Podcasts about interprofessional

Join us for the July edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon. In this episode: Interprofessional Co-debriefing, AI for scenario design and for supporting sim debriefings, and some SESAM abstracts!  Also – some upcoming conferences  Australasian Simulation Congress (Adelaide 11-14 August) https://simaust.com/australasian-simulation-congress/  VSA Translational SIMposium (Northern Health 17 October)  https://vicsim.org/component/eventbooking/vsa-event/victorian-translational-simposium  The July papers  Joyce LR, Meeks M, Somerville SG. Interprofessional co-debriefing in simulation—role modeling collaboration: a qualitative study. Simul Healthc. 2025;00(00):1–9.   Hong E, et al. Exploring the use of a large language model in simulation debriefing: an observational simulation-based pilot study. Simul Healthc. 2025;00(00):1–6.   Maaz S, et al. Prompt design and comparing large language models for healthcare simulation case scenarios. J Healthc Simul. 2025 May 12.   Selected Abstracts from the Annual Meeting of SESAM - the Society for Simulation in Europe, 2025. Adv Simul 10 (Suppl 1), 35 (2025).    Another great month on Simulcast.  Happy listening 

Take aways: Learn about Hilary and Steve's journey to enhance care for people with aphasia. Learn about communication access as a health equity issue. Identify systematic gaps and the disconnect between training and real world needs of people with aphasia. Learn about the development of the MedConcerns app. Get sneaky! Learn how the MedConcerns app can serve four functions simultaneously: 1) meeting the needs of someone with aphasia 2) serving as a tool that providers can use to communicate with people with aphasia 3) providing education to providers who learn about aphasia as they use the app 4) bringing SLPs and other providers together to meet the needs of people with aphasia   Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner. I'm a professor at the University of Wisconsin – Eau Claire and co-facilitator of the Chippewa Valley Aphasia Camp, Blugold Brain Injury Group, Mayo Brain Injury Group, Young Person's Brain Injury Group, and Thursday Night Poets.  I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Hilary Sample and Dr. Steven Richman to discuss their app, MedConcerns. We're really excited to share this with you, so I'll jump into introducing them.   Hilary G. Sample, MA, CCC-SLP Hilary is a speech-language pathologist, educator, and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. The app was born out of her work in inpatient rehabilitation, where she saw firsthand how often individuals with communication challenges struggled to share urgent medical needs. Recognizing that most providers lacked the tools to support these conversations, she partnered with physician Dr. Steven Richman to create a practical, accessible solution. Hilary also serves as an adjunct instructor at Cleveland State University.   Steven Leeds Richman, MD Dr. Steven Richman is a hospitalist physician and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. With nearly two decades of experience in inpatient rehabilitation, he saw how often communication barriers prevented patients from being heard. In partnership with speech-language pathologist Hilary Sample, he helped translate core medical assessments into an accessible tool that supports clearer, more effective provider-patient communication.     Transcript: (Please note that this conversation has been auto-transcribed. While we do our best to review the text for accuracy, there may be some minor errors. Thanks for your understanding.)   Jerry Hoepner: Well, Hello, Hillary and Steve. Really happy to have you on this aphasia access conversations podcast. With me, I'm really looking forward to this conversation. It's maybe a year or 2 in the making, because I think this was at the previous Aphasia Access Leadership Summit in North Carolina. That we initially had some discussions about this work. And then life happens right? So really glad to be having this conversation today. Hilary Sample: And we're really glad to be here.   Jerry Hoepner: Absolutely. Maybe I'll start out just asking a little bit about your background, Hillary, in terms of how you connected with the life participation approach and aphasia access and how that relates to your personal story.   Hilary Sample: Sure, so I haven't been in the field long. I graduated in 2019 and began my career immediately in inpatient rehab. I have to remember. It's talk slow day, and I'm going to make sure that I apply that as I speak, both for me and for listeners. So I began on the stroke unit, primarily in an inpatient rehab setting, and I've worked there for the majority of my career. I came in as many, probably in our field do, trained and educated in more of an impairment based approach but quickly when you work with people, and they let you know who they are and what they need. The people that I worked with on the stroke unit, the people with aphasia let me know that they needed more of a life participation approach. You know I learned how vital it was to support communication and to help him, you know, help them access their lives, because most of the time I entered the room. They had something they wanted to communicate, and they had been waiting for someone who had those skills to support communication in order to get that message across. So it wasn't about drills it was about. It was about helping them to communicate with the world, so that I spent more and more time just trying to develop my own skills so that I could be that professional for them and that support. And then that took me. You know that it just became my passion, and I have a lot of room to improve still today, but it's definitely where my interest lies and at the same time I noticed that in general in our hospital there was a lack of communication supports used, and so I thought that in investing in my own education and training, I could help others as well. And so I started doing some program development to that end as well with training and education for healthcare staff.   Jerry Hoepner: I just love the fact. And actually, our listeners will love the fact that it was patients who connected with you, people with aphasia, who connected with you and encouraged you to move towards the life participation approach, and how you learn together and how that's become your passion. That's just a really great outcome when people can advocate for themselves in that way. That's fantastic.     Hilary Sample: Yeah, it really meant a lot to me to be able to receive that guidance and know that, you know there's an interest in helping them to let you know what they want from therapy, and that was there. But a lot of times the selections were impairment based, and then we. But there was something wrong, and we needed to uncover that. And that was, you know, that was the push I needed to be able to better support them.   Jerry Hoepner: Yeah, that's really great, Steve. I'm interested in your story, too. And also how you came to connect with Hillary.   Steve: I started as a trained as a family physician, had a regular outpatient office for a number of years, and then transitioned into inpatient rehab. That's where I really started to meet some people with aphasia. For the 1st time. Hilary and I have talked a few times about my training and education about aphasia before we met each other, and it was really minimal in Med school. They had lectures about stroke and brain injury, and some of the adverse effects you might get from that. And they, I'm sure, mentioned aphasia. But I really don't recall any details, and if they did teach us more, it would just nothing that I grasped at the time. So I would walk into these patient rooms, and what I would normally do for my trainings. I would ask people all these open, ended questions to start with, and then try to narrow down, to figure out what their problems are, and with people with aphasia, especially when they have minimal or no language skills. They couldn't. I was not successful at getting useful information out, and I remember walking out of those patient rooms and just being frustrated with myself that I'm not able to help these people, and the way I can help everyone else, because if I don't know what's going on. you know. How can I? It was really challenging and I really didn't know where to go. I talked to a few other doctors, and there didn't seem to be much in the way of good information about how to move forward. Eventually I met Hillary, and we would have these interesting episodes where I would talk or try to talk with the patients and get minimal, useful information. And Hillary would come back and say, they're having this problem and this concern. And with this medicine change. And how do you do that? How and that kind of started our us on the pathway that we've taken that recognition from my end that there's a lot that can be done. And the yeah.   Jerry Hoepner: Yeah, I love that story, and it's a really good reminder to all of us that sometimes we forget about those conversations, the conversations with physicians, with other providers who might not know as much about aphasia. I'll just tell a really quick story. My wife used to work in intensive care, and of course she had been around me for years, and they would have someone with aphasia, and her colleagues would be like, how do you even communicate with them, and she would be coming up like you, said Steve, with all of this information about the patient, and they're like, where are you getting this information. The person doesn't talk.   Hilary Sample: Yes.   Jerry Hoepner: And that just emphasizes why it's so important for us to have those conversations, so that our all of our colleagues are giving the best care that they can possibly provide.   Hilary Sample: That's a great story. That was very much like almost verbatim of some of the conversations that we initially had like, where is this coming from? They don't talk, or you know they don't have. Maybe they don't have something to say, and that's the assumptions that we make when somebody doesn't use verbal communication. You know, we quickly think that maybe there's not something beneath it, you know. I have a story as well. So what led to a little bit more toward where we are today. sitting in those rooms with people with aphasia and apraxia and people with difficulty communicating. There's 1 that stuck out so much. She was very upset, and that it was. And I we had just really developed a very nice relationship, a very supportive relationship she kind of. She would let me have it if she was upset about something. We had really honest conversations and it and it was earlier on to where I was stretching my skills in in using communication supports, and she really helped me grow. But I remember being in her room one day, and she had something to share. And this is a moment that repeated itself frequently, that the thing that needed to be shared was medical in nature, you know, in inpatient rehab. That's a frequent. That's a frequent situation that you run into. And we sat there for maybe 15 min, maybe more. And we're working on getting this out. We're narrowing it down. We're getting clarity. We're not quite there yet, as I said, I'm still new, and but the physician walks in and we pause. You know I'm always welcoming physicians into the into therapy, because I really see that we have a role there. But and talk slow. Hilary, the physician, asked an open-ended question like Steve was talking about asking those open-ended questions as they're trained to do, and it was a question that the person with aphasia didn't have the vocabulary available to answer, and before I would jump in, that person shrugged her shoulders and shook her head that she didn't have anything to share with them, and I was like, but we had just been talking. You know, there's definitely something, and I think I just sat there a little bit stunned and just observing more. And you know the physician finished their assessment mostly outside of verbal communication, and left the room, and then I spoke to her, and we. We tracked down what the rest of her concern was, and clarified it, and then I found the physician who was not Dr. Richman, and I shared all the things that they had told me that she had told me, and I remember her saying I was just in there. She didn't have anything wrong. and I and I was, you know, I told her, like the communication supports that I used, and you know we got that. We moved forward with the conversation. But there were a few things that stuck out to me in that, and one was the way that the physician was communicating wasn't using. They weren't using supports. For whatever reason, I didn't have that knowledge yet. We dove into the literature to learn more later on. The second thing was that the person with aphasia seemed to give up on the provider, knowing that since supports weren't being used. It wasn't going to be a successful communication attempt. So why even bother, and that definitely fits her personality. She's like I give up on you. And the 3rd thing was that the education about that somebody has something to share the education about. Aphasia was lacking, so you know that the person's still in there. They still have their intellect, their identity, their opinions, beliefs. But they didn't have the ability to communicate that piece seemed to be missing on the part of the provider, because they were saying they didn't have anything to share. So, it was like, I said that situation happened repeatedly, and very much. Sounds just like yours, but it hit me how much there was to do. And so, hearing, you know Steve's experiences that are on the other side of that. Such a caring, the one thing that led me to want to speak to Steve is that he's a very compassionate caring physician, so it's not a lack of care and compassion. But what else was going on what led to this, and we started learning that together. It was really interesting for me to learn how Hillary's 1st assumption is. Why aren't these physicians using communicative supports or other things that we were never taught about? The assumption that the docs know all this, and there's plenty we don't know. Unfortunately, there's, you know there's so much out there.   Steve Richman: The other thing Hillary touched on that was so true in my experience, is here. I'm meeting people that had a significant event, a traumatic brain injury, a bad stroke. And we're so used to judging people's intelligence through their speech. And they're not speaking. And it's so easy to start thinking there's just not much going on up there, and I didn't have the education or information or training to know for a long time. That wasn't the case until my dad had a stroke with aphasia. And so yeah, there's still plenty going on there just hard to get it out. And even as a medical provider, I really wasn't fully aware of that. And it took personal experience and learning from Hillary to really get that. it's still there just need to find out how to help them get it out.   Jerry Hoepner: Yeah, I think that's a rather common story, especially for people with aphasia. But even for people without aphasia, that sense that the doctor is coming in, and things have to happen. And I know I'm sitting here with Steve, who is very compassionate and wants to ensure that communication. But I think there's a little bit of fear like, oh, I can't get it out in this context, and just bringing awareness to that, and also tools. So, tools in education. So those physicians can do the work that they need to do and get that knowledge that they may have never been exposed to, and probably in many cases have never had that training to communicate with someone so like you, said Steve. How are you supposed to know when they didn't train us in this? And I guess that brings us back around to that idea that that's part of the role of the speech language pathologist and also kind of a vacancy in tools. Right? We're. We're just missing some of the tools to make that happen consistently across facilities and across people. So, I'm really interested in hearing a little bit about the tools you've created, and kind of the story leading up to that if you if you don't mind sharing.   Hilary Sample: Absolutely. 1st I'll share. There's a quote, and I'm not going to remember who said it. Unfortunately, I'll come up with it later, and I'll make sure to share with you. But that healthcare is the medium by or I'm sorry. Communication is the medium by which healthcare is provided, or something to that extent. We need communication in order to ensure equal access to health care. And like you said that gap, it's really big, and it's a systemic issue. So, leading up to us, coming together, we had those experiences on both of our ends. I realized that I wasn't a physician. I already knew this, but I also I was trying to provide communication support to enable them to communicate something on a topic that I'm not trained in. In order to really give what it's due right? I don't know what questions that Steve is going to ask next, you know I tried, but I and I tried to listen, but I didn't always have, you know. Of course, I don't have that training, so know your limits right. But I did. The general overarching method that I was using was we'd have concerns to choose from, including the question mark that enabled them to tell. Tell me that you're way off, or you didn't guess it, or it's not on here. And then narrow choices that I try to come up with, and we'd move on like that. And anytime somebody appeared to have a medical concern. There's those general topics that you would try to see if it's 1 of these things. One of these concerns, and then those would generally take you to a series of sub questions, and so on, and so forth. So, I recognize that this was repeatable. I also, at the same time as I shared, was recognizing that communication supports weren't being used. And that doesn't. That doesn't end with, you know, a physician that's also nurses nursing aides. That's therapists, including SLPs, and you know, so I'm doing a thing that can be repeated. Why not stop recreating it every time I enter the room and make it into something that I can bring with me a prepared material that I can bring with me and ideally share it with others. So, I again, knowing my limitations, know what I have to bring to that equation. But I knew that I needed to partner with someone that cared just as much but had the medical knowledge to inform that tool. So at 1st it was a print little framework that I brought, and what happened is, I came up to Steve, and I let him know what I was thinking, and he was open and willing to work together on this, and Hillary showed me these pictures that were kind of showing some general medical concerns, and brought up the whole concept and we initially were going for this pamphlet booklet idea, you know. If you have this concern, you go to this page to follow it up with further questions, and then you go to this other page to finalize the subs. We realized there was a lot of pages turning involved to make that work, and we eventually turned it into an app where you could take your concern, and we start with a general Hello! How are you? You know? Kind of what's the overall mood in the room today. And then what medical concerns do you have? And then from those concerns, appropriate sub questions and sub questions and timeframes, and the stuff that you would want to know medically, to help figure out the problem. And then go ahead. I'm sorry.   