Interprofessional Activity In Simulation

Students working on Interprofessional EducationToday's health care climate is increasingly complex. The escalating needs of the patients demand that professionals from many different disciplines work together to provide the best and most appropriate care possible. Health care providers from all disciplines (e.g. medicine, nursing, respiratory therapy, pharmacy, social work, and others) must be able to communicate and collaborate with members of other professions to provide high quality and safe patient care.

Interprofessional education (IPE) is any kind of educational session in which members of two or more health care professions are learning simultaneously and interactively. IPE fosters interactions, enhances each participant's practice, and ultimately improves the health of the patients. IPE promotes respect and appreciation of differing roles and differing approaches to clinical or social problems. IPE students learn to draw from their different disciplines and synthesize the evidence to present to patients, tailoring care to meet the needs of individuals receiving it. IPE learning activities may include rural or community health fairs or clinics, simulations, concept-based learning, or shared clinical placements. IPE promotes the increase of students' and graduates' communication skills, knowledge, attitudes and understanding of roles of different members of an interprofessional healthcare team.

OHSU has committed in its strategic plan, Vision 2020, that interprofessional education will play an essential role in the future of its healthcare educational programs.  As one step to achieving this goal, Simulation at OHSU is focused on excellent interprofessional patient care using simulation-based education, training and research.

The relatively new instructional method of simulation-based education, used in a collaborative practice approach, is of great value for learners outside their own disciplines and to be better prepared to meet the complexities of today's healthcare workplace. Some current examples of OHSU's interprofessional simulation are:

Simulated Code Interdisciplinary Team Training (SCITT): 

The SCITT program trains high performing teams to avoid and manage hazardous errors in a complex and dynamic crisis situation in a hospital environment. A SCITT's interdisciplinary Code team includes a Critical Care Fellow, Anesthesiologist, Respiratory Therapist, and three ICU RNs and this training has been shown to improve the safety, reliability and quality of patient care services through improved ACLS, CRM and teamwork skills.

Emergency Medicine (EM) Simulations:

  • Resident simulation for both adults and pediatric patients are regularly conducted in a multi-disciplinary manner which includes both EM residents and EM department nurses and staff
  • Joint simulations between EM and Trauma Surgery staff emphasize teamwork and communication skills in a simulated complex and fast-paced EM environment
  • STEMI simulations offer an opportunity to simulate and reduce the door-to-door event time, from when a simulated heart attack patient arrives with family members at the Emergency Department,  through the subsequent interactions between EM staff, catherization lab staff, cardiologists to the ultimate transfer of the patient to an in-hospital unit.
  • Pediatric Mock Codes are monthly multidisciplinary simulations utilizing simulated patients in actual clinical environments. This is a collaborative venture between the Doernbecher Children's Hospital Pediatric Intensivists, Hospitalists, NICU team, and Pediatric EM teams