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Related Experiment Videos

Long-term care experience in an internal medicine residency program.

Kalpana Cheeti1, Joshua D Schor

  • 1Department of Medicine, Saint Barnabas Medical Center, Livingston, New Jersey, USA.

Journal of the American Medical Directors Association
|June 17, 2003
PubMed
Summary

Internal medicine residents showed significant improvements in skills, knowledge, and attitudes after a long-term care rotation. This experience in nursing homes enhanced their geriatric care competencies.

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Area of Science:

  • Geriatric Medicine
  • Medical Education
  • Internal Medicine Training

Background:

  • Long-term care (LTC) settings are crucial for geriatric education.
  • Assessing the impact of LTC rotations on resident development is important for curriculum refinement.

Purpose of the Study:

  • To evaluate the effect of an LTC experience on internal medicine residents' skills, knowledge, and attitudes.
  • To determine if LTC rotations influence career choices in geriatrics.

Main Methods:

  • Prospective study (February 1999-March 2000) involving 25 third-year residents.
  • Residents completed validated pre- and post-rotation questionnaires assessing skills, knowledge, and attitudes.
  • Rotation took place at a 300-bed LTC facility.

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Main Results:

  • Significant improvements in self-reported skills for histories, physicals, functional assessments, and advance directive discussions (P < 0.0005).
  • All self-reported measures of geriatric knowledge and attitudes toward the elderly significantly increased.
  • No significant alteration in career choice towards geriatrics was observed.

Conclusions:

  • LTC rotations enhance medical residents' self-reported skills, knowledge, and attitudes in geriatrics.
  • Findings support recommendations for incorporating LTC settings into geriatric medical education.
  • Validated questionnaires and prospective data confirm the positive impact of LTC experience.