Jerry Hoepner: Oh, oh, sorry! No, that's terrific. I appreciate that that process and kind of talking through the process because it's so hard to develop something like this that really provides as much access as is possible. And I think that's really key, because there's so many different permutations. But the more that you get into those the more complex it gets. So, making it easy to access, I think, is part of that key right?   Hilary Sample: One thing that I'm sorry. Did you want to say? Yeah, I'll say, okay, 1. 1 part of it. Yes, the accessibility issue. Every provider has a tablet or a phone on them, and many of our patients and their families also do so. It made it clear that it's something that could be easier to use if that's the method somebody would like to use, but also having a moment where my mind is going blank. This is gonna be one of those where we added a little bit. This is what you call a mother moment.   Jerry Hoepner: Okay.   Steve Richman: The one thing that was fascinating for me as we were developing this tool is I kept asking why? And Hillary kept explaining why, we're doing different parts of it. And at this point it seems much more obvious. But my biggest stumble at the beginning was, why are these Confirmation pages. Why do we have to keep checking, you know? Do they mean to say yes? Do they mean to go ahead? And that education about how people with language difficulties can't always use language to self-correct. We need to add that opportunity now makes so much sense. But I remember that was a stumbling block for me to acknowledge that and be good with that to realize. Oh, that's really important. The other thing that Hillary said a lot, and I think is so true is in developing this tool. We're kind of developing a tool that helps people that know nothing about communication supports like myself how to use them, because this tool is just communication supports. You know, I hear these repeatedly taught me about the importance of layering the clear pictures and words, and the verbal, and put that all the well, the verbalizing, the app is saying the word in our case, so that could all be shared and between all that layering hopefully, the idea gets across right and then giving time for responses.   Jerry Hoepner: It sounds like the tool itself. Kind of serves as an implicit training or education to those providers. Right?   Hilary Sample: And there's the idea that I was missing when I had a little bit of.  So yes, all of those strategies. They take training right? And it takes those conversations. And it takes practice and repetition. And there's amazing, amazing things happening in our field where people are actually undertaking that that transformation, transforming the system from above right.   Jerry Hoepner: Right.   Hilary Sample: But one thing that a big part of this work was trying to fill the gap immediately. I know you and I had previously talked about Dr. Megan Morris's article about health equity, and she talks a lot about people with communication disorders, including aphasia. And you know there's and she mentions that people cannot wait. The next person pretty much cannot wait for that work to be done, though that'll be amazing for the people that come down the line, the next person, what can we do for them? So we also need to be doing that. And that's where we thought we could jump in. And so I think the biggest you know. The most unique aspect of MedConcerns is that, or of the tool we created is that it kind of guides the clinician, the healthcare provider, through using communication supports. So you know, when I go in the room I offer broad options, and then I follow up with more narrow choices, always confirming, making sure I'm verifying the responses like Steve talked about, and or giving an opportunity to repair and go back and then that I summarize at the end, ensuring that what we have at the end still is valid, and what they meant to say. And so that's how the app flows, too. It enables the person to provide a very detailed, you know, detailed message about what's bothering them to a provider that has maybe no training in communication supports, but the app has them in there, so they can. It fills the gap for them.   Jerry Hoepner: Absolutely. It's kind of a sneaky way of getting that education in there which I really like, but also a feasible way. So, it's very pragmatic, very practical in terms of getting a tool in the hands of providers. It would be really interesting actually, to see how that changes their skill sets over time but yeah, but there's definitely room for that in the future. I think.   Hilary Sample: We could do a case study on Dr. Richman.   Steve Richman: whereas I used to walk out of those patient rooms that have communication difficulties with great frustration. My part frustration that I feel like I'm not doing my job. Well, now you walk out much more proudly, thinking, hey, I able to interact in a more effective way I can now do in visit what I could never accomplish before. Not always, but at least sometimes I'm getting somewhere, and that is so much better to know I'm actively able to help them participate, help people participate. I love writing my notes, you know. Communication difficulties due to blank. Many concerns app used to assist, and just like I write, you know, French interpreter used to assist kind of thing and it does assist. It's it makes it more effective for me and more effective for the person I'm working with. It's been really neat to watch you know, go from our initial conversations to seeing the other day we were having a conversation kind of prepping for this discussion with you and he got a call that he needed to go see a patient and I'll let you tell the story. So we're prepping for this. A couple of days ago. I think it was this Friday, probably, or Thursday, anyways, was last week and I'm at my office of work and again knock on the door. Someone's having chest pain. I gotta go check that out. So I start to walk out of the room. Realize? Oh, that room! Someone was aphasia. I come back and grab my phone because I got that for my phone and go back to the room. And it's interesting people as with anything. People don't always want to use a device. And he's been this patient, sometimes happy to interact with the device, sometimes wanting to use what words he has. And so I could confirm with words. He's having chest pain. But he we weren't able to confirm. What's it feel like? When did it start? What makes it better. What makes it worse? But using the app, I can make some progress here to get the reassurance that this is really musculoskeletal pain, not cardiac chest pain. Yes, we did an EKG to double check, but having that reassurance that his story fits with something musculoskeletal and a normal EKG. Is so much better than just guessing they get an EKG, I mean, that's not fair. So, it would have been before I had this tool. It would have been sending them to the er so they can get Stat labs plus an EKG, because it's not safe just to guess in that kind of situation. So, for me, it's really saved some send outs. It's really stopped from sending people to the acute care hospital er for quick evaluations. If I if I know from the get go my patient has diplopia. They have a double vision, because that's part of what communicated. When we were talking about things with help from MedConcerns. Yeah, when I find out 4 days later, when their language is perhaps returning, they're expressing diplopia. It's not a new concern. It's not a new problem. I know it's been a problem since the stroke, whereas I know of other doctors who said, Yeah, this person had aphasia, and all of a sudden they have these bad headaches that they're able to tell me about. This sounds new. I got to send them for new, you know whereas I may have the information that they've been having those headaches. We could start dealing with those headaches from the day one instead of when they progress enough to be able to express that interesting.   Jerry Hoepner: Yeah, definitely sounds like, I'm getting the story of, you know the improvement in the communication between you and the client. How powerful that is, but also from an assessment standpoint. This gives you a lot more tools to be able to learn about that person just as you would with someone without aphasia. And I think that's so important right to just be able to level that playing field you get the information you need. I can imagine as well that it would have a big impact on medication, prescriptions, whatever use? But also, maybe even counseling and educating that patient in the moment. Can you speak to those pieces a little bit.   Steve Richman: You know, one of my favorite parts of the app, Hillary insisted on, and I'm so glad she did. It's an education piece. So many people walk into the hospital, into our inpatient rehab hospital where I now work, and they don't recall or don't understand their diagnosis, or what aphasia is, or what happened to them. And there's a well aphasia, friendly information piece which you should probably talk about. You designed it, but it's so useful people are as with any diagnosis that's not understood. And then explained, people get such a sense of relief and understanding like, okay, I got a better handle of this. Now it's really calming for people to understand more what's going on with them.   Hilary Sample: This is, I think you know, that counseling piece and education, that early education. That's some of the stuff that could bring tears to my eyes just talking about it, because it's; oh, and it might just now. So many people enter, and they may have gotten. They may have received education, but it may not have. They may have been given education, but it may not have been received because supports weren't used, or there's many reasons why, you know, even if it had been given, it wasn't something that was understood, but so many people that I worked with aphasia. That one of the 1st things that I would do is using supports. Tell them what's going on or give them. This is likely what you might be experiencing and see their response to that. And that's you know what aphasia is, how it can manifest. Why it happens, what happened to you, what tools might be useful? How many people with aphasia have reported feeling? And you might be feeling this way as well, and these things can help. And it's very simple, very, you know. There's so much more to add to that. But it's enough in that moment to make someone feel seen and you know, like a lot of my friends, or one of my friends and former colleagues, uses this, and she says that's her favorite page, too, because the people that she's working with are just like, yes, yes, that's it, that's it. And the point and point and point to what she's showing them on the app. It's a patient education page, and then they'll look at their, you know, family member, and be like this. This is what's going on this, you know, it's all of a sudden we're connecting on that piece of information that was vital for them to share. And it was. It was just a simple thing that I kept repeating doing. I was reinventing the wheel every time I entered the room, but it was. It stood out as one of the most important things I did. And so that's why Steve and I connected on it, and like it needed to be in the app. And there's more where that came from in the future planning. But we added to that A on that broad, you know, kind of that page that has all the different icons with various concerns, we added a feelings, concern emotions, and feelings so that someone could also communicate what's going on emotionally. We know that this is such a traumatic experience, both in the stroke itself, but also in the fact that you lost the thing that might help you to walk through it a little easier which is communicating about it and hearing education learning about it. But so those 2 tools combined have really meant a lot to me to be able to share with people, with aphasia and their families, and also another sneaky way to educate providers.   Jerry Hoepner: Yeah, absolutely.   Hilary Sample: Because that's the simple education that I found to be missing when we talked about training was missing, and this and that, but the like when Steve and I talked recently, we you know, I said, what did you really learn about aphasia? And you kind of said how speech issues? Right?   Steve Richman: The speech diagnoses that we see are kind of lumped in as general like the names and general disorders that you might see, but weren't really clearly communicated as far as the their differential diagnoses being trained as a generalist, we would learn about, you know, neurology unit stroke and traumatic brain injury. And somewhere in there would be throwing in these tumors, which are huge aphasia and apraxia and whatnot, and I don't think I recall any details about that from Med school. They probably taught more than I'm recalling, but it certainly wasn't as much as I wish it was.   Hilary Sample: and so that education can just be a simple way to bring us all together on the same page as they're showing this to the person that they're working with. It's also helping them to better understand the supports that are needed.   Jerry Hoepner: Sneaky part.   Steve Richman: Yeah, speaking of the sneaky part, I don't think I told Hilary this yet, but I'm sure we've all had the experience or seen the experience where a physician asked him, What does that feel like? And the person might not have the words even with the regular communication, without a communication disorder. and last week I was working with a patient that just was having terrible pain and just could not describe it. and using the icons of words on that he had a much better sense of. You know it's just this and not that, and those descriptors of pain have been really useful for people now without more with communication difficulties that I just started doing that last week. And it was really interesting.   Hilary Sample: You mentioned about how those interactions with physicians are can be. Well, it's not nothing about you guys.   Jerry Hoepner: It's the rest of the physicians.   Hilary Sample: No, it's the, you know. There's a time. It's the shift in how our whole system operates that it's, you know I go in and I'm like, I just need notes if I need to speak about something important to my physician, because, like, I know that one reason I connect so deeply with people with communication disorders is that my anxiety sometimes gets in the way of my ability to communicate like I want to, especially in, you know, those kind of situations. And so, you know, it can help in many ways just having something to point to. But we also saw that with people with hearing loss, which, of course, many of the people that we run into in many of the patients that we work with are going to have some sort of hearing loss. People that speak a little different, you know. Native language. You know English as a second language.   Jerry Hoepner: Absolutely.   Hilary Sample: There and then. Cognitive communication disorders, developmental disorders, anybody that might benefit with a little bit more support which might include you and me. You know it can help.   Jerry Hoepner: And I think you know the physician and other providers having the tools to do that education to use the multimodal supports, to get the message in and then to get responses back out again. I think it's really important. And then that process of verifying to just see if they're understanding it. Are you? Are you tracking with me? And to get that feedback of, I'm getting this because I think sometimes education happens so quickly or at a level that doesn't match, and they might not understand it. Or sometimes it's just a matter of timing. I know we joke about Tom Sather and I joke about this. We've had people come to our aphasia group before who traveled out to a place in the community and they're sitting next to you. And they say, what is this aphasia stuff everyone's talking about? And I'm like, you literally just passed a sign that said Aphasia group. Right? But it's so hard to ensure that the message does go in, and that they truly understand that until you get that Aha moment where you describe like, yes, that's me, that's it. And that's just so crucial.   Hilary Sample: yeah, it's 1 of the most important pieces, I think to name it doesn't for anything that anybody is dealing with that's heavy, you know, to have to have it named can really provide relief just because that unknown, you know, at least at least you can have one thing that you know. I know what it is, and then I can learn more about it. Once I know what it is, I can learn more about it, and I can have some sort of acceptance, and I can start that grieving process around it, too, a little bit better. But when it goes unnamed, and the other part of it is if you don't tell me that, you know like that, you can see and understand what I might be experiencing, I might not think that you know what it is either, and I might not feel seen. So just the fact that we're both on board that we know I have this thing. I think it can take a lot of the weight off. At least, that's what I've seen when it's been presented.   Jerry Hoepner: No or care, right?   Hilary Sample: Yeah. Yes. Exactly.   Jerry Hoepner: Yep, and that's a good a good chance to segue into we I know we picked on Steve a little bit as a physician but the system really kind of constrains the amount of time that people have to spend with someone, and they have to be efficient. I'll go back to that sneaky idea. This seems like a sneaky way to help change the system from within. Can you talk about that a little bit like how it might move care forward by.   Hilary Sample: Showing what's possible. Yeah, I'm sorry, sure. In part time. Constraints, unfortunately, are very real, and without the knowledge of training how to communicate or support communication. It's challenging for us to move us physicians to move forward, but with something like our app or other useful tools in a short amount of time you could make some progress. And then, if you could document, this is worthwhile time worthwhile that I'm accomplishing something with my patient. I'm helping to understand what their issues are, and helping to explain what we want to do. That all of a sudden makes the time worthwhile, although time is a real constraint. I think, is general. Doctors are happy to spend extra time. If it's worthwhile that's helping our patient. That's the whole reason we go into this is help our people. We help the people we're working with, you know. No one wants to go in there and spend time. That's not helping anybody. But if you could justify the time, because I'm making progress. I'm really helping them great go for it. It's worth doing, and the part about efficiency. So there's so many ways that this focus on. And it's not even efficiency, because efficiency sounds like some success was achieved, you know. But this, this we only have this amount of time. One of the one of the things that's kind of interesting to me is that it an assumption? I've seen a lot, or I've heard a lot is that using communication supports takes time. More time and I have watched plenty, an encounter where the physician is trying, and it takes forever. I've experienced my own encounters as I was growing and deepening my own skills, and where it took me forever. And that's because we're trying. We care, but we don't have something prepared. So when you have a prepared material, it not only helps you to effectively and successfully you know, meet that communication need and find out what is actually bothering the person that you're working with. But it enables you to move at a pace that you wouldn't be able to otherwise, you know. So if Steve and I have this kind of running joke that I'll let you tell it because you have fun telling it.   