Using a Commitment to Change Tool for Evaluation and Planning of a Global Competency-Based Curriculum in Orthogeriatrics

Cunningham, Michael; Kates, Stephen L.; Blauth, M.

doi:10.1002/chp.21219

Cited by 8 publications

(8 citation statements)

References 21 publications

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“…This research aims to further the current development of orthopaedic/geriatric care models and competences both in training and in practice [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…Orthogeriatric co-management care models were developed in the 1960's to address these poor outcomes [7]. Briefly, orthogeriatric care involves the interdisciplinary management of elderly patients with fragility fractures, [8][9][10][11] including geriatricians and specialized allied health teams on admission [12]. Literature comparing geriatric consult models with orthogeriatric ward-based care showed the latter was associated with reduced surgical wait times, [13] postoperative falls and complications, [14,15] hospital length of stay, [13,16,17] as well as shortand long-term mortality [16,18].…”

Section: Models Of Orthogeriatric Carementioning

confidence: 99%

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A mixed methods evaluation of a 4-week geriatrics curriculum in strengthening knowledge and comfort among orthopaedic surgery residents

et al. 2021

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Background In 2014, the University of Toronto Faculty of Medicine implemented a 4-week “Orthogeriatrics” rotation for orthopaedic surgery residents. We sought to assess the rotation’s impact on trainees’ knowledge, attitudes, and behaviours toward caring for older adults, and explore areas for improvement. Methods We used a mixed methods concurrent triangulation design. The Geriatrics Clinical Decision-Making Assessment (GCDMA) and Geriatric Attitudes Scale (GAS) compared knowledge, attitudes, and behaviours between trainees who were or were not exposed to the curriculum. Rotation evaluations and semi-structured interviews with trainees and key informants explored learning experiences and the curriculum’s impact on resident physician growth and development in geriatric competencies. Results Among trainees who completed the GCDMA (n = 19), those exposed to the rotation scored higher in knowledge compared to the unexposed cohort (14.4 ± 2.1 vs. 11.3 ± 2.0, p < 0.01). The following themes emerged from the qualitative analysis of 29 stakeholders: Increased awareness and comfort regarding geriatric medicine competencies, appreciation of the value of orthogeriatric collaboration, and suggestions for curriculum improvement. Conclusions These results suggest that the Orthogeriatrics curriculum strengthens knowledge, behaviour, and comfort towards caring for older adults. Our study aims to inform further curriculum development and facilitate dissemination of geriatric education in surgical training programs across Canada and the world.

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“…This research aims to further the current development of orthopaedic/geriatric care models and competences both in training and in practice [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Section: Models Of Orthogeriatric Carementioning

confidence: 99%

A mixed methods evaluation of a 4-week geriatrics curriculum in strengthening knowledge and comfort among orthopaedic surgery residents

et al. 2021

View full text Add to dashboard Cite

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“…Orthogeriatric co-management care models were developed in the 1960's to address these poor outcomes. 7 Brie y, orthogeriatric care involves the interdisciplinary management of elderly patients with fragility fractures, [8][9][10][11] including geriatricians and specialized allied health teams on admission. 12 Literature comparing geriatric consult models with orthogeriatric ward-based care showed the latter was associated with reduced surgical wait times, 13 postoperative falls and complications, 14,15 hospital length of stay, 13,16,17 as well as short-and long-term mortality.…”

Section: Models Of Orthogeriatric Carementioning

confidence: 99%

A Mixed Methods Evaluation of a 4-week Geriatrics Curriculum in Strengthening Knowledge and Comfort Among Orthopaedic Surgery Residents

