Posted: May 14, 2019

An Interdisciplinary Approach to Advance Care Planning

Description

Our “Interprofessional Approach to ACP” study sought to enhance ACP knowledge and communication skills for these students, providing them with firsthand experience of interdisciplinary collaboration and team-based care. Interdisciplinary students attended three, 1.5 hour, interactive training modules on ACP topics. Modules were delivered by faculty from Medicine, Nursing, and Social Work. Students then collaborated in an interdisciplinary clinical encounter dedicated to ACP at a hospital based internal medicine resident continuity clinic. Surveys were administered in 3 waves and evaluated student knowledge, communication self-efficacy, ACP self-efficacy, and interprofessional teamwork. Forty six students, 19-medicine, 16-nursing, and 11-social work participated in the training. Based on the first two survey waves, participant knowledge of ACP improved overall (p<0.001) and for each discipline (p<0.05 for all). Communication and ACP self-efficacy trended lower (p<0.05). Student attendance and engagement were high; participants rated training modules positively. The interdisciplinary ACP training was successful in enhancing student education and encouraging team-based care. 

Keywords

Interprofessional, Education, Advance Care Planning

Authors

Leah S. Millstein, MD, University of Maryland School of Medicine

Amanda Agarwal, LCSW-C, University Health Clinic

John Allen, MD, University of Maryland School of Medicine

Danielle Baek, MD, University of Maryland School of Medicine

Mel Bellin, PhD, LCSW, University of Maryland School of Social Work

John Cagle, PhD, MSW, University of Maryland School of Social Work

Steven R. Eveland, MBA, RN, CHPN, University of Maryland Medical Center

Terra Hill, MSW, LGSW, University of Maryland Medical Center

Debra Wiegand, RN, PhD, CCRN, CHPN, FAHA, FPCN, FAAN, University of Maryland School of Nursing


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