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Goal-Setting on a Geriatric Medicine Rotation: A Pilot Study.
Jillian Alston1, Evelyn Cheung1, Dov Gandell1
1Division of Geriatric Medicine, University of Toronto, Toronto, ON, Canada.
A pilot goal-setting intervention in Geriatric Medicine showed that while adherence was limited, specific learning goals were created. Future efforts should enforce completion and include coaching for better results.
Area of Science:
- Medical Education
- Geriatric Medicine
- Professional Development
Background:
- Formal goal-setting is recognized for enhancing performance and educational experiences.
- A standardized goal-setting intervention was implemented for residents during a Geriatric Medicine rotation.
Purpose of the Study:
- To assess the feasibility of a goal-setting intervention in Geriatric Medicine.
- To identify required resources and implementation barriers for the intervention.
- To analyze the content and quality of learning goals set by residents.
Main Methods:
- A pilot goal-setting intervention involved providing a goal-setting form at the rotation's start and reviewing it at the end.
- Residents provided anonymous feedback via an online survey.
- Goals were analyzed for content and quality; survey feedback informed process improvements.
Main Results:
- 26 out of 44 residents (59%) completed the goal-setting initiative.
- Barriers included limited protected time for coaching, voluntary participation, and trainee absence.
- Of completed goals, 92% were specific, and 45.5% were not solely related to medical knowledge.
Conclusions:
- The pilot study identified successes and barriers of a brief goal-setting intervention in Geriatric Medicine.
- While adherence was limited, specific goals were achievable with a structured form.
- Recommendations include enforcing completion and incorporating mid-rotation check-ins and coaching.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

