RESUMEN
The authors developed a Transitions of Care (TOC) curriculum to teach and measure learner competence in performing TOC tasks for older adults. Internal medicine interns at an academic residency program received the curriculum, which consisted of experiential learning, self-study, and small group discussion. Interns completed retrospective pre/post surveys rating their confidence in performing five TOC tasks, qualitative open-ended survey questions, and a self-reflection essay. A subset of interns also completed follow-up assessments. For all five TOC tasks, the interns' confidence improved following completion of the TOC curriculum. Self-confidence persisted for up to 3 months later for some but not all tasks. According to the qualitative responses, the TOC curriculum provided interns with learning experiences and skills integral to performing safe care transitions. The TOC curriculum and a mixed-method assessment approach effectively teaches and measures learner competency in TOC across all six Accreditation Council for Graduate Medical Education competency domains.
Asunto(s)
Curriculum , Geriatría , Transferencia de Pacientes/métodos , Aprendizaje Basado en Problemas/métodos , Competencia Clínica , Geriatría/educación , Geriatría/métodos , Humanos , Medicina Interna/educación , Internado y Residencia/métodos , Internado y Residencia/organización & administración , Modelos EducacionalesRESUMEN
This study was designed to document outcomes of a 10-month, 160-hour interprofessional faculty development programme in geriatrics. The programme was structured around a series of collaborative competencies in older adult care established. Six domains covering 23 competencies were used to create an evaluation instrument designed to measure changes in self-efficacy as a result of the training programme. These competencies are covered through a series of interactive and didactic seminars offered on a monthly basis throughout the academic year. Twenty-six faculty participants indicated their levels of perceived self-efficacy with respect to each partnership for health in aging competency before and after the training. Statistically significant results were found with respect to every competency in each domain. Prior to the training self-efficacy levels were lower than the mean ratings collected 10 months later when the training concluded. The largest perceived self-efficacy gains were seen in the "evaluation and assessment", "care planning and coordination across the care spectrum", and "healthcare systems and benefits" domains. These may reflect areas that were not covered extensively during the participants' previous healthcare-related training. Overall, the data demonstrate how a carefully constructed interprofessional faculty development programme can successfully engender confidence in geriatric competencies across multiple professions.