Steve Richman: With the MedConcerns app. I could do in a little while what I can never do before, and with the med concerns App Hillary could do in 5 min. What used to take a session? It's really.   Jerry Hoepner: Yeah.   Hilary Sample: Makes huge impacts in what we could accomplish, so less of a joke and more of just.   Jerry Hoepner: Yes, but having the right tools really is sounds like that's what makes the difference. And then that gives you time and tools to dedicate to these conversations that are so important as a person who's really passionate about counseling. One of the things we were always taught is spending time now saves time later, and this seems very much like one of those kind of tools.   Hilary Sample: Yeah. Well, we had one of the 1st times that we brought the prototype to a friend of ours who has aphasia. And it kind of speaks to the exactly what you just said. Spending time now saves time later, or saves money. Saves, you know, all the other things right is our friend Bob, and he doesn't mind us using his name. But I'll let you tell this story a little bit, because you know more from the doctor. Bob was no longer a patient of ours, but we had spent time with him and his wife, and they were happy to maintain the relationship, and we showed him that after he had this experience but he was describing experience to us, he was having hip pain. He had a prior stroke hemiplegic and having pain in that hemiplegic side. So the assumption, medically, is, he probably has neuropathy. He probably has, you know, pain related to the stroke, and they were treating with some gabapentin which makes sense. But he kept having pain severe. 10 out of 10. Pain severe. Yeah. And just. We went back day after day, and not on the 3rd day back at the er they did an X-ray, and found he had a hip fracture and look at our app. He was like pointing all over to the things that show the descriptors that show not neuropathic pain, but again, musculoskeletal pain and that ability to, you know, without words we could point to where it hurts. But then, describing that pain is a makes a huge difference. And he knew he very clearly. Once he saw those pictures he like emphatically, yes, yes, yes, like this is this, we could have, you know, if we could have just found out this stuff, we wouldn't have had to go back to the er 3 times and go through all that wrong treatment and this severe amount of pain that really took him backwards in his recovery to physically being able to walk. And things like that, you know, it's just finding out. Getting more clarity at the beginning saves from those kind of experiences from the pain of those experiences. But also, you know, we talked about earlier. If you have to sort of make an assumption, and you have to make sure that you're thinking worst case scenario. So in other situations where you send out with a chest pain and things like that, there's a lot that's lost for the person with aphasia because they might have to start their whole rehab journey over. They have to incur the costs of that experience. And you know they might come back with, you know, having to start completely over, maybe even new therapists like it's. And then just the emotional side of that. So, it not only saves time, but it. It saves money. It saves emotional. Yeah, the emotional consequences, too.   Jerry Hoepner: Yeah. Therapeutic Alliance trust all of those different things. Yeah, sure. Yeah. I mean, I just think that alone is such an important reason to put this tool in the hands of people that can use it. We've been kind of talking around, or a little bit indirectly, about the med concerns app. But can you talk a little bit about what you created, and how it's different than what's out there.   Hilary Sample: Yeah, may I dive in, please? Okay, so we yeah, we indirectly kind of talked about it. But I'll speak about it just very specifically. So it starts with an introduction, just like a physician would enter the room and introduce themselves. This is a multimodal introduction. There's the audio. You can use emojis. What have you then, the General? How are you? Just as Steve would ask, how I'm doing this is, how are you with the multimodal supports and then it gets to kind of the main part of our app, which is, it starts with broad concerns. Some of those concerns, pain, breathing issues, bowel bladder illness. Something happened that I need to report like a fall or something else and the list continues. But you start with those broad concerns, and then every selection takes you to a confirmation screen where you either, you know, say, yes, that's what I was meaning to say, or you go back and revise your selection. It follows with narrow choices under that umbrella concern, the location type of pain, description, severity, exacerbating factors. If you've hit that concern so narrow choices to really get a full description of the problem, and including, like, I said, timing and onset. And then we end with a summary screen that shows every selection that was made and you can go to a Yes, no board to make sure that that is again verified for accuracy. So, it's a really a framework guiding the user, the therapist healthcare provider person with aphasia caregiver whomever through a supported approach to evaluating medical concerns. So generally, that's the way it functions. And then there are some extras. Did you want me to go into those? A little bit too sure.   Jerry Hoepner: Sure. Yeah, that would be great.   Hilary Sample: Right? So 1 1. It's not an extra, but one part of it that's very important to us as we just talked about our friend Bob, is that pain? Assessment is, is very in depth, and includes a scale description, locations, the triggers, the timing, the onset, so that we can get the correct pathway to receiving intervention. This app does not diagnose it just, it helps support the verbal expression or the expression. Excuse me of what's wrong. So, it has that general aphasia, friendly design the keywords, simple icons that lack anything distracting, clear visuals simple, a simple layout. It also has the audio that goes with the icon, and then adjustable settings, and these include, if you know, people have different visual and sensory needs for icons per screen, so the Max would be 6 icons on a screen, although, as you scroll down where there's more and more 6 icons per screen. But you can go down to one and just have it. Be kind of a yes, no thing. If that's what you need for various reasons, you can hide specific icons. So, if you're in a setting where you don't see trachs and pegs. You can hide those so that irrelevant options don't complicate the screen. There's a needs board. So we see a lot of communication boards put on people's tray tables in in the healthcare setting, and those are often they often go unused because a lot of times they're too complex, or they're not trained, or they, for whatever reason, there's a million reasons why they're not used. But this one has as many options as we could possibly think might need to be on there which any of those options can be hidden if they need to be. If they're not, if they're irrelevant to the user language it's in. You can choose between English and Spanish as it is right now, with more to come as we as we move along, and then gender options for the audio. What voice you'd like to hear? That's more representative. And the body image for the pain to indicate pain location. There's some interactive tools that we like to use with people outside of that framework. There's the whiteboard for typing drawing. You can use emojis. You can grab any of the icons that are within the app. So, if you know we if it's not there and you want to detail more, you can use the whiteboard again. That needs board the Yes, no board. And then there's also a topic board for quick messages. We wanted to support people in guiding conversations with their health care providers. So, I want to talk to Steve about how am I going to return to being a parent? Once I get home, what's work life going to be. I want to ask him about the financial side of things. I want to ask him about therapy. I want to report to him that I'm having trouble with communication. I want to talk on a certain topic. There's a topic board where you select it. It'll verify the response. It has a confirmation page, but from there the physician will start to do their magic with whatever that topic is. And then, of course, there's those summary screens that I already detailed, but those have been very useful for both, making sure at the end of the day we verify those responses but then, also that we have something that's easy to kind of screenshot. Come back to show the physician. So show the nurse as like a clear message that gets conveyed versus trying to translate it to a verbal message at the end from us, and maybe missing something so straightforward, simple to address very complex needs, because we know that people with aphasia would benefit from simple supports, but not they don't need to stay on simple topics. They have very complex ideas and information to share. So we wanted to support that. That's what it is in a nutshell that took a nutshell. I love that. It's on my phone, or it could be on your.   Jerry Hoepner: Oh, yeah.   Hilary Sample: Or on your or on your apple computer. If you wanted that, it's on the app store. But I love this on my phone. So, I just pull in my pockets and use it. Or if you happen to have an another device that works also.   Jerry Hoepner: Sure.   Hilary Sample: We're in the. We're in the process of having it available in different ways. There's a fully developed android app as well. But we're very much learners when it comes to the business side of things. And so there's a process for us in that, and so any. Any guidance from anybody is always welcome. But we have an android that's developed. And then we're working on the web based app so that we could have enterprise bulk users for enterprise, licensing so that that can be downloaded straight from the web. So that's all. Our vision, really, from the onset was like you said, shifting the culture in the system like if there's a tool that from the top, they're saying, everybody has this on their device and on the device that they bring in a patient's room, and there's training on how to use it, and that we would provide. And it wouldn't need to be much, just simple training on how to use it. And then you see that they are. They get that little bit more education. And then it's a consistent. We know. We expect that it'll be used. The culture can shift from within. And that's really the vision. How we've started is more direct to consumer putting it on the app store. But that's more representative of our learning process when it comes to app development than it is what our overall vision was, I want to say that equally as important to getting this into systems is having it be on a person's device when they go to a person with aphasia's device when they go to an appointment. I always, when we've been asked like, Who is this? For we generally just kind of say, anybody that that is willing to bring it to the appointment, so that communication supports are used, and maybe that'll be the SLP. Maybe it's the caregiver. Maybe it's care partner or communication partner, maybe a person with aphasia. Maybe it's the healthcare staff. So, whoever is ready to start implementing an easier solution. That's for you.   Jerry Hoepner: Yeah, absolutely. And that brings up a really interesting kind of topic, like, what is the learning curve or uptake kind of time for those different users for a provider on one hand, for a person with aphasia. On the other hand, what's a typical turnaround time.   Hilary Sample: We've tried to make it really intuitive, and I think well, I'm biased. I think it is   Hilary Sample: I for a provider. I think it's very easy to show them the flow and it, and it becomes very quickly apparent. Oh, it's an introduction. This is putting my name here. What my position is next is a how are you that's already walk in the room, anyways. And that's that. What are your concerns? Okay, that that all. Okay. I got that I think with time and familiarity you could use the tool in different ways. You don't have to go through the set up there you could jump to whatever page you want from a dropdown menu, and I find that at times helpful. But that's you. Don't have to start there. You just start with following the flow, and it's set up right there for you. The, as we all know people with the page I have as all of us have different kind of levels, that some people, they, they see it, they get it, they take the app, and they just start punching away because they're the age where they're comfortable with electronic devices. And they understand the concept. And it takes 5 seconds for them to get the concept and they'll find what they want. Some of our older patients. It's not as quick. But that's okay. My experience with it's been funny to show to use it with people with aphasia versus in another communication disorders, and using it with or showing it to people in the field or in healthcare in general, or you're just your average person most of the time that I showed this to a person with aphasia or who needed communication supports. It's been pretty quick, even if they didn't use technology that much, because it is it is using. It's the same as what we do on with pen and paper. It's just as long as we can show them at the onset that we're asking you to point or show me right. And so once we do that and kind of show that we want you to select your answer, and some people need more support to do that than others. Then we can move forward pretty easily. So people with aphasia a lot of times seem to be waiting for communication supports to arrive, and then you show them it, and they're like, Oh, thanks, you know, here we go. This is what's going on. Of course, that's there are varying levels of severity that would change that. But that's been my experience with people with aphasia. When I show people that do not have aphasia. I see some overthinking, because you know. So I have to kind of tell people like, just them you want them to point and hand it over, you know, because when I've seen people try to move through it, they're overthinking their what do you want me to do? I'm used to doing a lot with an app, I'm used to, you know, and the app moves you. You don't move it. So the real training is in stepping back and allowing the communication supports to do what you're thinking. I need you to do right. Step back and just let the person use the communication supports to tell you their message. And you, you provide those supports like we tend to provide more training on how to help somebody initiate that pointing or maybe problem solving the field of responses or field of icons that's on the page, or, you know, troubleshooting a little bit. But the training more is to kind of have a more hands off. Approach versus you know, trying to move the app forward since the apps focus, really, on describing what's going on with somebody and not trying to diagnose once someone gathers. Oh, I'm just trying to get out what I'm experiencing, it becomes very intuitive. Yeah, that's the issue. And this is, yeah, that's how describes it more. And yeah, this is about when it started that   Jerry Hoepner: That makes sense. And it's in line with what we know about learning use of other technologies, too, right? Usually that implicit kind of learning by doing kind of helps more than here's the 722, you know, pieces of instruction. So yeah, that kind of makes sense.   Hilary Sample: Simple training. I just to throw in one more thought I you know a little bit of training on what communication supports are, and then you show them. And it really, the app shows you how to use communication supports. And so it, you know instead of having to train on that you can just use the app to show them, and then and then they sort of start to have that awareness on how to use it and know how to move forward from there. Generally, there's some training that needs to be to be had on just where things are maybe like the dropdown menu, or you know what's possible with the app, like changes, changes, and settings and the adjustments that we talked about earlier but usually it's a little bit of a tool that I use to train people how to use communication support. So, it's sort of like the training is embedded. So we're doing both at the same time. You're getting to know the app, and you're learning more about how to support communication in general.   Jerry Hoepner: I think that's a really great takeaway in terms of kind of that double value. Right? So get the value to the person with aphasia from the standpoint of multimodal communication and self-advocacy and agency, those kinds of things, and then the value to the providers, which is, you learn how to do it right by doing it.   Hilary Sample: Which is great. Yeah.   Jerry Hoepner: Really like that.   Hilary Sample: Some of the most meaningful experiences I've had are with nurses like, you know, some of those incredible nurses that, like they see the person with aphasia. They know they know what to say, they want to. They know that the person knows what they want to say, but has difficulty saying it. We have one person I won't mention her name, but she's just incredible, and you know the go to nurse that you always want to be in the room she pretty much was like, give me this as soon as we told her about it, and I did, you know, and she goes. She's like, see, you know she uses it as a tool to help her other nurses to know what's possible for these. She's such an advocate but if it can be used like that to show what's possible like to show, to reveal the competency, and to let other nurses know, and other physicians, and so on, to help them to truly see the people that they're working with. It's like that's my favorite part. But the it's not only like a relief for her to be able to have a tool, but it's exciting, because she cares so much, and that like Oh, I'll take that all day long. That's wonderful.   Jerry Hoepner: Absolutely well, it's been really fun having a conversation with you, and I've learned a lot more than I knew already about the app. Are there any other things that we want to share with our listeners before we close down this fun conversation.   Hilary Sample: I think maybe our hope is to find people that are ready to help kind of reach that vision of a culture shift from this perspective from this angle. Anybody that's willing to kind of have that conversation with us and see how we can support that. That's what we're looking for just to see some system change and to see what we can do to do that together, to collaborate. So if anybody is interested in in discussing how we might do that, that's a big goal of ours, too, is just to find partners in in aphasia advocacy from this angle.   Jerry Hoepner: That's great!   Hilary Sample: Perfect. I totally agree. We're very grateful for this conversation, too. Thank you so much, Jerry.   Jerry Hoepner: Grateful to have the conversation with both of you and just appreciate the dialogue. Can't wait to connect with you in future conferences and so forth. So, thank you both very much.   Hilary Sample: Thank you.   Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.

