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Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest AIDS Training and Education Center (MATEC)

Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

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Page 1: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Interprofessional Collaborative Practice in HIV Care and PreventionRicardo Rivero, MD, MPHExecutive DirectorMidwest AIDS Training and Education Center (MATEC)

Page 2: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Strengths

Page 3: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Academic PartnersUniversity of

Cincinnati

University of Illinois at Chicago

University of Nebraska

University of Minnesota

University of Wisconsin

Indiana University

University of Illinois at Chicago

Indiana University

University of Nebraska

University of Wisconsin

Page 4: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Program Objectives

Provide foundational knowledge related to HIV/AIDS

Provide foundational knowledge related to interprofessionalcollaborative practice

Identify where ICP could improve outcomes in HIV Prevention and Care

Inspire learners to future involvement in HIV Prevention and Care and in Interprofessional Collaborative Practice

Page 5: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Targets

Students

Required: Medicine, Nursing, Pharmacy, and Social Work

Encouraged: Dentistry, Nutrition, Occupational Therapy, and Public Health

Faculty/Mentors

Consistent with students disciplines

Content expertise in HIV care and prevention

Content expertise in IPE and ICP is necessary for developing curriculum materials

Page 6: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Instructional Design

Desire for standardization Determined the use of four instructional modalities: Self Study, Online Discussion, In Person Sessions and

Clinical/Community Placement Call for submission of resources such as articles, videos, etc.,

existing course materials Organized into units using Curriculum Mapping Patient Cases Organizational Case

Page 7: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Clinical & Community Placement

Agreed upon target of 4 hours minimum

Primarily clinics with established relationship to MATEC

Activities: Structured observation Patient Interview Staff interview Observation of staff Shadowing a clinician No actual patient care

7

Page 8: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Hello Success

Page 9: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Anticipated Involvement with HIV Care in Career (N=85)

9

4%7%

25%

9%

58%53%

50%

42%

51%

31% 33%

22%

13%

25%

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

Illinois Minnesota Ohio Wisconsin Region

not at all very little somewhat to a great extent

Page 10: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Anticipated Involvement with ICP in Career(N=85)

10

19%

5% 4% 8%

77%

91% 93% 96%88%

0

0.2

0.4

0.6

0.8

1

1.2

Illinois Minnesota Ohio Wisconsin Region

not at all very little somewhat to a great extent

Page 11: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Importance of Involvement with HIV Care in First Position (N=85)

11

15%10%

28%33%

21%

46%

52%

36%

46% 46%

23%19%

14%

4%

15%

0%

10%

20%

30%

40%

50%

60%

Illinois Minnesota Ohio Wisconsin Region

not at all important somewhat important very important

Page 12: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Importance of Involvement with ICP in First Position (N=85)

12

8%2%

19%

43%

29%25%

28%

62%57%

64%

27%

65%

0%

10%

20%

30%

40%

50%

60%

70%

Illinois Minnesota Ohio Wisconsin Region

not at all important somewhat important very important

Page 13: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Challenge

Page 14: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Standardization Among Multiple Academic Institutions

Page 15: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Balancing the curriculum so that it is suitable for students from all professional programs

Page 16: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Time and effort coordinating clinical observations

Page 17: Interprofessional Collaborative Practice in HIV Care and ......Interprofessional Collaborative Practice in HIV Care and Prevention Ricardo Rivero, MD, MPH Executive Director Midwest

Sustainability:

The program is not sustainable on its own without external funding

It is resource intense for each professional program to have only a small number of students in the program, but the depth of the program limits scalability