Optimizing Clinical Learning to Promote Integrated Care Using an Unfolding Multigenerational Case with APRN and MSW Students

Optimization of the interprofessional clinical learning environment and alignment of education and practice for workforce transformation and health system change requires intentional preparation of health professions students for future interprofessional practice. Advanced practice registered nurses (APRN) and masters-level social workers (MSW) often practice with underserved populations in community health centers where integrated care is the standard. Finding opportunities for this type of interprofessional education can be challenging due to scheduling and limited interprofessional clinical sites.

This Lightning Talk provides an overview of a half-day interprofessional learning activity for Family and Adult/Gerontology Primary Care APRN learners and MSW learners that focused on an unfolding multigenerational family case study. Required online pre-work included a short writing activity and viewing a presentation covering interprofessional collaboration concepts, team-based care, and orientation to each professional role. Together in the classroom, learners collaborated on a complex, unfolding multigenerational case scenario based in a community health clinic. Students were briefed on the case, received medical chart excerpts, a genogram, and other background information. As interprofessional teams discussed the case, additional clinical and social information was given to consider and incorporate into the family’s care. Each team created a plan of care with recommendations for treatment, education, follow-up and referral. Following the experience, learners completed a post-survey that included qualitative and quantitative self-assessment and feedback.

Most learners found interacting with other professions a valuable learning experience. Learners reported increased comfort in engaging with another profession to develop strategies for specific care needs; increased ability to use effective communication as a team; and increased skill in engaging with the team in family-centered problem-solving. This activity was partially funded by the following grants: HRSA/Advanced Nursing Education Workforce (ANEW) and HRSA/Behavioral Health Workforce and Training (BHWET).