Interprofessional education (IPE) is important for health professions students, but advanced practice nursing students often lack opportunities to practice interprofessional care in ambulatory scenarios. A team of health professions educators designed an interprofessional simulation focused on the ambulatory care setting and implemented it with health science students at a large midwestern university. Family and psychiatric-mental health nurse practitioner students, along with students from undergraduate nursing, medicine, pharmacy, audiology, dental hygiene, social work, and physical therapy, participated in the virtual interprofessional simulation. In this podcast, Dr. Lisa Rohrig describes the simulation, its development, and the outcomes. The authors provide more detail in their article.    

Listen to this EASL Studio episode for insights on the new MASLD guidelines and their practical application. Hear from experts on navigating the nomenclature change, implementing guidelines in clinical workflows, and fostering behavioral change to improve patient outcomes across the care team.Moderator: Sven Francque Faculty: Marta Cervera, Elena George, Shelley KeatingThis programme is part of the EASL Guidelines Implementation Programme on MASLD supported by Boehringer Ingelheim and Madrigal Pharmaceuticals. Boehringer Ingelheim or Madrigal Pharmaceuticals have had no input in the selection and creation of this programme.Related episodeS5E5 – JHEP Live: The new nomenclature for SLD: A multidisciplinary evaluation and approachAll EASL Studio Podcasts are available on EASL Campus.Click here to see all EASL Video Podcasts on Apple Podcasts.

Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions (Dental Business Radio, Episode 59) In this episode of Dental Business Radio, host Patrick O’Rourke broadcasts live from the 16th Annual Insurance Extravaganza. Special guest Kandra Sellers, a speaker at the event, discusses the integration of medical billing in dental practices. She […]

Interprofessional team training (IPTT) prepares students from health care professions for team-based care. In this podcast with Dr. Allison Shorten, you will learn why IPTT is important. In their study with 866 students from 11 professions, they compared in-person and online delivery of IPTT: both groups improved, but the in-person delivery resulted in the greatest improvement. However, as Dr. Shorten explains, advantages from in-person delivery should be weighed against online logistical advantages. You can find more detail about the study in their article.   

In today's episode of Ditch the Lab Coat, we're delving into the often overlooked world of long Covid and post-viral syndromes. Ever wondered why the medical community wasn't fully prepared for the enduring effects of post-viral conditions despite its potential impact?Dr. Mark Bonta talks with Dr. Funmi Okunola, a family physician and advocate for patients with Long Covid. Dr. Okunola discusses the challenges and frustrations surrounding the medical community's response to Long Covid and highlights her work in educating both the public and healthcare professionals about the condition.Throughout the episode, Dr. Okunola shares her journey from practicing family medicine to focusing on patient advocacy through digital education platforms. She aims to bridge the gap between medical evidence and public understanding, providing accessible and credible information to combat misinformation.Dr. Okunola emphasizes the lack of preparedness in the medical field for post-viral syndromes and the need for a shift in medical education to include complex chronic diseases like Long Covid, fibromyalgia, and ME/CFS as core parts of the curriculum. The conversation is rich with insights on how to better support patients with Long Covid and calls for a more proactive approach in the healthcare system to recognize and address complex chronic diseases. Dr. Okunola's passion for advocacy and education is a central theme in this episode, urging both healthcare providers and the public to acknowledge and act on the realities of Long Covid.Episode HighlightsUnprepared for Post-Viral Syndromes The medical community wasn't ready to tackle long-term effects of viral infections like Long Covid.Dr. Funmi Okunola's Journey From family medicine to Long Covid advocacy, Dr. Okunola founded educational initiatives during the pandemic to address patients' unmet needs.Navigating Healthcare for Long Covid Dr. Okunola and colleagues highlight the need for ongoing, informed care for Long Covid, often overlooked by the health system.Complexity in Diagnosis Treating conditions without clear tests or markers requires a multifaceted approach and reliance on patient narratives.Educational Gaps in Medicine Dr. Okunola argues for integrating complex chronic disease education in medical training as a part of core curriculum.Global Health Crises Insight Long Covid research offers a broader understanding of immune response and the impacts of viral infections on public health.Call for Systemic Change Dr. Okunola emphasizes that Long Covid is a public health issue needing urgent attention in both medical practice and policymaking.Episode Timestamps04:17 — Interprofessional approach for complex diagnoses10:01 — Urgent need for Long COVID recognition12:18 — Physician frustration with healthcare system15:56 — Misinformation & public health concerns17:48 — Somatic Symptom Disorder explained23:27 — Effective management strategies for Long COVID26:37 — Evidence vs. belief in diagnostics27:29 — Discussion on Long COVID & POTS33:28 — Long COVID exercise recommendations debunked37:28 — Causes and effects of Long COVID40:13 — Long COVID as an ignored immune threat42:43 — Public health vs. individual freedom47:13 — Campaigning for chronic disease education49:59 — Embracing complexity in healthcareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    

Effective oncology care thrives on collaboration, and in this episode, we're joined by two trailblazing oncology nurses, Elizabeth Bettencourt, MSN, RN, OCN, and Mary Anderson, BSN, RN, OCN, who share their wealth of experience and passion for improving cancer care. Together, they introduce a newly developed Positive Quality Intervention (PQI) within the Oral Anticancer Medication (OAM) Care Compass—a collaborative resource created with the Oncology Nursing Society to enhance interprofessional teamwork and streamline oral anticancer medication workflows.Elizabeth and Mary take us inside the process of mapping oral oncolytic workflows, breaking down how this PQI can improve team-based care, patient adherence, and overall safety. More than just a structured approach, this initiative represents a commitment to ensuring that every patient receiving oral anticancer therapy is fully supported by a well-coordinated healthcare team.This episode goes beyond workflows and best practices—it's about the people behind the care. Elizabeth and Mary bring their deep understanding of oncology nursing to the conversation, shedding light on how interprofessional collaboration can truly transform patient outcomes. Whether you're a nurse, pharmacist, or part of the oncology care team, you'll walk away with both practical insights and a renewed appreciation for the dedication that fuels high-quality cancer care. Explore the Resources:Oral Anticancer Medication Patient Management Workflow Evaluation and Process Mapping PQIOAM Care Compass  About the Guests:Elizabeth Bettencourt, MSN, RN, OCNWith more than 30 years in oncology, Elizabeth has dedicated the last 13 years to creating a comprehensive oral oncolytic program at Palo Alto Medical Foundation/Sutter Health. Her program, which has touched countless lives, weaves together prescription processing, education, and ongoing patient monitoring to ensure the best possible outcomes for patients battling cancer. Elizabeth's approach is a testament to the power of creating systems that truly support both patients and the oncology care team.Mary Anderson, BSN, RN, OCNMary's 36 years in oncology nursing are defined by her commitment to improving patient care and safety. Her journey, shaped by the struggles she saw patients face with oral anticancer medications, led her to develop critical interprofessional processes to enhance adherence and care. Now serving as the Senior Manager of Nursing Initiatives at NCODA, Mary's mission is to equip oncology nurses with the tools and confidence they need to provide exceptional, compassionate care. Her passion for empowering others shines through in everything she does. 

Interprofessional collaborative practice involves health care providers from different specialties working together beyond traditional referral models. "It's not just referring someone out and saying you're working with them, but actually working with those professions to bring the best outcome for the patient," says Amy Moy, OD, FAAO, CPCO, FNAP. Other fields, particularly in hospital and community health settings, already embrace this model, with professionals coordinating care plans and sharing patient management responsibilities, but optometry has some catching up to do, she says.

