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PEBT

May 8, 2013
Alex
Johnson
PhD, CCC-SLP
Photo of Alex Johnson, PhD, CCC-SLP

It's National Nurses Week. I am not sure why there is only one week where the nursing profession is celebrated, as so many other job categories have a whole month. If it were up to me it would be National Nursing Year, celebrated 365 days a year.

Recently, I experienced a week-long hospital stay after a very long surgical procedure. My stay was in our own Mass General. For me, the nursing professionals with whom I interacted and from whom I received care were transformational. I was prepared to write a blog about this personal experience and I will do that in the future. I have tried to capture my own experience in several drafts that are not yet complete. It's still a bit too personal and a bit too narcissistic for that type of reflection at this moment. I will keep working on that message.

Having put off this...Read more

Nov 11, 2011
Alex
Johnson
PhD, CCC-SLP
Photo of Alex Johnson, PhD, CCC-SLP

Today, November 11, is Veterans Day.   Celebrated in the United States since the 1950s, Veterans Day is  "a celebration to honor America's veterans for their patriotism, love of

country, and willingness to serve and sacrifice for the common good."  These are the words of President Eisenhower who proclaimed the original declaration for Veterans Day.
 
We are fortunate to have as colleagues several individuals who have served our country as members of the military.  Five of our current faculty members and several current students are veterans.  Additionally, at least two of our current students are active service members.  Today, November 11, those visiting our building will find attractive posters and flags in each of the lobby areas.  President Bellack has asked that these displays be placed in honor of all veterans and military personnel, particularly those from the Institute community.
 
I want to express gratitude to those members of...Read more
Dec 21, 2016
Susan
Farrell
, MD, EdM
Photo of Dr. Susan E. Farrell

Thoughts on the relationship between developing teaching skills and patient care:  How does being a great teacher translate into being a great and compassionate clinician?  It can and it does! This month was the fourth successful year of the Post-Graduate Trainees:  Future Academic Clinician-Educators course, a four-way collaborative effort sponsored by the MGH Institute of Health Professions, the Harvard Macy Institute, Boston Children’s Hospital, and the Icahn School of Medicine at Mt. Sinai.  The course drew 49 trainee scholars from over 10 institutions in the U. S. and Canada for three days of education project work, discussion and application of principles of teaching and learning, and teaching skills practice.  More than 20 faculty from as far away as Michigan, Virginia and Washington volunteer their time, energy, thoughts and advice for this eager group of junior educators, all of whom are...Read more

Jul 16, 2018
Alex
Johnson
PhD, CCC-SLP
Photo of Alex Johnson, PhD, CCC-SLP

June 26, 2018

This is Part II of this blog, devoted to child detainees and their health issues. First, Christopher Sim, a faculty member in our Department of Physician Assistant Studies further describes some of the medical concerns for immigrant populations. The second contributor is Dr. Mary Thompson, a pediatric nurse practitioner and faculty member at the IHP. She continues with more specific information that may be useful to providers concerned with care of children who are in refugee situations.

Note: In Part III we will begin to focus on some of the specific developmental concerns and mental health issues facing these children and their families and caregivers.

From Christopher Sim, MPAS, PA-C, DFAAPA

Whether children arrive in the United States as part of a prearranged immigration with advanced notice, in a more urgent refugee crisis, or as undocumented emigres, they typically are at risk from multiple health factors. Approximately 3.7% of children living in...Read more

Jul 16, 2018
Alex
Johnson
PhD, CCC-SLP
Photo of Alex Johnson, PhD, CCC-SLP

A Statement from Key Leaders

In this final contribution to this blog series, Dr. Inge Corless (Professor, School of Nursing) has shared a document that was prepared late last month by an interprofessional group of leaders to express concern over the separation of children and families.   Thanks to Dr. Corless for her leadership and willingness to share.  My hope is that this series of contributions adds to our collective understanding of the current situation affecting those being detained and separated.   As always, feedback is welcome!  Alex Johnson

Statement Concerning the Incarceration of Children and Adults
June 27, 2018

As an interdisciplinary, international group of health care practitioners, scholars, and experts in the field of loss and grief (including U.S. citizens), we are adding our collective voice in opposition to the current, continuing incarceration of children and their parents. The removal of children from parents can never be justified...Read more

