Learning Together: Integration of Advanced Practice Providers into a General Medicine Ward Team

  • Emily GottenborgEmail author
  • Julia Limes
  • Adam Olson
  • Brian Wolfe
Innovation and Improvement: Innovations in Medical Education



The Accreditation Council for Graduate Medical Education (ACGME) demands that physicians should be trained to engage in clinical activities with other health profession providers. Incorporation of advanced practice providers (APPs) into medicine ward teams has not yet been described.


To describe a pilot and feasibility evaluation of an interprofessional general medicine ward team with internal medicine residents and APPs to encourage resident leadership development, enhance service to education balance, and promote interprofessional collaboration.


University of Colorado, Internal Medicine Residency Program.


Sixteen internal medicine residents, 16 interns, 19 Department of Medicine faculty members, and 8 advanced practice provider fellows in hospital medicine.

Program Description

The authors describe an interprofessional general medicine ward team including team structure, and roles and responsibilities of each team member.

Program Evaluation

Each team member completed an electronic survey following the rotation and the majority agreed that the pilot team allowed for an enhanced resident leadership role, and helped to restore the service to education balance and interprofessional collaboration.


An interprofessional general medicine ward team is feasible, has the potential to optimize service to education balance, and exposes learners to a collaborative interprofessional clinical environment.


interprofessional education advanced practice provider interprofessional collaboration 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Emily Gottenborg
    • 1
    Email author
  • Julia Limes
    • 1
  • Adam Olson
    • 1
  • Brian Wolfe
    • 1
  1. 1.Department of Medicine, Division of Hospital MedicineUniversity of ColoradoAuroraUSA

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