In this episode, Christian interviews Dr. Mike Christian, an expert in critical care and disaster medicine. Dr. Christian shares his experiences responding to major crises, including the SARS outbreak, the Haiti earthquake, and the London Bridge attack. He discusses his journey into medicine, the challenges he faced, and the importance of mental health in first responders. The conversation highlights the resilience of individuals in crisis situations and the critical decision-making required in emergency medicine. This conversation delves into the critical aspects of mental health in emergency medicine, focusing on the interplay between primary and secondary stressors faced by first responders. It emphasizes the importance of organizational culture in mitigating these stressors and highlights the benefits of interprofessional teams in pre-hospital care. The discussion also outlines key strategies for improving mental health support within organizations and the potential for implementing successful models from other countries in North America.TakeawaysDr. Christian emphasizes the importance of stepping forward to help in crises.His experience during the SARS outbreak taught him about emergency preparedness.A thirst for knowledge drove him to pursue a career in medicine.Overcoming initial struggles in education was pivotal for his success.The devastation in Haiti highlighted the need for basic public health measures.Human resilience in disaster zones can be inspiring and eye-opening.Split-second decisions can significantly impact patient outcomes in emergencies.Mental health discussions are crucial in the physician community.Teamwork is essential in emergency response and decision-making.Learning from experiences in the field is vital for growth in medicine. Mental health issues in emergency medicine must be openly discussed.Primary stressors are inherent to the job, but secondary stressors can be managed.Organizational culture significantly impacts employee well-being.Leaders must prioritize addressing secondary stressors to improve outcomes.A learning culture within organizations fosters improvement and adaptability.Caring for both patients and staff is essential for effective service delivery.Interprofessional teams have shown to improve patient survival rates.Understanding the potential of interprofessional collaboration is crucial for change.Overcoming cultural attitudes towards emergency care is necessary for progress.Support systems for first responders can enhance their performance in critical situations.Chapters00:00Introduction to Dr. Mike Christian05:00The Journey into Medicine16:09Reflections on the Haiti Earthquake27:30Mental Health in First Responders33:06The Impact of Organizational Culture on Stressors39:25Interprofessional Teams in Pre-Hospital Care50:06Implementing Change in North American Emergency ServicesThank you for listening! For more Team Ten Eight content, follow us on Facebook, Twitter, Instagram and LinkedIn!

Catalunya continuarà tenint MotoGP, en Jep ens parla de les seves dues grans passions: les motos i… una altra. Espanya, pitjor que mai en l'índex de la lluita contra la corrupció: en Jose López Vilademunt repassa el rànquing. En Jean Paul i The Nèbots estrenen nou hit, dedicat al Salari Mínim Interprofessional.

Dr. Ashley Shelton, a senior instructional designer, discusses her role in overseeing continuing education (CE) programs and advancing interprofessional continuing education (IPCE) at the University of Louisville. She explains the importance of joint accreditation, a collaborative effort among multiple accrediting bodies, which aims to simplify the accreditation process for healthcare professionals. Dr. Shelton emphasizes the need for a team-based approach to healthcare, where professionals from different fields, such as medicine, nursing, and social work, collaborate to improve patient outcomes. She highlights the significance of interprofessional education in enhancing communication, teamwork, and understanding among healthcare workers. The university is working towards formal approval for offering interprofessional CE credits, which would broaden the scope of learning opportunities for clinicians. Dr. Shelton also encourages faculty to reconsider their approach to CE programming by focusing on team collaboration and the unique roles of each member to create more impactful educational experiences.   Do you have comments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We look forward to hearing from you.

In this episode, we discuss the role of interprofessional teams within pre-hospital care and examine the latest research published on this topic. Over the past three decades, the role of physicians in pre-hospital care has grown significantly. In this episode, we are joined by Dr Mike Christian. Beginning his career as a paramedic, Mike is now a critical care physician, researcher, and educator in PHEM. He specialises in interprofessional team care for critically ill patients in Canada. He has held leadership positions in PHEM and hospital systems in the UK and in Canada. Mike's research demonstrates the transformative impact of inter-professional teams, which bring together physicians, paramedics, and other specialists to enhance care delivery and improve patient outcomes. This episode explores the evidence behind these teams, shedding light on their ability to reduce mortality and improve survival for critically ill and injured patients. We'll discuss the benefits, challenges, and future potential of these teams, touching on the training, logistical, and systemic considerations that shape their implementation. The research can be found here: Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis https://link.springer.com/article/10.1186/s13049-024-01298-8   Interprofessional Learning in Multidisciplinary Healthcare Teams Is Associated With Reduced Patient Mortality: A Quantitative Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/37921751/ A link to the Canadian Critical Care Conference presentation mentioned by Mike in the interview can be found here: https://youtu.be/MVDHaYaZRSI. This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range please click here: ⁠https://www.pax-bags.com/en/⁠

Creating interprofessional experiences between didactic pharmacy students and perscribers can be challenging for all schools/colleges of pharmacy, yet these experiences remain an important part of the student experience and accreditation standards. Some schools face additional geographic and institutional barriers based on their physical location and the programs offered by their colleges/universities. Join us as we hear from a panel of faculty and administrators who have implemented creative solutions to successfully deliver exceptional interprofessional experiences.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

In this concluding episode, we discuss how to improve communications with other physicians, colleagues, and staff members through improv. (27.13)

CME credits: 0.75 Valid until: 17-12-2025 Claim your CME credit at https://reachmd.com/programs/cme/interprofessional-monitoring-and-management-of-aes-with-her3-directed-adcs/26458/ This 6-episode program will guide healthcare professionals who treat advanced non-small cell lung cancer (NSCLC) through the biology of HER3 overexpression to broaden their understanding of its potential as a therapeutic target in EGFR-resistant advanced NSCLC. Tune in to enhance your confidence in applying scientific evidence to the creation of effective treatment strategies and develop evidence-based approaches for implementing novel HER3-directed antibody-drug conjugates (ADCs). Our experts also focus on the adoption of a team-based approach to help you monitor and manage treatment-related adverse events associated with HER3-directed ADCs.

Join Prof.Regina Callion MSN, RN the #1 instructor on the planet for this episode of Winning Wednesday as we explore Otitis Media, a common ear infection affecting millions, especially children. Discover what Otitis Media is and the different types, including acute and chronic. We'll discuss why children are more prone to this condition, the various causes, and the symptoms to look out for. Additionally, we'll explain how healthcare professionals diagnose Otitis Media and the treatment options available. Whether you're a parent, caregiver, or healthcare professional, this video will provide you with essential information to help you understand and address Otitis Media effectively. Don't miss out—watch now! Don't forget to like, comment, and subscribe for more informative content on nursing and healthcare topics. Download the ReMar V2 App: ►For iOS: https://apps.apple.com/us/app/remar-v2/id6468063785 ►For Android: https://play.google.com/store/apps/details... ► Find JOBS: http://ReMarNurse.com/jobs ► NCLEX for Africa - http://ReMarNurse.com/KENYA ► Get NCLEX V2: http://www.ReMarNurse.com ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/ ► Subscribe Now on YouTube - http://bit.ly/ReMar-Subscription  

Naomi Saks, MDiv '10, Chaplain at University of California, San Francisco Medical Center offered remarks via Zoom about her new book, "Intentionally Interprofessional Palliative Care." Naomi was joined by one of her co-authors Chaplain Paul Galchutt. Sponsored by the Office is Religious and Spiritual Life Full transcript forthcoming.

Educational institutions often struggle to access faculties from different health care fields for interprofessional simulations. Nursing and paramedicine educators from a university and a community college collaborated on a simulation on the management of immunization anaphylaxis in the community. Dr. Janet Loo and Ms. Tammie Muise describe the simulation, its development, and students' learning outcomes. They also discuss the challenges they encountered in implementing this simulation (e.g., coordinating schedules, space, and training of facilitators) and how they addressed these. If you are interested in offering community based interprofessional simulations, be sure to read their article.

Interprofessional education (IPE) is a pivotal force shaping the future of health care delivery. This podcast highlights aspects of and approaches to IPE within pharmacy education. Full text of the manuscript is available at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/jac5.2011

In fellowship, one of the leaders at MGH used to quote Balfour Mount as saying, “You say you've worked on teams? Show me your scars.”  Scars, really?  Yes. I've been there. You probably have too. On the one hand, I don't think interprofessional teamwork needs to be scarring. On the other hand, though it goes against my middle-child “can't we all get along” nature, disagreement is a key aspect of high functioning teams.  The key is to foster an environment of curiosity and humility that welcomes and even encourages a diversity of perspectives, including direct disagreement. Today we talk with DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace about the notion that we should revolutionize our education programs, training programs, teams, incentive structures, and practice to be intentionally interprofessional in all phases.  The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “Intentionally Interprofessional Palliative Care” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. And they begin on today's podcast with one clinical ask: everyone should be a generalist and a specialist. In other words, in addition to being a specialist (e.g. social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. Many more approaches to being interprofessional on today's podcast.  But how about you! What will you commit to in order to be more intentionally interprofessional? If we build this dream together, standing strong forever, nothing's gonna stop us now… -@AlexSmithMD    Interprofessional organizations that are not specific to palliative care are doing excellent work National Center for Interprofessional Practice and Education: https://nexusipe.org/ National Collaborative for Improving the Clinical Learning Environment https://ncicle.org/ Interprofessional Education Collaborative (home of the IPEC Competencies) https://www.ipecollaborative.org/ American Interprofessional Health Collaborative (sponsor of the biennial meeting "Collaborating Across Borders") https://aihc-us.org/index.php/ Health Professions Accreditors Collaborative https://healthprofessionsaccreditors.org/

In this episode of the What's Best for the Patient is Best for Business podcast, host Jerry Durham sits down with Dr. Tina Gunaldo, a physical therapist and advocate for interprofessional collaboration in healthcare. Drawing from her years of experience and passion for creating cohesive healthcare teams, Dr. Gunaldo breaks down the true essence of patient-centered care and the vital role of interprofessional teamwork in achieving it.Jerry and Dr. Gunaldo dive deep into the distinctions between multidisciplinary, interdisciplinary, and interprofessional care, and discuss why understanding each model is crucial for healthcare professionals and leaders alike. Dr. Gunaldo shares her insights on the common barriers to effective team collaboration and offers practical strategies to overcome them—whether it's better communication, understanding roles and responsibilities, or learning to respect every professional's contribution to the patient's journey.If you've ever wondered how to transform your healthcare practice to provide the best patient outcomes while fostering a stronger sense of community and teamwork, this episode is for you. Tune in to discover why adopting an interprofessional approach isn't just better for patients—it's better for business, too. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Bonus Conference Episode: CPQI 2024 Opening Session

Dr. Breitbach has done a lot in his career and worked in many different settings prior to moving into academics. From there he has been a program director and now works as a vice dean and professor and his research focuses on interprofessional education and collaborative practice. Dr. Breitbach has been deeply involved with this area of research and education through the courses he teaches at Saint Louis University. In this episode we discuss what interprofessional education and collaborative practice are and how they can be applied to athletic training and building a healthcare team. As we have seen in my instances, a team is what can make a difference and help provide the highest level of care to the patients they serve. Dr. Breitbach provides an abundance of insight into these topics and a lot of takeaways about the importance of them and how to implement them in your daily practice. Please enjoy. In this Episode: +Interprofessional education and collaborative practice defined +Learn about, from and with +Generalizability in research: longer and wider +Common purpose, interprofessional identity (dual identity formation) +High impact practice +ATs need to own and share our unique skillsets +”It's your path, I just happen to be on it.” Connect LinkedIn: Anthony Breitbach LinkedIn: NATA IPEP Twitter: @BE_4_IPE Twitter: @NATA_IPEP IG: @anthonybreitbach FB: https://www.facebook.com/anthony.breitbach/ @: anthony.breitbach@health.slu.edu www.athletictrainingchat.com www.cliniallypressed.com SUBSCRIBE:https://www.youtube.com/channel/UCc3WyCs2lmnKK6shrL5A4hw?sub_confirmation=1#ATCchat #ATtwitter #complicatedsimple #atimpact #at4all #nata #boc #bocatc #athletictraining #athletictrainingchat #health #medicine #medical #careeverywhere #service #marketing #ATvalue --- Support this podcast: https://podcasters.spotify.com/pod/show/athletictrainingchat/support

Amber King, PharmD, BCPS, FNAP; Brooke Salzman, MD; and Shoshana Sicks, EdD, discuss the rationale for using patients as teachers, the Health Mentors Program, the interprofesionalism of the program, the three modules in meeting with the patients (mentors), an example of an advocacy project, the benefits of the program, and training for the patients to be mentors with Barbara Lewis, MBA, PhDc.  

