Search

University Honors programming in the United States is interdisciplinary and collaborative; from First Year Seminars to capstone research projects for upperclassmen, students embrace multidisciplinary learning and research. This approach, however, does not always translate into an incorporation of diverse perspectives of multiple faculty members in a given course. Utilizing a mixed-methods approach to explore the impact and results of a collaboratively taught Honors Seminar, this article departs from the authors' model of a co-taught course and then moves to an exploration of student responses that considers student perceptions of multi-instructor formats. In closing, this article addresses challenges to team-taught courses, from scheduling to institutional barriers, in an effort to encourage continued discussion about interdisciplinary and collaborative teaching in Higher Education. [Notes: (1) The page range (140-157) shown on the PDF is incorrect. The correct page range is 140-156; and (2) The print ISSN 2162-3104 and online ISSN 2166-3750 shown on the PDF are incorrect. The correct print ISSN is 2166-2681, and the correct online ISSN is 2690-0408.]

Author(s): Madeline Smith [sup.1] , Megan McCool-Myers [sup.2] , Melissa J. Kottke [sup.2] Author Affiliations: (1) grid.265008.9, 0000 0001 2166 5843, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College [...], Objectives The postpartum period is a time of high unmet contraception need. Providing long-acting reversible contraception (LARC), particularly in the immediate postpartum period, is one strategy to meet contraceptive needs. This practice may also prevent unintended and short interpregnancy interval pregnancies. In recent years, state Medicaid programs have implemented reimbursement policies for LARC use in the inpatient setting. The purpose of this study was to assess the uptake of inpatient postpartum LARCs at a large urban hospital with a sizable Medicaid population, before and after policy implementation. Methods Using billing records from January 2015 and December 2017, we extracted data on patient demographics and LARC uptake before Medicaid policy change (2015) and after policy change (2016 and 2017). Implant and intrauterine device insertions were classified as inpatient postpartum (0-7 days after birth), outpatient postpartum (1-8 weeks after) or interval (9+ weeks after). Results In the 3-year study period, 2091 LARC insertions occurred, of which 700 (33.5%) were inpatient postpartum, 429 (20.5%) outpatient postpartum, and 962 (46.0%) interval. After policy implementation, inpatient postpartum LARC insertions increased from 2.6 per 100 deliveries to 16.8 per 100 deliveries. Significant differences in uptake were seen in Black and Hispanic populations. The number of outpatient postpartum LARCs remained stable and tubal sterilizations decreased. Conclusions for Practice Implementation of reimbursement policies contributed to a sharp uptake of inpatient postpartum LARCs. Improved access to effective, reversible contraception could reduce the number of unplanned and short interpregnancy interval pregnancies, ultimately lowering rates of maternal morbidity and mortality.