Preparing the Front Line for the Increase in the Aging Population: Geriatric Curriculum Development for an Emergency Medicine Residency Program

Prendergast, Heather M.; Jurivich, Donald A.; Edison, Marcia; Bunney, E. Bradshaw; Williams, John; Schlichting, Adam

doi:10.1016/j.jemermed.2008.05.003

Cited by 27 publications

(34 citation statements)

References 17 publications

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“…the development of pressure sores when waiting long time on a stretcher. Some studies report that emergency caregivers are concerned by the challenge of managing older patients with complex care needs, and that they would like to receive more training in the concept of senior friendly emergency medicine [40, 41]. Prendergasts’ study demonstrated that a hands-on approach is the preferred learning model for emergency caregivers [41].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies report that emergency caregivers are concerned by the challenge of managing older patients with complex care needs, and that they would like to receive more training in the concept of senior friendly emergency medicine [40, 41]. Prendergasts’ study demonstrated that a hands-on approach is the preferred learning model for emergency caregivers [41]. Geriatric consultation teams could play an important educational role, by disseminating geriatric knowledge (including in the basic care needs of older people) and being role models in the ED.…”

Section: Discussionmentioning

confidence: 99%

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Geriatric support in the emergency department: a national survey in Belgium

et al. 2017

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BackgroundOlder people in the emergency department (ED) represent a growing population and increasing proportion of the workload in the ED. This study investigated the support for frail older people in the ED, by exploring the collaboration between the geriatric services (GS) and the EDs in Belgian hospitals.MethodsAn electronic cross-sectional survey in all Belgian hospitals with an ED (n = 100) about care aspects, collaboration, education and infrastructure for older patients in the ED was collected. Descriptive analyses were performed at national level.ResultsForty-nine of 100 surveys were completed by the GS. The heads of the ED returned only 12 incomplete questionnaires and these results are therefore not reported.Twenty-six of the 49 heads of GSs (53%) indicated that there was an agreement, mainly informal, between the geriatric and the emergency department concerning the management of older people on the ED.A geriatrician was available for specific problems, by phone or in person, in 96% of the EDs during daytime on weekdays. Almost all responding hospitals (96%) had an inpatient geriatric consultation team, of which 85% was available for specific problems at the ED, by phone or bedside during the daytime on weekdays. Twenty-nine heads of the GSs (59%) reported that older patients were screened at ED admission during the day to identify ‘at risk’ patients. The results of the screening were used in the context of further treatment (76%), to decide on hospital admission (27%), or to justify admission on a geriatric ward (55%). In the year preceding the survey, 25% of the responding hospitals had organised geriatric training for ED healthcare workers. Thirty-four heads of the GS (69%) felt that the infrastructure of the ED was insufficient to give high-quality care for older persons.ConclusionCollaborations between EDs and GS are emerging in Belgium, but are currently rather limited and not yet sufficiently embedded in the ED care. Exploratory studies are necessary to identify how these collaborations can be improved.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0458-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Geriatric support in the emergency department: a national survey in Belgium

et al. 2017

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“…This has been reflected by the creation of formalized educational initiatives in a number of residency training programs across a variety of specialties. Internal medicine and emergency medicine residencies have been the most active in this regard, with several robust geriatric education programs being implemented in a variety of clinical settings (Ahmed, Farnie, & Dyer, 2011;Biese et al, 2011;Duane et al, 2011;Faulk, Lee, & Musick, 2012;Litvin et al, 2012;Maurer et al, 2006;Prendergast et al, 2010;Wadman, Lyons, Hoffman, & Muelleman, 2011;Westmoreland, Counsell, Tu, Wu, & Litzelman, 2010). Several of these initiatives have produced significant objective improvements in resident fund of knowledge regarding various aspects of the care of geriatric patients.…”

Section: Introductionmentioning

confidence: 99%

Development and Implementation of a Formalized Geriatric Surgery Curriculum for General Surgery Residents

Barbas

Haney

Henry

et al. 2014

Gerontology & Geriatrics Education

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Despite the growth of the elderly population, most surgical training programs lack formalized geriatric education. The authors' aim was to implement a formalized geriatric surgery curriculum at an academic medical center. Surgery residents were surveyed on attitudes toward the care of elderly patients and the importance of various geriatric topics to daily practice. A curriculum consisting of 16 didactic sessions was created with faculty experts moderating. After curriculum completion, residents were surveyed to assess curriculum impact. Residents expressed increased comfort in accessing community resources. A greater percentage of residents recognized the significance of delirium and acute renal failure in elderly patients. Implementing a geriatric surgery curriculum geared toward surgery residents is feasible and can increase resident comfort with multidisciplinary care and recognition of clinical conditions pertinent to elderly surgical patients. This initiative also provided valuable experience for geriatric surgery curriculum development.

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“…Papers were selected on the basis of their relevance to developing competencies in GEM by agreement between a geriatrician and an emergency physician. A range of articles including North American initiatives to develop a GEM curriculum and recent reviews and key articles in the field were identified and used to inform the development of the domains and items [7][8][9][10][11][12][13][14][15][16][17] . The development focused upon the additional competencies over and above that which would be expected from training in either geriatric medicine or emergency medicine -so this was not simply a reproduction of how to practice emergency medicine in older people, but an attempt to develop higher level competencies that will add value to existing curriculae 7 .…”

Section: Review Of the Literaturementioning

confidence: 99%

The development of a European curriculum in Geriatric Emergency Medicine

Conroy

Nickel

Jónsdóttir³

et al. 2016

European Geriatric Medicine

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Older people represent a growing proportion of attendees in Emergency Departments across Europe. Traditionally Emergency Departments have not focused on care for older people especially those with frailty. Similarly, geriatric services have not traditionally focused upon the care of older people in Emergency Departments. This work seeks to bring together the two disciplines of Geriatric and Emergency Medicine through a defined and validated curriculum on Geriatric Emergency Medicine.Domains and items for inclusion in the curriculum were derived through a combination of literature reviewing and a nominal group workshop. The domains and items underwent validation using a Delphi technique involving the European Societies of Geriatric and Emergency Medicine.

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Preparing the Front Line for the Increase in the Aging Population: Geriatric Curriculum Development for an Emergency Medicine Residency Program

Cited by 27 publications

References 17 publications

Geriatric support in the emergency department: a national survey in Belgium

Geriatric support in the emergency department: a national survey in Belgium

Development and Implementation of a Formalized Geriatric Surgery Curriculum for General Surgery Residents

The development of a European curriculum in Geriatric Emergency Medicine

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