see one, do one: creating geriatric competencies assessments for ume/gme learners: summary and...
TRANSCRIPT
See One, Do One: Creating Geriatric Competencies Assessments for UME/GME
Learners:
Summary and Action Plan
Zaldy S. Tan, MD, MPHAssociate Professor, David Geffen School of Medicine
University of California Los Angeles
How do you get it done at home?
Does
Shows
Knows How
KnowsFactual knowledge tests
Applied knowledge tests
Demonstrated skills (standardized patient assessments, simulation exercises)
Observed longitudinal practice, chart audit
Levels of Competency Assessment
Does
Shows
Knows How
Knows
Miller GE. The Assessment of Clinical Skills / Competence / Performance, Academic Medicine 1990; 65:9, S63-S67.
Ultimate Goal
This Workshop
Rationale for Geriatrics Competency Certification
• Patient Safety Initiatives• Centers for Medicare and Medicaid Services
(CMS) quality initiatives for geriatric concerns – falls in hospital, pressure ulcers, readmission…
• Liaison Committee on Medical Education (LCME)
• Accreditation Council for Graduate Medical Education (ACGME)
Competency Domains in Geriatrics
• Falls, Balance, and Gait Disorders (AGS 2011)• Cognitive and Behavioral Disorders (AGS 2012)• Medication Management• Self-Care Capacity• Health Care Planning and Promotion• Atypical Presentation of Disease• Palliative Care• Hospital Care for Elders
Competency Projects and Presentations Since…
• Falls, Balance and Gait Disorders– American College of Physicians
• Recreated workshop for practicing physicians
– Baylor University• Culberson C, Ahmed S, Agarwal K, et al. PREVENTING FALLS: AN
EDUCATIONAL WORKSHOP TAUGHT BY GERIATRIC FELLOWS. Gerontological Society of America 2012
– Wake Forest University• Omlor B, Watkins F, Lawlor J, Atkinson H. INTERN BOOT
CAMP. American Geriatrics Society 2013
Competency Projects and Presentations Since…
• Cognitive and Behavioral Disorders– University of California San Diego
• Dr. Sara Bailey: Medical students and IM Residents
– University of California Los Angeles• Certification in Interprofessional Dementia Screening
and Management
Competency Projects and Presentations Since…
• Cognitive & Behavioral Disorders– UCLA: California Geriatric Education Center
• 50 learners from 4 professions certified– 10 Physicians– 10 Nurses– 10 Pharmacists– 10 Social workers
– Funded by HRSA supplement to California Geriatric Education Center (CGEC)
Summary
• Competency movement is here to stay
• Geriatric competencies can and need to be taught and tested
• Competency workshop is an interactive, creative and enjoyable way of teaching geriatrics
Competency Domains in Geriatrics
• Falls, Balance, and Gait Disorders (AGS 2011)• Cognitive and Behavioral Disorders (AGS 2012)• Medication Management (AGS 2013)!• Self-Care Capacity• Health Care Planning and Promotion• Atypical Presentation of Disease• Palliative Care• Hospital Care for Elders
