Impact of a mandatory geriatric medicine clerkship on the care of older acute medical patients: a retrospective cohort study

BMC Medical Education
Joye St OngeSharon Marr

Abstract

The impact of geriatric medicine educational programs on patient level outcomes, as opposed to educational measures, is not well studied. We aimed to determine whether completion of a mandatory geriatrics rotation changed the clinical behaviors of clerks caring for older patients admitted to a medical clinical teaching unit. We reviewed the charts of 132 older (>70y) patients, admitted to one medical clinical teaching unit (CTU) during 2005, and cared for by a clinical clerk, for documented functional assessment, cognitive assessment, recognition of medications that cause confusion, and early removal of indwelling urinary catheters. Performance of these outcomes was compared between clerks who had completed a mandatory 2-week geriatrics rotation immediately before the medical CTU rotation (n = 62) and those who completed geriatrics immediately after (n = 74). Patient outcomes were also measured and compared between groups. Compared to clerks without prior geriatric exposure, clerks with geriatrics exposure were almost 3 times as likely to assess function of their older patients within two days of assuming care (27% vs. 12%, OR: 2.73, 95% CI: 1.12 to 6.66). There were no significant differences in the other clinical behaviors. P...Continue Reading

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Citations

Oct 25, 2014·BMC Medical Education·Adrian O GoeldlinAndreas W Schoenenberger
Jun 19, 2018·Gerontology & Geriatrics Education·Maria Mendoza De La GarzaEricka Tung
Mar 22, 2014·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Reidun Førde, Thor Willy Ruud Hansen
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Mar 13, 2019·International Journal of Environmental Research and Public Health·Marcel HanischJochen Jackowski

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