If you are interested in developing an interprofessional course to teach the concept of big data, this podcast and article are for you. Dr. Margaret Jeanne Calcote discusses the course they developed that introduces students from the schools of nursing, medicine, and pharmacy to the use of big data in health care. Students use the academic medical center's Patient Cohort Explorer software application to access electronic health record data. Dr. Calcote explains how the competencies nursing students demonstrated in this course align with the new AACN Essentials.

With the advent of artificial intelligence, groundbreaking advancements are changing the landscape of drug diversion prevention. Advanced analytics are uncovering proactive strategies to prevent and address drug diversion more robustly. This transformative technology has reshaped the perception of drug diversion to one that requires a collaborative, interdisciplinary approach. In this podcast, we delve into the imperative for pharmacists, nurses, and other healthcare professionals to unite, taking collective responsibility for tackling this escalating challenge.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

What is pelvic tilt? How do we implement a screening process in real life? What are some of the therapeutic interventions to correct pelvic tilt? We discussed all of these and more with Caroline Davenport. We also chatted about how she worked with her strength and conditioning coach to implement real changes to her athletes. Timestamps 9:11- What is pelvic tilt? 12:57- Complications of an excessive pelvic tilt 17:25- Applying a pelvic tilt screen to team sport athletes 28:08- Interprofessional collaboration during the screening process 32:03- Therapeutic interventions 35:07- Focus of rehab Action Item: When should the athletic trainer evaluate for pelvic tilt? -- AT CORNER FACEBOOK GROUP: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/atcornerpodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram, Website, YouTube, and other links: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠atcornerds.wixsite.com/home/links⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ EMAIL US: atcornerds@gmail.com Check out Clinically Pressed for available CEU courses: https://clinicallypressed.org/courses-home/ SAVE on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbridge⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠: Use code ATCORNER to get $150 off your subscription Music: Jahzzar (betterwithmusic.com) CC BY-SA -- -Sandy & Randy

In this podcast, Dr. William Hammond and Patricia Valdez discuss the AJHP Descriptive Report, “Impact of a pharmacy technician on an interprofessional antithrombotic stewardship program at an academic medical center,” with host and AJHP Editor in Chief Dr. Daniel Cobaugh.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Chaitra Badve, MD and Dan Ma, PhD discuss the collaborative relationship aimed to develop and use MR fingerprinting to transform clinical care. About Chaitra Badve, MD About Dan Ma, PhD Learn more about the University Hospitals Research & Education Institute Follow Us on Social:      

Cynthia Dougherty, PhD, MSW, FANP, discusses Ohio State University's Interprofessional Community Scholars program that pairs teams of students with older adults, the training the students undergo prior to the pairing, drivers of teamwork, how teams are compiled, and feedback from students and patients with Barbara Lewis, MBA. 

In this episode of HSS presents, Sharlynn Tuohy, the assistant Vice President for Rehabilitation and Performance at HSS, speaks to Tricia Bonamo, the clinical director of the advanced practices providers at HSS. Join them as they discuss some of the key takeaways from the HSS Journal's February 2024 Special Issue on the shortened stay for total joint arthroplasty including changing organization and patient culture, setting expectations, and implementing efficient day of surgery protocols in order to minimize barriers to patient discharge. 1

Dr. Wendy Ward talks about finding one's joy in work, the importance of self-assessment, and being aware of own's own blinders when considering professional opportunities. Dr. Wendy Ward is the Associate Provost for Faculty and the Director of Interprofessional Faculty Development at the University of Arkansas for Medical Sciences.     

Click here for the Revenue Recovery cheat sheet:
https://hubs.ly/Q02yqht40Welcome to the next episode of our HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with MedAxiom's Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation, and Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They discuss the coverage eligibility for Interprofessional Consultation services and share specific examples your practice can use to capture those services, all while improving patient care.Guest Bios:Nicole F. Knight, LPN, CPC, CCS-PExecutive Vice President, Revenue Cycle Solutions and Care Transformation ServicesAs the Executive Vice President of Revenue Cycle Solutions and Care Transformation Services at MedAxiom, Nicole provides guidance to MedAxiom's membership in cardiovascular operations, LEAN process improvement and the revenue cycle. Nicole applies her decades of healthcare experience in cardiovascular and neurology practice operations, clinical management, business office management and consulting to leading the Revenue Cycle Solutions team at MedAxiom. 
  
Prior to joining MedAxiom, Nicole served as a practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has delivered physician and staff coding and compliance education sessions nationally. 
  
Nicole has completed numerous education hours towards a Bachelor of Science in health care administration. In addition, she maintains her licensed practical nurse credential in Florida. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified American Health Information Management Association (AHIMA) ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She has also served on the Physician Practice Council for AHIMA. 
  
Areas of Expertise: • Cardiology and neurology practice operations Linda Gates-Striby, CCS-P, ACS-CAMedAxiom Consultant, Revenue Cycle SolutionsAs a Revenue Cycle Solutions Consultant at MedAxiom, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and recommendations for simplifying often complex initiatives to minimize risk and maximize revenue.  Linda has worked in the medical field for over 30 years and has specialized in cardiology coding for 25 years. Her clinical experience includes working in the heart stations and coronary intensive care units and serving as an emergency medical technician for a level-one trauma center. As a coding specialist, she focuses on compliance, revenue cycle and quality for a large cardiology and multispecialty practice. She is also the director of quality assurance at the Ascension Medical Group in Indiana. Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. Linda serves as a non-physician member of the American College of Cardiology's coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, led the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and acts as a technical editor for cardiology-focused newsletters. Linda has served as an independent review organization auditor for the Office of Inspector General Corporate Integrity Agreements and as an expert witness on behalf of cardiology practices. 

Dr. Douglas Rett speaks about his leadership role in Optometry, how teaching keeps him curious and humble, and how he has chosen the “harder path” at various times in his career. Dr. Douglas Rett is the Chief of Optometry at VA Boston Healthcare System.  

In this episode of Faculty Feed, listen in as Drs. Hugh Shoff and Demetra Antimisiaris surface how interprofessional continuing education (IPCE) activities can drive quality improvement and patient safety initiatives. These two faculty members bring the perspectives of an emergency medicine physician with training in quality improvement and patient safety, and a pharmacist with years of experience teaching interprofessional education around polypharmacy. Don't miss this episode because IPCE is coming to UofL very soon. Do you have comments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We look forward to hearing from you. --- Send in a voice message: https://podcasters.spotify.com/pod/show/hscfacdev/message

Highlights of the JAANP issue topics: NP Fellowship, NP voluntary turnover, Interprofessional education, postoperative cardiac opioid prescribing, Posterior reversible encephalopathy syndrome

Las conversaciones acerca del alcance de nuestra práctica y de nuestras competencias son muy comunes hoy en día en nuestra profesión. Los fonoaudiólogos y los analistas de conducta coinciden frecuentemente en los apoyos e intervenciones para el desarrollo de habilidades comunicativas. Coinciden en la práctica y en algunos casos en competencias desde un mismo enfoque o en otros desde un ángulo distinto. En una efectiva colaboración entre estas disciplinas es importante reconocer los marcos conceptuales y las tecnologías que ambas disciplinas proponen para así maximizar las maneras en que las mismas se complementan y se superponen. En otras palabras, donde las disciplinas se encuentran. Existen ‘unicornios' capacitados en ambas disciplinas que nos demuestran el potencial de esta amalgama. Estefania Alarcón Moya es una de estas personas y en este episodio nos comparte sus perspectivas como analista de conducta/fonoaudióloga. Referencias Esch, B. E., LaLonde, K. B., & Esch, J. W. (2010). Speech and language assessment: A verbal behavior analysis. The Journal of Speech and Language Pathology – Applied Behavior Analysis, 5(2), 166–191.https://doi.org/10.1037/h0100270 Koenig, M., & Gerenser, J. (2006). SLP-ABA: Collaborating to support individuals with communication impairments. The Journal of Speech and Language Pathology – Applied Behavior Analysis, 1(1), 2–10. https://doi.org/10.1037/h0100180 Spencer, T. D., Slim, L., Cardon, T., & Morgan, L. (2020). Interprofessional collaborative practice between behavior analysts and speech-language pathologists. Association for Behavior Analysis.https://www.abainternational.org/constituents/practitioners/interprofessional-collaborative-practice.aspx The intersection between speech and language therapy and behavior analysis with Estefania Alarcón Moya Conversations about our scope of practice and competencies are very common in our profession today. Speech therapists and behavior analysts frequently overlap on supports and interventions for the development of communication skills. They coincide in practice and in some cases in competencies from the same approach or in others from a different angle. In effective collaboration between these disciplines, it is important to recognize the conceptual frameworks and technologies that both disciplines propose in order to maximize the ways in which they complement and overlap. In other words, where the disciplines meet. There are 'unicorns' trained in both disciplines who show us the potential of this amalgam. Estefania Alarcón Moya is one of these people and in this episode she shares her perspectives as a behavior analyst/speech therapist.