Jan 13, 2017

Sara and I are so proud of this team. They have been working so hard and well together. They truly are a group of servant leaders. At Bateyes Esperanza on Monday, January 9th, we had the privilege of serving 103 beautiful people. We were working alongside a Dominican dentist, Haitian/Dominican interpreters, a church team from Rhode Island, an internal medicine physician from GA who practices at the VA, a family practice physician on a grant exploring ways to help service/mission groups communicate and collaborate on work in the Dominican Republic. MGH-IHP students took on 5 United States Undergrad students for about 2 hours in the Bateyes. These students were a part of a program called GAP Medical Mission. These students are exploring medicine during their gap year to identify if it’s a profession they truly want to pursue while learning how to serve in the Dominican Republic. Service in the Bateyes includes: Educational workshops (Sex education, HIV, AIDS; Hypertension, Dental,...Read more

May 12, 2015
Alex
Johnson
PhD, CCC-SLP
Photo of Alex Johnson, PhD, CCC-SLP

In the May 1 issue of the New York Times it was enlightening to see a discussion of interprofessional education (IPE) highlighted in a column (unfortunately) titled “Doctors and Nurses Not Learning Together” by Dr. Dhruv Khullar ( a resident at Mass General). Dr. Khullar is a frequent contributor to the column and has produced several op-ed pieces on health care. In the article under discussion, the writer discusses the lack of exposure in medical school to mutual education opportunities with nurses, physician assistants, social workers, or pharmacists. He indicates that in his residency he began to understand and appreciate the roles that these others play in the care of the patient. He also notes that his education has provided no particular focus on the role of the physician as the leader of the health care team, a role he suggests as essential. He praises the work of...Read more

Jul 17, 2018
Susan
Farrell
, MD, EdM
Photo of Dr. Susan E. Farrell

What Can We Achieve with Interprofessional Continuing Education

“Interprofessional continuing education (IPCE) is when members from two or more professions learn with, from, and about each other to enable effective collaboration and improve health outcomes.” (ACCME, ACPE,ANCC, 2015)

In April 2016, the Accreditation Council for Continuing Medical Education, the Accreditation Council for Pharmacy Education, and the American Nurses Credentialing Center sponsored a Leadership Summit for Jointly Accredited Provider organizations that offer interprofessional continuing education.  Twenty-eight institutions participated, sharing challenges and strategies for implementing successful continuing education across health professions.

As one might expect, the challenges to interprofessional continuing education are not new:  historically siloed approaches to professional learning, complex student and clinician schedules, hierarchical constructs of roles, power and decision-making, and ever-lurking and unrecognized biases.  Fortunately, these challenges are not insurmountable if we remember that the patient and family are at the center of our endeavors to improve healthcare practice...Read more

Jul 17, 2018
Susan
Farrell
, MD, EdM
Photo of Dr. Susan E. Farrell

The Impact of IMPACT Practice®: one faculty member’s reaction

Question: What’s an effective way for health professions faculty to appreciate the power and importance of interprofessional education and development?

Answer: Watch and contribute to an interprofessional student team’s first patient-centered interview.

Facilitating and debriefing a simulated patient encounter is probably common for many health professions educators today.  But when I watched my student team:  nursing, occupational therapy, speech and language pathology, physical therapy, and physician assistant students, perform a group interview with a simulated patient and his care attendant, I was struck by their attention to the patient AND to each other, their team members.  They are learning together, about each other as persons and professionals, about each other’s professional roles and expertise, and about how they can work as a team: with respect, flexibility, and a real interest in what they each bring to the patient encounter.  Immediately after the...Read more

Jul 17, 2018
Susan
Farrell
, MD, EdM
Photo of Dr. Susan E. Farrell

Making Interprofessional Competency “Visible”

We are having a conversation.  I am a physician and you are a physical therapist, both of us clinical educators, both of us invested in actively promoting interprofessional (IP) education and understanding on behalf of IP collaborative practice.  We know the competency domains for IP collaboration, we mutually share them as a vision for how we teach and work with health professions students and faculty.  But, is our role-modeling of IP communication and collaboration sufficient to make IP competency “visible” to our learners? 

Activities:  IP team-building exercises, case analyses, curriculum working groups, simulations and clinical student teams:  we use these opportunities to teach the importance of an IP approach to learning and patient care practices.  These creative activities are working:  working on the surface, the outer edges of the construct of IP learning.  Do they help learners to incorporate the IPEC competencies (shared values and ethics,...Read more