| Keeping granny safe on July 1: a consensus on minimum geriatrics competencies for graduating medical students. | |
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MedLine Citation:
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PMID: 19704193 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Competency-based education prepares trainees to perform tasks occurring within the context of practice. There are currently no geriatrics-specific, competency-based consensus performance standards for medical students.The authors present the results of a systematic, multimethod process to identify and define the minimum geriatrics-specific competencies needed by a new intern to adequately care for older adults. An alpha draft was crafted by geriatricians, identifying measurable performance subtasks associated with accepted standards of evidence-based geriatric care, patient safety, and "do no harm" within the first-year resident's expected scope of practice. The competencies were then assessed for content validity by key stakeholders and informants. Of the 315 respondents, 26% were geriatricians, 21% family physicians, 24% general internists, 6% neurology program directors, 14% surgery program directors, and 9% other. Twenty-four were decanal appointees. Faculty from almost half (44%) of U.S. medical schools and representatives of several major medical education organizations were present at the working conference.The final document consists of 26 competencies nested within eight content domains: Medication Management; Self-Care Capacity; Falls, Balance and Gait Disorders; Hospital Care for Elders; Cognitive and Behavioral Disorders; Atypical Presentation of Disease; Health Care Planning and Promotion; and Palliative Care.Setting minimum geriatric competency standards establishes the performance benchmarks for medical school graduates who as first-year residents will care for geriatric patients. Only half-facetiously, they are referred to as the "Don't Kill Granny" competencies. Achievement of these minimum competencies by medical students, grounded in evidence-based principles of quality care for older adults, will assure that, each year, older patients are in safer hands on July 1. |
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Authors:
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Rosanne M Leipzig; Lisa Granville; Deborah Simpson; M Brownell Anderson; Karen Sauvigné; Rainier P Soriano |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 84 ISSN: 1938-808X ISO Abbreviation: - Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-08-25 Completed Date: 2009-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 604-10 Citation Subset: AIM; IM |
Affiliation:
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Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029-6574, USA. rosanne.leipzig@mssm.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence
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standards* Competency-Based Education Education, Medical, Undergraduate / standards* Geriatrics / education* Humans Internship and Residency |
| Comments/Corrections | |
Comment In:
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Acad Med. 2009 May;84(5):542-4
[PMID:
19704181
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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