title: Interprofessional Care Conferences for High-Risk Primary Care Patients.
abstract: As health care systems convert to team-based care, the need to improve interprofessional education is tremendous. In addition to formal instruction, trainees need authentic team-based workplace learning experiences.
  
  
  
  The authors designed the PACT-ICU (Patient-Aligned Care Team Interprofessional Care Update) conference to provide team-based care to high-risk patients while teaching trainees principles of interprofessionalism and modeling relevant behaviors. Trainees, supervisors, and affiliated support staff from the fields of internal medicine, nurse practitioner, pharmacy, psychology, and nursing all participate in this conference. During the conference, each participant focuses on the narrative of the patient's illness from his/her own professional perspective. A multifaceted care plan with specific action items is the product of the conference. To evaluate this workplace learning opportunity, the authors recorded patient characteristics, plus trainees' participation and satisfaction.
  
  
  
  Over the first 16 months (2013-2014) of the PACT-ICU, 33 trainees presented 79 patients. Each trainee presented two or three times each academic year. Patients were 90% male; their mean age was 64.5 years (SD 9.3, range 28-92), and their mean calculated 90-day risk of death or hospitalization was 22% (SD 14%, range 1%-45%).Overall, all surveyed trainees (n = 32; 97% response rate) expressed satisfaction, reporting that the conference was "helpful" or "very helpful" in developing treatment plans.
  
  
  
  Further assessment of change in trainee behavior related to interprofessional team care, patient-level outcomes (e.g., quality of care and utilization), and factors facilitating dissemination of the model to other academic clinic settings is necessary.
authors.affiliation: W.G. Weppner is codirector and physician associate director, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho, and assistant professor, Division of General Internal Medicine, University of Washington, Seattle, Washington. K. Davis is clinical psychologist, Saint Luke's Mountain States Tumor Institute, Boise, Idaho. J. Sordahl is neuropsychology postdoctoral fellow, South Texas Veterans Health Care System, San Antonio, Texas. J. Willis is nursing associate director, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho. A. Fisher is codirector and pharmacy associate director, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho. A. Brotman is psychology associate director, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho. R. Tivis is statistician, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho. T. Gordon is data manager, Boise VA Center of Excellence for Primary Care Education, Boise, Idaho. C.S. Smith is national physician consultant, VA Centers of Excellence for Primary Care Education, and professor, Division of General Internal Medicine and Medical Education, University of Washington, Seattle, Washington.
authors.forename: William G
authors.initials: WG
authors.lastname: Weppner
authors.forename: Kyle
authors.initials: K
authors.lastname: Davis
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Sordahl
authors.forename: Janet
authors.initials: J
authors.lastname: Willis
authors.forename: Amber
authors.initials: A
authors.lastname: Fisher
authors.forename: Adam
authors.initials: A
authors.lastname: Brotman
authors.forename: Rick
authors.initials: R
authors.lastname: Tivis
authors.forename: Tim
authors.initials: T
authors.lastname: Gordon
authors.forename: C Scott
authors.initials: CS
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003226:Congresses as Topic / Q000458:organization & administration*; D004496:Education, Continuing / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006281:Health Occupations / Q000193:education*; D006801:Humans; D007061:Idaho; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration; D015397:Program Evaluation; D012306:Risk