyzed the qualitative differences and impacts of two complex simulations involving students and Standardized Patients (SP) before and during the pandemic. The two simulations included an angry inpatient with a medical error and a low-income, geriatric woman seeking pain medication in a charity clinic. Students were from medical, nursing, dental, public health, and informatics disciplines. Data were collected and analyzed from two different periods: August 2019-May 2020 (in person) and August 2020 to May 2021 (virtual/telehealth). Assessments were captured using the Interprofessional Collaborative Competency Attainment Survey (ICCAS) and qualitative feedback through open-ended survey questions. Effect sizes were calculated for the pre-and post-surveys using Cohen’s d for independent samples. A total of 1,910 students participated in 2019-2020, and 2,026 students participated in 2020-2021. Both simulations occurring in 2019-2020 resulted in a large effect size (0.84) signifying high impact; however, when analyzing the virtual cases, only the medical error resulted in a large effect size (0.81), while the charity care had a medium effect size (0.64). In the medical error case, the SP is an angry businessman. In the charity case, the SP has limited body language and is soft-spoken. She states repeatedly that she cannot pay, has recently lost her job, and requests medication for her pain. It is only when the students are handed results that state she has a significant spinal fracture that her injury is considered emergent. The debrief was focused on noticing internal bias and the subtle cues from patients they see in a virtual environment. Student feedback will be discussed.
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 (OICPD). The 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.
The National Center OICPD is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.
This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.
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.