Orthopaedic Screening for the Nurse Practitioner: An Interprofessional Skills Training


TTUHSC Interprofessional Practice and Education (IPE) Experience


Title of the Interprofessional Practice and Education Experience

Orthopaedic Screening for the Nurse Practitioner: An Interprofessional Skills Training


Experience Status

Approved


Approval Date Range

2/6/2024 - 2/6/2025


Registration Details for Learners

DPT and MAT students are recruited on a volunteer basis each semester. No formal registration has been used in the past. The Nurse Practitioners are returning for an advanced certificate program and this breakout session is a formal part of their contact session.

Criteria for Registering the IPE Experience

  • Involvement of two or more professions.
  • Opportunities to learn about, from, and with one another.
  • Significant interactivity between participants.
  • Teaching and/or learning about interprofessional practice and education is intentionally integrated into the activity. Interprofessional practice and education constructs are targeted with IPE learning objectives are also discussed, trained, reviewed, and/or assessed as part of the learning activity.

Type of IPE Experience

  • Competency or Skills Training

IPEC Core Competencies Targeted by this IPE Experience

  • Communication: Communicate in a responsive, responsible, respectful, and compassionate manner with team members.
  • Roles and Responsibilities: Use the knowledge of one’s own role and team members’ expertise to address individual and population health outcomes.
  • Teams and Teamwork: Apply values and principles of the science of teamwork to adapt one's own role in a variety of team settings.
  • Values and Ethics: Work with team members to maintain a climate of shared values, ethical conduct, and mutual respect.

Quintuple Aim Strategic Goals Discussed in this IPE Experience

  • Enhancing the experience of care
  • Improving patient and/or population health outcomes
  • Reducing the cost of care

Detailed Description and Purpose of the IPE Experience

The Doctor of Physical Therapy (DPT) and Masters in Athletic Training (MAT) programs collaborate to instruct Nurse Practitioners returning for their Advanced Nurse Practitioner training in 1) orthopaedic screening of the shoulder 2) orthopaedic screening of the hip, and 3) upper and lower quadrant neurologic screening. DPT and MAT students are recruited to instruct the Nurse Practitioners on all 3 topics. Gary Kearns, PT, ScD and Larry Munger, MAT, PhD facilitate each small group.

Purpose: Provide a small group, break-out session on 1) orthopaedic screening of the shoulder 2) orthopaedic screening of the hip, and 3) upper and lower quadrant neurologic screening to Nurse Practitioners in order to discuss how to screen and identify patients presenting with neuromusculoskeletal conditions that may benefit from a referral to a rehabilitation specialist for conservative care vs. referral to a medical specialist for further diagnostic work up.

Aim: Engage in a collaborative discussion between DPT, MAT and Nurse Practitioner students on the most efficient means to screen and manage patients with neuromusculoskeletal conditions that may benefit from a referral to a rehabilitation specialist for conservative care vs. referral to a medical specialist for further diagnostic work up. The goal is to reduce time before a patient sees the most appropriate health care provider and minimize total out of pocket cost.

Outline (time varies, but this breakout session is 2 hours)
10-10:15 a.m.: Intro lecture
10:15-10:45: Station #1: Shoulder Screening
10:45-11:15: Station #2: Hip Screening
11:15-11:45: Station #3: Upper/Lower Quadrant Neurologic Screening
11:45-12:00: Wrap up, reflections, and Q&A
**Note** the Nurse Practitioners split up equally between the three stations. All three stations run simultaneously. After 30 minutes, the students will rotate to the next station until they have attended all three stations

Learning Objectives:
- Demonstrate the appropriate screening assessment to identify a patient presenting with shoulder pain that may benefit from a referral to a rehabilitation specialist
- Demonstrate the appropriate screening assessment to identify a patient presenting with hip pain that may benefit from a referral to a rehabilitation specialist
- Demonstrate the appropriate screening assessment to identify a patient presenting with radiculopathy and/or peripheral nerve entrapment that would benefit from a referral to a rehabilitation specialist
- Discuss scenarios of patients with neuromusculoskeletal conditions that may benefit from a referral to a rehabilitation specialist for conservative care vs. referral to a medical specialist for further diagnostic work up with DPT and MAT students and faculty.


Level of IPE Integration

  • 1. Foundations Level: Consists of introductory learning activities that provide learners with the opportunity to interact and learn from professionals and peers from disciplines beyond their own. The desired outcome for activities offered at this level is that learners will gain a deeper understanding of their profession while gaining an appreciation for the perspective and roles of other professions.

Attendance or Participation in the IPE Experience

  • Course requirement - Part of Advanced NP program

Frequency of the IPE Experience

  • 02. Semesterly
  • Every semester

Duration and/or Timeline of the IPE Experience

  • 02. 1 to 3 hours

Campus and/or Location of the IPE Experience

  • Lubbock

Average Number of Learners Participating in the IPE Experience

  • 01. up to 50

Target Audiences

Graduate School of Biomedical Sciences Audiences


School of Health Professions Audiences

  • Physical Therapy, DPT
  • Athletic Training, MAT

School of Medicine Audiences


School of Nursing Audiences

  • Post-Master’s/Advanced Practice

School of Pharmacy Audiences


School of Population and Public Health Audiences


Other

IPE Learning Objectives for the Experience

Values and Ethics

  • VE01. Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives.
  • VE06. Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes.

Roles and Responsibilities

  • RR01. Include the full scope of knowledge, skills, and attitudes of team members to provide care that is person-centered, safe, cost-effective, timely, efficient, effective, and equitable.
  • RR02. Collaborate with others within and outside of the health system to improve health outcomes.
  • RR03. Incorporate complementary expertise to meet health needs including the determinants of health.
  • RR04. Differentiate each team member’s role, scope of practice, and responsibility in promoting health outcomes.

Communication

  • C01. Communicate one’s roles and responsibilities clearly.

Teams and Teamwork

  • TT01. Describe evidence-informed processes of team development and team practices.
  • TT02. Appreciate team members’ diverse experiences, expertise, cultures, positions, power, and roles towards improving team function.
  • TT03. Practice team reasoning, problem-solving, and decision-making.

Type of Learner Assessment Administered

  • Knowledge assessment
  • Self-reflection with facilitated debrief

Formal Assessment Protocol used, if Applicable

No formal assessment other than post-contact session review

Type of Program Evaluation Administered

  • Activity feedback/evaluation – from faculty, facilitators, and/or preceptors
  • Activity feedback/evaluation – from learners

Provide Details on the Potential Sustainability of the IPE Experience

  • Dedicated personnel
  • Dedicated resources
  • Integrated into program curriculum

Provide Dedicated Funding Sources:

  • No dedicated funding

Roles of Faculty/Staff in the IPE Experience:

  • Facilitators
  • Instructors and/or preceptors

Additional Information About the IPE Experience, if Necessary


IPE Experience Organizer

  • School of Nursing
  • School of Health Professions

Contact Person(s) and Contact Information for the IPE Experience

Gary Kearns, PT, ScD
gary.kearns@ttuhsc.edu