See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and...
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Transcript of See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and...
![Page 1: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/1.jpg)
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
![Page 2: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/2.jpg)
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
![Page 3: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/3.jpg)
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
![Page 4: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/4.jpg)
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)
![Page 5: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/5.jpg)
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
![Page 6: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/6.jpg)
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
![Page 7: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/7.jpg)
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
![Page 8: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/8.jpg)
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)
![Page 9: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/9.jpg)
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
![Page 10: See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David.](https://reader035.fdocuments.us/reader035/viewer/2022080915/56649ddc5503460f94ad3ece/html5/thumbnails/10.jpg)
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