Guest: April Helper, LPC - Michelle is joined for this truly powerful episode by April Helper, LPC, Founder and Executive Director of Adagio House. The Adagio House “exists to provide high-quality, trauma-informed, attachment-based services to all types of caregivers and their loved ones, regardless of their ability to pay.” They engage in comprehensive care through psychotherapy, holistic wellness, mentoring, sustainable gardening, medical and psychiatric services, and psychological testing for neurodiverse individuals from toddlers to adults and their caregivers. April spends this hour talking about the various interprofessional practice partners that make this dream a reality and how to support their clients and caregivers ethically, and she offers strategies to make this a possibility.

In this “Voices with Vervaeke” episode, Terri Dentry and Cameron Duffy engage with John Vervaeke to explore the synergy between interprofessional practice and psychedelic integration. They discuss the 'psychedelic renaissance' and its significant role in modern therapy and research. The conversation emphasizes the necessity for a shared language and an integrative method across disciplines, integrating the four Ps and the 4Es of cognitive science. This episode provides an in-depth look at how these principles are revolutionizing our approach to mental health, the role of communities in health transformation, and their substantial effects on treating conditions like chronic pain and PTSD.   Cameron Duffy is a renowned expert in psychedelic integration counseling, focusing on the transformative potential of psychedelic therapies in mental health. His work is pivotal in exploring the intersection of psychedelic experiences with clinical practice, contributing significantly to the field with innovative approaches and deep insights into the mind-body connection.   Terri Dentry is a distinguished PhD graduate in interprofessional practice, known for her research on collaborative healthcare among diverse medical practitioners. Her work primarily focuses on chronic pain and PTSD treatment in refugees and asylum seekers, emphasizing the importance of teamwork and holistic approaches in patient care.   Glossary of Terms   Interprofessional Practice: Collaborative approach where healthcare professionals from different specialties work together for comprehensive patient care.   Psychedelic Integration: The process of assimilating insights from psychedelic experiences into everyday life, often through therapy.   Dual Diagnosis: A condition where an individual experiences both a mental illness and a substance use disorder simultaneously.   Transformational Process: A significant change in one's mental, emotional, or spiritual state, often following profound experiences.   John Vervaeke: Website: https://johnvervaeke.com/ YouTube: https://www.youtube.com/@johnvervaeke  Patreon: https://www.patreon.com/johnvervaeke   X: https://twitter.com/vervaeke_john   Facebook: https://www.facebook.com/VervaekeJohn/   Terri Dentry: https://scholar.google.com/citations?user=kRQuOmgAAAAJ&hl=en   Cameron Duffy: Website: https://www.capsychointegration.health/people/   Join our new Patreon https://www.patreon.com/johnvervaeke   The Vervaeke Foundation - https://vervaekefoundation.org/   Awaken to Meaning - https://awakentomeaning.com/   John Vervaeke YouTube Awakening from the Meaning Crisis https://www.youtube.com/playlist?list=PLND1JCRq8Vuh3f0P5qjrSdb5eC1ZfZwWJ After Socrates https://www.youtube.com/watch?v=ZOwjmZx12gk&list=PLND1JCRq8Vuj6q5NP_fXjBzUT1p_qYSCC   Quotes   "This is the beginning of a conversation that needs to grow and expand."​ - John Vervaeke   "The way we communicate and how this might evolve into a kind of philosophical language. [...] health treatment can evolve and is along with consciousness."​ - Cameron Duffy   Chapters with Timestamps   [00:00:00] Introduction [00:01:00] Terri Dentry's Background in Interprofessional Practice [00:08:03] Cameron Duffy on Psychedelic Integration [00:24:40] The Role of Collaboration in Healthcare [00:31:37] Psychedelic Renaissance in Therapy [00:47:42] Community Health Insights [01:02:06] Future Directions in Healthcare and Consciousness Evolution   Timestamped Highlights   [00:00:00] - Introduction by John Vervaeke with guests Terri Dentry and Cameron Duffy. [00:01:00] - Terri Dentry shares insights on interprofessional healthcare and the mind-body connection. [00:06:20] - Terri discusses Cameron's holistic patient approach using 4E cognitive science. [00:10:20] - Cameron and Terri discuss integrating psychedelic experiences in healthcare. [00:20:55] - Discussion on the mind-body connection in pain treatment and patient understanding. [00:31:40] - Cameron on the need for an integrative framework in the psychedelic renaissance. [00:36:00] - Discussion on alleviating human suffering and broadening the dialogue. [00:39:20] - Insights into historical approaches to mental health issues. [00:44:20] - Terri and Cameron talk about mental health challenges and community roles. [00:54:40] - Exploring therapeutic practices' potential in broader cultural contexts. [01:02:06] - Terri emphasizes the global importance of an integrated approach. [01:04:34] - Cameron expresses hope for the discussion's inspirational impact. [01:08:14] - John wraps up, encouraging further conversation on the discussed topics.  

Guest: Lynn Williams, PhD, CCC-SLP - This podcast will introduce listeners to strategies for developing interprofessional teams, the requirements for ethical interprofessional practice, strategies for addressing and negotiating conflicts and competition in interprofessional practice, developing successful interprofessional teams in school practice, and the ASHA Code of Ethics principles and rules related to interprofessional practice.

The time is now to revolutionize care delivery at the bedside. Come inspire to think differently. Learn how a large academic hospital transformed through an interprofessional, innovative approach. Patient quality, safety, experience, and decreasing turnover have been positively impacted after a successful launch of the new model. Learn how to work with existing resources, elevate practice to the highest level, and produce high quality outcomes while attracting and retaining team members!

On this episode of the Healthcare Education Transformation Podcast, Dr. Chris Hartness shares his educational journey on how he became a radiologist. He emphasizes the importance of learning from failures and being comfortable with being uncomfortable. Dr. Hartness also discusses the value of finding one's passion and how it can lead to a fulfilling career. He highlights the importance of collaboration and communication in the medical field, particularly in radiology. Dr. Hartness also provides insights into the process of ordering radiology exams and the role of radiologists in patient care.Key Takeaways:- Learning from failures is an important part of the educational journey.- Finding one's passion and aligning it with helping others can lead to a fulfilling career.- Collaboration and communication are essential in the medical field, especially in radiology.- Radiologists play a crucial role in ordering and interpreting radiology exams.- The appropriateness criteria can help guide the decision-making process for ordering imaging studies.Feel free to email Dr. Hartness at: cbhartness@gmail.comMake sure to include in the subject line RADIOLOGY QUESTION to make sure it does not get deleted accidentally!If you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE FInal Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Robert Fazzio, M.D., Ph.D., assistant professor of radiology and chair of the Division of Breast Imaging at Mayo Clinic in Rochester, Minnesota. Timestamps:0:00 Introduction1:05 The importance for pathologists to understand the fundamentals of breast imaging.2:40 Reading the comments and the roles they play in the pathology report.4:30 Aspects of breast imaging that pathologists should appreciate.6:45 Interpreting the level of suspicion.8:00 Modalities for imaging used (ex. Mammograms, ultrasound, MRI)9:20 Interprofessional collaboration13:00 Preparation for trainees and various workflows15:20 Future of breast imaging18:30 Outro

In this podcast, Editor-in-Chief Dr Jeanette Hasse interviews Dr. Matthew Bechtold, the corresponding author of the paper entitled, “Interprofessional Implementation of the Global Malnutrition Composite Score Quality Measure” published in the October issue of Nutrition in Clinical Practice. Dr. Bechtold is a Professor of Medicine, Director of Endoscopy, and Director of GI Ambulatory Services at the University of Missouri-Columbia. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US October 2023

A crucial aspect of high-quality health care is communication between the individuals that deliver that care. In this episode Whitney talks with Lane Blondheim, a physical therapist in South Bend, Indiana about various challenges and opportunities for enhanced communication in the manual therapy fields. We cover these key points Common myths and misconceptions about our professions Challenges of working within the existing system Where does the scope of practice overlap or interfere How can we enhance communication between our fields more in the future? ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Connect with Lane: lane.blondheim@athletico.com Lane's Facebook Page: Lane Blondheim, PT, MT Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

In this podcast episode, we talk with our special guests, Dr. Tony Breitbach and Dr. Katie Eliot, who share an update on the 2023 IPEC Interprofessional Core Competencies for Interprofessional Collaborative Practice where they both serve on workgroups for updating the competencies. Tony is a Professor, Certified Athletic Trainer, and Vice Dean at the Doisy College of Health Sciences at St. Louis University. He serves on the Executive Committee of the American Interprofessional Health Collaborative (AIHC) and helps lead Communication working groups for Interprofessional. Katie is a Registered Dietitian Nutritionist and Associate Professor of Nutritional Sciences at the University of Oklahoma Health Sciences Center. Her primary teaching and scholarship focus on interprofessional education and collaborative practice. In this episode, Tony and Katie share the latest updates on their interprofessional partnership with BE-Collaborative and the work they have been doing together. We talk about the overall intention behind 2023 revisions to the IPEC core competencies, how they are involved with the process, and some of the comments on the overall core competency statements. For full show notes and links, visit: https://www.missinglogic.com/new-podcast If you found value in this episode, please subscribe and leave us a review on Apple Podcasts! SOCIAL MEDIA LINKS: https://www.linkedin.com/company/missinglogic-llc https://www.facebook.com/missinglogicLLC https://twitter.com/MissingLogicLLC https://www.instagram.com/missinglogic_llc/

Guest: Kayla Duncan - Kayla, the Director of Communications and Outreach with the Sexual Assault Resource Center, will discuss a topic that we all need to learn about, assault. The statistics for sexual assault, domestic abuse, and sexual harassment in this country are staggering. One in four will have personal experience, which means the other three will know a colleague, a student, a family member, and/or a patient whose life has been impacted by the assault. Therefore, it is our responsibility, not only to ourselves but also to those that we love and those we are called to serve, to become educated about the signs and symptoms, and red flags for potential behaviors, as well as to learn what community resources are available in the event that they are needed. Yes, this is a potentially triggering and difficult topic to know about. Still, Michelle and Kayla promise to add joy and laughter to leave listeners with a better understanding of what to do when and with the hope that we can collaborate to make the world better truly.

Jeffrey is currently the Director of Professional Affairs and an Associate Professor of Pharmacy Practice at the Albany College of Pharmacy and Health Sciences.  Today's episode is about IPE, Interprofessional education. Until recently, I had no idea what IPE was or how it worked. After being invited to be part of Steffen's IPE experience, which was fantastic, I now realize that this type of IPE program should be available to all college students working in the health sciences.