PMID: 22328480Feb 14, 2012Paper

Residency redesign to accommodate trends in geriatrics: an RC-FM variance to establish a patient-centered medical home in an assisted living facility

Family Medicine
Susan Saffel-ShrierNadia Miniclier

Abstract

Family physicians are poised to provide medical care to older adults residing in the broad range of facilities now currently available to this population. To date, geriatric training has focused on skilled nursing facilities, particularly for the required Review Committee for Family Medicine (RC-FM) longitudinal experience. This article describes the development and evaluation of an RC-FM approved assisted living curricular variance to the current nursing home longitudinal experience with emphasis on the principles of the Patient-centered Medical Home (PCMH) model and an interprofessional team concept. Second- and third-year family medicine residents were assigned as the primary care providers for two continuity patients in an assisted living facility. Patients were seen bimonthly within the construct of an interprofessional geriatric team. During the 2-year curricular variance, assessment of residents' skills, knowledge, and attitudes of the residents was conducted before and after the experience through direct skills observations, written testing, and focus groups. Of 18 geriatric competencies evaluated by direct observation, there was statistically significant improvement in seven areas. The composite score for these compete...Continue Reading

Related Concepts

Related Feeds

Cell Aging (Keystone)

This feed focuses on cellular aging with emphasis on the mitochondria, autophagy, and metabolic processes associated with aging and longevity. Here is the latest research on cell aging.

Related Papers

Health Services Research
Grant R MartsolfStephen M Shortell
Journal of the American Pharmacists Association : JAPhA
Mollie Ashe ScottGaye Colvin
American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Hae Mi ChoeConnie J Standiford
© 2022 Meta ULC. All rights reserved