استعرض مصدر Medicine in the 21st century: Recommended essential geriatrics competencies for Internal Medicine and Family Medicine residents

Medicine in the 21st century: Recommended essential geriatrics competencies for Internal Medicine and Family Medicine residents<ref>http://catch-on.org/wp-content/uploads/2016/12/Geriatrics-competencies-MD-residents-2010.pdf</ref>

Brent C. Williams, MD, MPH
Gregg Warshaw, MD
Anne Rebecca Fabiny, MD
Nancy Lundebjerg, MPA
Annette Medina-Walpole, MD
Karen Sauvigne, MA
Joanne G. Schwartzberg, MD
Rosanne M. Leipzig, MD, PhD

Journal of Graduate Medical Education, 2(3), 373-383. Also available at http://www.jgme.org/doi/abs/10.4300/JGME-D-10-00065.1

DOI: 10.4300/JGME-D-10-00065.1

Abstract

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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