| Medicine in the 21st century: recommended essential geriatrics competencies for internal medicine and family medicine residents. | |
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MedLine Citation:
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PMID: 21976086 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Physician workforce projections by the Institute of Medicine require enhanced training in geriatrics for all primary care and subspecialty physicians. Defining essential geriatrics competencies for internal medicine and family medicine residents would improve training for primary care and subspecialty physicians. The objectives of this study were to (1) define essential geriatrics competencies common to internal medicine and family medicine residents that build on established national geriatrics competencies for medical students, are feasible within current residency programs, are assessable, and address the Accreditation Council for Graduate Medical Education competencies; and (2) involve key stakeholder organizations in their development and implementation. METHODS: Initial candidate competencies were defined through small group meetings and a survey of more than 100 experts, followed by detailed item review by 26 program directors and residency clinical educators from key professional organizations. Throughout, an 8-member working group made revisions to maintain consistency and compatibility among the competencies. Support and participation by key stakeholder organizations were secured throughout the project. RESULTS: The process identified 26 competencies in 7 domains: Medication Management; Cognitive, Affective, and Behavioral Health; Complex or Chronic Illness(es) in Older Adults; Palliative and End-of-Life Care; Hospital Patient Safety; Transitions of Care; and Ambulatory Care. The competencies map directly onto the medical student geriatric competencies and the 6 Accreditation Council for Graduate Medical Education Competencies. CONCLUSIONS: Through a consensus-building process that included leadership and members of key stakeholder organizations, a concise set of essential geriatrics competencies for internal medicine and family medicine residencies has been developed. These competencies are well aligned with concerns for residency training raised in a recent Medicare Payment Advisory Commission report to Congress. Work is underway through stakeholder organizations to disseminate and assess the competencies among internal medicine and family medicine residency programs. |
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Authors:
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Brent C Williams; Gregg Warshaw; Anne Rebecca Fabiny; Nancy Lundebjerg Mpa; Annette Medina-Walpole; Karen Sauvigne; Joanne G Schwartzberg; Rosanne M Leipzig |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of graduate medical education Volume: 2 ISSN: 1949-8357 ISO Abbreviation: J Grad Med Educ Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2011-10-06 Completed Date: 2011-11-10 Revised Date: 2012-05-07 |
Medline Journal Info:
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Nlm Unique ID: 101521733 Medline TA: J Grad Med Educ Country: United States |
Other Details:
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Languages: eng Pagination: 373-83 Citation Subset: - |
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