The Development and Evaluation of a Geriatric Emergency Medicine Curriculum

Authors

  • Donald B. Witzke PhD,

    Corresponding author
    1. University of Kentucky, College of Medicine, Lexington, KY, Department of Pathology and Laboratory Medicine and Student Testing and Evaluation, Office of Academic Affairs (DBW)
      Department of Pathology and Laboratory Medicine, University of Kentucky College of Medicine, MN-103 Chandler Medical Center, Lexington, KY 40536–0084. Fax: 606–323–2076; e-mail: dbwitzl@pop.uky.edu
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  • Arthur B. Sanders MD,

    1. University of Arizona, College of Medicine, Tucson, AZ, Section of Emergency Medicine, Department of Surgery (ABS).
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  • for the SAEM Geriatric Emergency Medicine Task Force

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    • *The following members of the Geriatric Emergency Medicine Task Force of SAEM assisted in the development of the materials in this project: Edward Bernstein, MD, Boston University, Boston, MA; Raw-den Evans, PhD, MD, University of Michigan, Ann Arbor, MI; Glenn Freas, MD, JD, Temple University, Philadelphia, PA; Darrin Fryer, MD, Kern Medical Center, Bakersfield, CA; David M. Habben, AS, Paramedic, Consultant, Boise, ID; Richard S. Hartoch, MD, Portland Veterans Affairs Medical Center, Portland, OR; Gordon A. Ireland, PharmD, St. Louis University, St. Louis, MO; Jeffrey S. Jones, MD, Michigan State University, Grand Rapids, MI; Norm Kalbfteisch, MD, Portland Veterans Affairs Medical Center, Portland, OR; Pamela Kidd, RN, PhD, CEN, University of Kentucky, Lexington, KY; Mark Lachs, MD, MPH, Cornell University, New York, NY; Joseph LaMantia, MD, The Albert Einstein College of Medicine, Bronx, NY; Robert M. Mc-Namara, MD, The Medical College of Pennsylvania, Philadelphia, PA; Douglas K. Miller, MD, St. Louis University, St. Louis, MO; John E. Morley, MB, BCh, St. Louis University, St. Louis, MO; Lidia Pousada, MD, New Rochelle Hospital Medical Center, New Rochelle, NY; David B. Reuben, MD, University of California, Los Angeles, Los Angeles, CA; Kathleen M. Richmond, RN, BS, Sisters of St. Casimir Infirmary, Chicago, IL; Sharon Sheahan, PhD, CFNP, University of Kentucky, Lexington, KY; and Robert H. Woolard, MD, Brown University, Providence, RI.


Department of Pathology and Laboratory Medicine, University of Kentucky College of Medicine, MN-103 Chandler Medical Center, Lexington, KY 40536–0084. Fax: 606–323–2076; e-mail: dbwitzl@pop.uky.edu

ABSTRACT

Objective: To summarize the processes used to develop a curriculum and model of care for the emergency medical treatment of elder patients and to assess the efficacy of the teaching material in a pilot course.

Methods: A survey of emergency medicine (EM) residency directors and geriatric fellowship directors was used to identify key topics for inclusion in the didactic material. An interdisciplinary consensus process was used to develop didactic as well as teaching material in geriatric EM. Pretests and posttests were administered to 46 participants in the initial course to assess knowledge gain. Subjective course evaluations were also done.

Results: Test scores significantly increased from 54% correct on the pretest to 77% correct on the posttest (p < 0.001). Significant improvement in knowledge as judged by pretest and posttest results occurred in 6 of the 7 teaching modules. Subjective evaluations demonstrated good to excellent ratings for each module as well as the overall workshop.

Conclusions: The process of developing a curriculum for geriatric EM is described. The initial training of instructors was effective in improving participants' knowledge of geriatric issues in EM. Participants considered the training to be effective. The effect of the training on the emergency care of elder persons remains to be determined.

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