Grant will further develop integrative case-based learning programs for clinical grad students.
By Jennette Carrick, UC Davis
The Betty Irene Moore School of Nursing at UC Davis has received a $150,000 grant from the Office of Statewide Health and Planning to continue developing an integrative case-based learning curriculum for its clinical programs. The school also received an additional $103,650 in one-time, special program funds to provide housing and travel funds for students doing clinical training in underserved areas of central and Northern California.
The granting program, part of the Song-Brown Health Care Workforce Training Act Nurse Practitioner and Physician Assistant Training Program, encourages universities and primary care health professionals to provide health care in medically underserved areas and provides financial support for programs like the School of Nursing’s family nurse practitioner and physician assistant curricula. The School of Nursing’s application ranked first out of thousands of public and private in California that applied for support.
“We were only a handful of schools that focused on the social determinants of health. It tells us that we’re on track with the types of initiatives that are important for the state of California,” said Debra Bakerjian, senior director for the School of Nursing’s nurse practitioner and physician assistant clinical programs. “Providing high quality primary care to the medically underserved are both goals of the office and consistent with the core values of our school.”
In addition to studying health-care concepts, conditions or diagnoses, School of Nursing faculty use case scenarios from real case examples of people living with real conditions that impact their health. The cases are developed so that none of the people are identifiable, yet the details of specific events in a context or situation promote an authentic learning experience. Professors incorporate family relations, regional geography, cultural competence and sociodemographic details, with the hope that students will better appreciate the impact of multiple systems on individual health and well-being.
“By seeing past the chronic condition to explore the bigger picture, students acquire a unique set of knowledge, skills and attitudes that enable them to administer care effectively and lead a team of caregivers,” added Mark Christiansen, director of physician assistant studies. “These cases serve as curricular threads that decrease course isolation and facilitate learning across the curriculum.”
Over the past 40 years, UC Davis graduated 1,800 nurse practitioners and physician assistants, with 67 percent of graduates working in underserved areas. Additionally, nearly 70 percent of graduates work in primary care, compared with significantly lower national averages of between 30 and 40 percent. The new grants will enable faculty to make current integrative case-based curriculum more interactive and more interesting.
“Our philosophy of team-based learning and a flipped classroom creates an environment where our students retain more of what they learn,” explained Virginia Hass, director for the nurse practitioner program. “If we can incorporate videos, short tests and avatars into the program, we can make it more real and more engaging for the students.”
School of Nursing faculty also will use the funding to implement a requirement into clinical rotations mandating students follow people throughout the continuum of care — from office, to hospital, to skilled nursing facility and back to office again.
The Song-Brown Health Care Workforce Training Act was established in 1973 to increase the number of family physicians to provide needed health-care services to the people of California. The program encourages universities and primary-care health professionals to provide health care in medically underserved areas, and provides financial support to family nurse practitioner, physician assistant and registered nurse education programs, as well as family medicine, internal medicine, OB/GYN, and pediatric residency programs throughout California.