1. Large, academic, tertiary care institution IRB approved, single center, web-based survey Participants included nurses, housestaff and hospitalists after their inpatient medicine ward experience Kenaszchuk’s Interprofessional Collaboration Scale, a validated and reliable survey June-March, 2015 Pairwise comparisons were performed using Tukey’s Honestly Significant Difference Test (HSD) Analyses performed with SAS/STAT software v9.4 Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession Georgia McIntosh, MD; Darci Bowles, MS, RN; Reena Hemrajani, MD; Miao-Shan Yen, MS; Allison Phillips, MPH; Nathan Schwartz; Alan Dow, MD, MHA, Shin-Ping Tu, MD, MPH Our study found that nurses working on inpatient medicine units had lower IPC scores than did their counterpart housestaff and hospitalist physicians, which is the opposite of what is typically seen in the literature, suggesting there may be barriers specific to our study environment. It’s been shown that groups that are heavily located together (i.e. ER, ICU) tend to have better scores of collaboration. Our organization has demonstrated an increase in the volume of internal medicine admissions without a corresponding increase in the number of inpatient beds, resulting in an exceptionally wide geographic dispersion of medicine patients and physicians. In addition, we believe having defined nurse-physician leadership models assigned to specific units are essential to demonstrate best practice of communication and behaviors. ) Nurse-physician interprofessional collaboration (IPC) is defined as the joined decision-making process in which nurses and physicians share objectives as well as the responsibility of outcomes. Even with this universal definition, multiple studies have shown that nurses and physicians tend to have differing views of collaboration. In a 2014 meta-analysis performed by Sollami et al, 35 studies on interprofessional collaboration were analyzed Nurses in general tend to to show greater predisposition towards IPC as compared to physicians. Additionally, physicians tend to report that good collaboration already exists as compared to nurses while nurses hold higher attitudes of collaboration, seeming to indicate their desire for better collaboration. These studies suggest different perspectives as well as expectations from these two professions. 119 surveys collected: 54 nurses 47 housestaff 18 hospitalists 14 questions on IPC, scaled from 1-5 (1=strongly disagree, 5= strongly agree) Sum scores were calculated as the outcome variable, ranging from 14 to 70 IPC sum scores of nurses= 43.2, housestaff 53.4, hospitalists 52.3. Pairwise comparisons revealed that the average sum scores of nurses was significantly lower than either the housestaff physicians (p<0.001) or hospitalist physicians (p<0.001.)  Evaluate for a difference in in the perception of IPC between physicians and nurses  Identify potential contributing factors and barriers Descriptive Statistics of the Geographic Wards Survey of Attitudes Toward Interprofessional Collaboration (14 items) NurseHousestaffHospitalistTotal (n=54)(n=47)(n=18)(n=119) Mean a, b 43.253.452.348.6 Standard deviation8.46.68.59.2 Median43545350 25 th percentile36495042 75 th percentile50575655 Range (Min.-Max.)21-6339-6931-6421-69 a. IPC sum scores were different among professions. F 2,116 =24.1, p <.0001 b. The average sum score of nurse is significantly lower than housestaff and hospitalist (Nurse vs. Housestaff: p <.0001. Nurse vs. Hospitalist: p=0.0001. Adjustment for multiple comparisons: Tukey’s HSD) c. One nurse’s missing value was imputed by the average response from the rest of non-missing items One institution Convenience sample Cross-sectional survey Location of participants not identified Healthcare Industrial Engineering to foster collaboration Increased organizational training and support of collaboration Patient and operational outcomes FUTURE STEPSFUTURE STEPS REFERENCES Kenaszchuk, Chris, et al. "Validity and reliability of a multiple-group measurement scale for interprofessional collaboration." BMC health services research 10.1 (2010): 83. Sollami A, Caricati L, Sarli L. Nurse–physician collaboration: a meta-analytical investigation of survey scores. J Interprof Care. 2014:1-7.