Philadelphia University + Thomas Jefferson University

Clinical Observations & Collaborative Practice Initiatives

Clinical Observations

Dispo Dilemma The purpose of this clinical observation is to increase student exposure to real patient cases that explore the challenges, practice behaviors and team-based solutions that improve the quality and safety of patient-centered care. Participants will receive a brief history of the present illness (HPI) to familiarize them with the patient prior to the activity. They will then have the opportunity to observe an interprofessional unfolding case study, witnessing and evaluating firsthand the potential dilemmas and solutions related to the case under the direction of the appropriate practitioners.

Rehab Team Conference  The purpose of this Learning Activity is for students to observe a real-time inpatient team conference in an acute rehabilitation setting. After a brief introduction to the conference by the program manager, students will witness an interprofessional team draw on the expertise of representatives from medicine, nursing, occupational and physical therapy, pharmacy, psychiatry and social work. The team will discuss each patient’s treatment plan, short- and long-term goals, current status and plan for discharge. Participants will observe both discussions about new admissions as well as progress reports for patients who have been admitted for longer periods of time. Students will also gain a sense of the role of insurance coverage for patients in this clinical rehab setting. A debriefing following the conference will give students the opportunity to ask questions of and clarify any points of confusion with the program manager.

Collaborative Practice Initiatives

Clinical Rounding – The purpose of this IPE activity is to provide a “real-time,” collaborative practice learning experience for health professions students. Medical and nursing students meet in person prior to rounds to review patients’ current plans of care, study results, anticipated discharge dates, and interprofessional plans for discharge. Pharmacy and PT students will have an opportunity to participate remotely using a Google Doc. The team will then round both live and remotely using Google Home, collaborating on their patient presentations and coming to understand how individual plans of care are impacted by collaborative practice.   

Nursing/Pharmacy Teach Back – The purpose of this learning activity is for nursing and pharmacy students to collaborate together on patient education using the Teach Back method. After reviewing the assessment data in a virtual team huddle via Google Docs, nursing participants will conduct an oral health history with the selected patient, assessing the patient’s health history, health literacy and learning needs. They will then relay all findings to the pharmacy participants via Google Docs and the pharmacy students will identify the medication(s) for the subsequent education session. The student team will then have an opportunity to debrief the morning’s findings in person with their clinical instructor and preceptor before gathering the appropriate teaching materials and again meeting with the patient. In this final meeting, participants apply the Teach Back method, working to employ appropriate strategies for effective patient-caregiver communication and education while administering patient-centered care.