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
References
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Jul 1, 1996·Journal of General Internal Medicine·M C Lindberg, G M Sullivan
Nov 5, 1997·Academic Medicine : Journal of the Association of American Medical Colleges·N K HallW B Biddle
Apr 29, 1998·JAMA : the Journal of the American Medical Association·S K InouyeJ Concato
Apr 25, 2001·Medical Education·J B Prystowsky, G Bordage
Mar 27, 2003·Journal of the American Geriatrics Society·Kenneth E CovinskyC Seth Landefeld
Apr 24, 2003·Teaching and Learning in Medicine·Howard TandeterVera A Fried
Nov 5, 2003·Annals of Internal Medicine·Neil S WengerPaul G Shekelle
Sep 24, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Frederick M ChenHelen Burstin
Jan 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Thomas H Glick
Apr 23, 2005·Internal Medicine Journal·M Kingston
Sep 1, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Kenneth RockwoodArnold Mitnitski
Nov 9, 2005·Journal of the American Geriatrics Society·Bryan D StruckUNKNOWN Oklahoma University Geriatric Education Group
Mar 23, 2006·Journal of the American Geriatrics Society·Mathew S MaurerBarry Gurland
Jul 27, 2006·Journal of the American Geriatrics Society·Pierre-Olivier LangFrançois Blanchard
Oct 14, 2006·Journal of the American Geriatrics Society·Gregg A WarshawUNKNOWN Association of Directors of Geriatric Academic Programs
Oct 3, 2007·Journal of the American Geriatrics Society·Mark A SupianoJeffrey B Halter
Oct 4, 2007·Journal of the American Geriatrics Society
Apr 5, 2008·Journal of the Royal Society of Medicine·David Oliver
Aug 26, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Rosanne M LeipzigRainier P Soriano
Jul 2, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Laura DiachunMichael J Rieder
Dec 14, 2011·Medical Education·W Dale Dauphinee
Feb 9, 2013·The American Journal of Bioethics : AJOB·Anita J Tarzian, UNKNOWN Asbh Core Competencies Update Task Force 1
Apr 11, 2013·Archives of Gerontology and Geriatrics·Katherine HuntHelen Roberts
Citations
Oct 25, 2014·BMC Medical Education·Adrian O GoeldlinAndreas W Schoenenberger
Sep 17, 2016·Gerontology & Geriatrics Education·Veronique BoscartKelsey Harvey
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
Jul 4, 2019·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Lorenzo BevilacquaCinzia Omiciuolo
Mar 13, 2019·International Journal of Environmental Research and Public Health·Marcel HanischJochen Jackowski