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Implementing a multidimensional geriatric curriculum in a physical medicine and rehabilitation residency program
Clinton E Faulk1, Tae Joon Lee, David Musick
1Department of Physical Medicine and Rehabilitation, Brody School of Medicine, East Carolina University, Greenville, North Carolina 27834, USA.
A new geriatric curriculum improved physical medicine and rehabilitation residents' attitudes toward older patients and teamwork. While knowledge scores saw a slight increase, the program enhanced overall geriatric training experiences.
Area of Science:
- Geriatric Medicine
- Medical Education
- Physical Medicine and Rehabilitation
Background:
- Physical Medicine and Rehabilitation (PM&R) residency programs may lack formal geriatric patient care curricula.
- There is a need to enhance PM&R residents' knowledge and attitudes towards geriatric care.
Purpose of the Study:
- To implement and evaluate a multidimensional geriatric curriculum for PM&R residents.
- To assess the impact of the curriculum on residents' geriatric knowledge, attitudes, and teamwork perception.
Main Methods:
- A 12-week clinical rotation across diverse geriatric settings (outpatient clinic, SNF, CCRC, home visits).
- Inclusion of online self-learning modules and didactic sessions.
- Pre- and post-testing using the Geriatric Knowledge Test, Geriatric Attitude Scale, and Attitudes Toward Teamwork in Healthcare Scale.
Main Results:
- Geriatric Knowledge Test scores improved from 67.2% to 72.7% (not statistically significant).
- Residents demonstrated more favorable attitudes towards the geriatric population and interdisciplinary teamwork.
- High ratings for learning experiences (average 7.06) and organizational aspects (average 6.89).
Conclusions:
- The implemented geriatric curriculum enhanced geriatric training for PM&R residents.
- The program positively influenced residents' attitudes towards geriatric patients and teamwork.
- The curriculum provided a valuable learning experience, despite non-significant knowledge score improvements.
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