(105) A Collaborative Approach to Implement Integrated Cases

Objective : To utilize a collaborative approach to implement integrated case sessions throughout the curriculum.

Methods: Essential elements of collaboration include shared purpose, key stakeholder involvement, adequate support, effective leadership, and active collaboration. An integrated case team comprised of faculty and curriculum committee members was established to develop and implement a process to enhance clinical reasoning skills via integrated case sessions. Templates, facilitator guides and case examples were created by the integrated case team. Key stakeholders, including faculty members leading each case session, were identified and engaged to prepare sessions utilizing the tools developed. Each facilitator met with integrated case team members at least three times to understand expectations, clarify questions, and obtain technical support and feedback related to their cases. Integrated case team members attended and assessed each session for presence of key elements (use of electronic health record, presentation template, collection form, clinical vignettes, lesson plan, reasoning approach, assessment). A rubric was utilized to assess each session for key elements to determine consistency.

Results: Six, 2 hour 40-minute integrated case sessions occurred during Fall 2022 which included approximately 200 students in the P2 and P3 cohorts. Rubric results for consistency were as follows: use of electronic health record (83%), presentation template (83%), collection form (100%), clinical vignettes (66%), lesson plan (50%), reasoning approach (66%), assessment (100%).

Conclusions: There were variations in the delivery of case sessions among faculty facilitators. The elements of the collaborative approach were successful in creating a shared purpose, bringing key stakeholders together, and active collaboration; however, the desired consistency across sessions was not achieved. Future improvements will include modules with written instructions for the intention and purpose of each tool developed.