Chan

Chuen

Perrella

et al. 2020

Preprint

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Background: In 2016, the University of Toronto Faculty of Medicine implemented a 4-week “Orthogeriatrics” rotation for orthopaedic surgery residents. We sought to assess the rotation’s impact on trainees’ knowledge, attitudes, and behaviours toward caring for older adults, and explore areas for improvement.Methods: We used a mixed methods concurrent triangulation design. The Geriatrics Clinical Decision-Making Assessment (GCDMA) and Geriatric Attitudes Scale (GAS) compared knowledge, attitudes, and behaviours between trainees who were or were not exposed to the curriculum. Rotation evaluations and semi-structured interviews with trainees and key informants explored learning experiences and the curriculum’s impact on resident physician growth and development in geriatric competencies.Results: Among trainees who completed the GCDMA (n=19), those exposed to the rotation scored higher in knowledge compared to the unexposed cohort (14.4±2.1 vs. 11.3±2.0, p<0.01). The following themes emerged from the qualitative analysis of 29 stakeholders: Increased awareness and comfort regarding geriatric medicine competencies, appreciation of the value of orthogeriatric collaboration, and suggestions for curriculum improvement. Conclusion: These results suggest that the Orthogeriatrics curriculum strengthens knowledge, behaviour, and comfort towards caring for older adults. Our study aims to inform further curriculum development and facilitate dissemination of geriatric education in surgical training programs across Canada and the world.

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“…[18][19][20][21][22] AO Trauma's Orthogeriatrics Education Taskforce developed a dedicated curriculum in 2010 and have delivered many courses and webinars worldwide, attended mostly by orthopedic trauma surgeons and residents, and some geriatricians and other healthcare team members. 23,24 They also published a textbook on Osteoporotic Fracture Care-Medical and Surgical Management. 25 To try to address the gaps for the entire team, the taskforce designed a 1-day Hospital-based Educational Event on Fracture Care for Older Adults to bring education to the hospital department.…”

Section: Introductionmentioning

confidence: 99%

Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult

Gosch

Kammerlander

Fantin

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction: Surgeons, internal medicine physicians, nurses, and other members of the healthcare team managing older adults with a fracture all have barriers to attending educational courses, including time away from practice and cost. Our planning group decided to create and evaluate a hospital-based educational event to address, meet, and improve the care of older adults with a fracture. Materials and Methods: A committee of surgeons and geriatricians defined 3 learning objectives to improve knowledge and attitudes in co-managed care. They designed a 1-day educational event consisting of a departmental visit, a review of cases, a planning session to identify gaps and plan changes, and presentations on selected topics. Thirteen hospitals worldwide completed an 8-question online application form, and 7 sites were selected for delivery over 3 years in Denmark, Colombia, Thailand, Paraguay, Switzerland, and the Dominican Republic. Results: Each event was conducted by 1 or more visiting surgeons and geriatricians, and the local team leaders. The most common challenges reported in the applications were preoperative assessment or optimization, delayed surgery, lack of protocols, access to a geriatrician, teamwork, and specific aspects of perioperative and postoperative care. In each department, 4 or 5 goals and targets for implementation were agreed. The presentations section was customized and attended by 20 to 50 team members. Discussion: Topics selected by a majority of departments were principles of co-managed care (7), preoperative optimization (7), and management of delirium (4). Follow up was conducted after 3 and 12 months to review the degree of achievement of each planned change and to identify any barriers to complete implementation. Conclusions: Hospital-based events with visiting and local faculty were effective to engage a broader audience that might not attend external courses. A performance improvement component with goal setting and follow up was acceptable to all host departments.

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Using a Commitment to Change Tool for Evaluation and Planning of a Global Competency-Based Curriculum in Orthogeriatrics

Cited by 8 publications

References 21 publications

A mixed methods evaluation of a 4-week geriatrics curriculum in strengthening knowledge and comfort among orthopaedic surgery residents

A mixed methods evaluation of a 4-week geriatrics curriculum in strengthening knowledge and comfort among orthopaedic surgery residents

A Mixed Methods Evaluation of a 4-week Geriatrics Curriculum in Strengthening Knowledge and Comfort Among Orthopaedic Surgery Residents

Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult

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