The Columbia Cooperative Aging Program: An Interdisciplinary and Interdepartmental Approach to Geriatric Education for Medical Interns

Authors

  • Mathew S. Maurer MD,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Alex W. Costley MA, MPhil,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Patricia A. Miller EdD, OTR,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Sigrid McCabe MS, OTR,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Shelly Dubin GNP,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Huai Cheng MD, MPH,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Ellyn Varela-Burstein MS, OTR,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Binh Lam MD,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Craig Irvine PhD,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Kerrianne P. Page MD,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Gerald Ridge MD,

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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  • Barry Gurland, MD MD

    1. From the Departments of *Medicine/CardiologyFamily Medicine, Columbia Cooperative Aging Program, §Allen Pavilion, New York-Presbyterian Hospital, and Department of Anthropology, Columbia University, New York, New YorkPrograms in Occupational Therapy, Department of Rehabilitation Medicine, Neurological Institute, Columbia University Medical Center, New York, New York, **Stroud Center for the Studies of Quality of Life, Columbia University.
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Errata

This article is corrected by:

  1. Errata: ERRATUM Volume 54, Issue 9, 1479, Article first published online: 7 September 2006

Address correspondence to Mathew S. Maurer, MD, Allen Pavilion of New York-Presbyterian Hospital, 5141 Broadway, 3 Field West—Room 035, New York, NY 10034. E-mail: msm10@columbia.edu

Abstract

Although there is a critical need to prepare physicians to care for the growing population of older adults, many academic medical centers lack the geriatric-trained faculty and dedicated resources needed to support comprehensive residency training programs in geriatrics. Because of this challenge at Columbia University, the Columbia Cooperative Aging Program was developed to foster geriatric training for medical interns. For approximately 60 interns each year completing their month-long geriatric rotations, an integral part of this training now involves conducting comprehensive assessments with “well” older people, supervised by an interdisciplinary team of preceptors from various disciplines, including cardiology, internal medicine, occupational therapy, geriatric nursing, psychiatry, education, public health, social work, and medical anthropology.

Interns explore individual behaviors and social supports that promote health in older people; older people's strengths, vulnerabilities, and risk for functional decline; and strategies for maintaining quality of life and independence. In addition, a structured “narrative medicine” writing assignment is used to promote the interns' reflections on the assessment process, the data gathered, and their clinical reasoning throughout. Preliminary measures of the program's effect have shown significant improvements in attitudes toward, and knowledge of, older adults as patients, as well as in interns' self-assessed clinical skills. For academic medical centers, where certified geriatric providers are scarce, this approach may be an effective model for fostering residency geriatric education among interns.

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