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P-241: Curriculum alignment: Bringing the benefits of this technique to departmental teaching
S96
Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
P-240 Geriatric co-management programs: do they change attitudes towards aging? L. Vognar1 , J. Mateos-Nozal2 , L. Garc´ıa Cabrera2 , G. Turini1 , J. Defillo1 , R. Besdine1 1 Brown University, Providence, United States of America; 2 Hospital Ram´ on y Cajal, Madrid, Spain Objective: Evaluate the educational impact of a geriatric comanagement (GCM) Program and geriatric lectures developed in an Orthopedics Unit by the Geriatric Division of Brown University supported by the Reynolds Grant. Methodology: Geriatric attitude assessment was done by an online questionnaire with the Geriatric Attitude Scale (GAS) in 2014. The intervention group were orthopedicians and the control group are urologist. The Orthogeriatric Unit has hired a full-time geriatrician while the Urology department is a comparable surgical unit without co-management or geriatric education. Results: Both units include 8 attendings, with different amount of trainees (30 vs 16). The answer rate from each group was 52.63% (6 attendings and 14 trainees) and 73.08% (8 attendings and 10 trainees). 84.2% of the first group reported previous education in geriatrics and only 31.6% of the second group (p 0.001). Most of the orthopedicians (94.7%) have worked recently with a geriatrician, in contrast to only 36.8% of the urologists (p < 0.001). Geriatric attitudes were favourable in both groups (GAS 3.6 vs 3.81, p 0.12), finding better attitudes in the orthopedic attendings (GAS 3.93 vs 3.89, p 0.86). Recent work with a geriatrician was related to better attitudes (GAS 3.74 vs 3.65, p 0.57), but no association was found with geriatric education (GAS 3.7 vs 3.72). Conclusions: Our study shows positive geriatric attitudes in both groups of surgeons. An association between recent cooperation with a geriatrician and higher attitudes towards older people was found. GCM Programs should be developed as educational places. P-241 Curriculum alignment: Bringing the benefits of this technique to departmental teaching T. Welsh1 , K. Bagguley2 , A. Gordon3 , A. Blundell3 University of Nottingham, Nottingham, United Kingdom; 2 University Hospitals of Nottingham NHS Trust, Nottingham, United Kingdom; 3 Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
1
Objectives: Although medical curricula specify learning outcomes which must be achieved at each level of training, departmental teaching still tends to be arranged in an ad hoc manner. Curriculum alignment is a valuable technique that ensures that teaching relates directly to curriculum items, but it is little known of outside of academic educational circles. This project aims to describe the process of mapping key curriculum outcomes to teaching for trainees rotating through a busy geriatric medicine department. Methods: The UK foundation, core medical trainee and geriatric medicine speciality trainee curricula were searched systematically for learning outcomes/competences specific to geriatric medicine. These outcomes were then reviewed and duplicates were excluded. A core group of outcomes were identified as being deliverable through small group teaching. These outcomes were grouped into topics and were sent to lecturers who were instructed to align their teaching to them. Results: 363 competencies/outcomes specific for geriatric medicine were identified. After removing duplicate items 300 competences/ outcomes were left. These were then reviewed and 82 outcomes, grouped into 14 topics, were identified as being deliverable through small group teaching. A full list of lecture headings and outcomes will be presented in tabular form. Conclusions: A curricular mapping process followed by an alignment of teaching interventions to learning objectives allowed
a rational, consensus-based core programme of postgraduate teaching in geriatric medicine to be established. This process, using the new European Undergraduate Curriculum, has potential application in teaching programmes in other European centres.
Geriatrics in organ disease P-242 Oropharyngeal dysphagia in patients with community-acquired pneumonia E.H. Azana Fernandez1 , Y.R. Davila Barboza1 Hospital San Juan de Dios, Le´ on, Spain
1
Introduction: Oropharyngeal dysphagia (OD) is highly prevalent in elderly patients. OD is associated with nutritional deficits and community-acquired pneumonia (CAP). Objectives: Assess the prevalence of dysphagia among inpatient patients with CAP. Methods: We conducted a observational study on CAP patients consecutively admitted to a Geriatric Department over 6 months. OD was clinically assessed using the Volume-Viscosity Swallow Test (V-VST). Results: 72 patients (77.6% women), mean age 84.2±4.3 years. The specific clinical history detected previous oropharyngeal dysphagia in 16 patients (22.2%). The V-VST detected oropharyngeal dysphagia in 35 patients (48.65%). Of them, 27 patients (74.2%) had mixed swallowing disorder, 3 (8.6%) had isolated efficacy disorder, and 6 (17.1%) had isolated safety disorder. Those patients with a positive dysphagia test had a statistically significant higher prevalence of cognitive disorder, higher age, more positive history of previous dysphagia and lower functional status. Conclusion: OD is a highly prevalent clinical finding in elderly patients with pneumonia. Screening test to detect dysphagia should be performed in these group of patients. P-243 Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease E.H. Azana Fernandez1 , Y.R. Davila Barboza1 Hospital San Juan de Dios, Le´ on, Spain
1
Introduction: Some authors reported a higher prevalence of Oropharyngeal dysphagia (OD) in individuals with chronic obstructive pulmonary disease (COPD) than in controls. The cause is believed to lie in the intricate coordination of swallowing and breathing. Objectives: Assess the prevalence of dysphagia in patients with COPD. Methods: We conducted a observational study on COPD patients consecutively admitted to a Geriatric Department over 6 months. OD was clinically assessed using the Volume-Viscosity Swallow Test (V-VST). Results: 62 patients were included, mean patient age was 85.12±3.84 years. 69.35% were female. 9 patients required longterm oxygen therapy (very severe COPD). The V-VST detected oropharyngeal dysphagia in 20 patients (32.26%). Of them, 14 patients (70.0%) had mixed swallowing disorder, 5 (25%) had isolated efficacy disorder, and 1 (5%) had isolated safety disorder. Eleven patients (55%) had safe swallow at nectar; 5 (25%) at liquid, and 4 (20%) at pudding viscosity. Conclusion: Prevalence of OD is very high in COPD patients. Screening test to detect dysphagia should be performed in these group of patients.
Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
P-240 Geriatric co-management programs: do they change attitudes towards aging? L. Vognar1 , J. Mateos-Nozal2 , L. Garc´ıa Cabrera2 , G. Turini1 , J. Defillo1 , R. Besdine1 1 Brown University, Providence, United States of America; 2 Hospital Ram´ on y Cajal, Madrid, Spain Objective: Evaluate the educational impact of a geriatric comanagement (GCM) Program and geriatric lectures developed in an Orthopedics Unit by the Geriatric Division of Brown University supported by the Reynolds Grant. Methodology: Geriatric attitude assessment was done by an online questionnaire with the Geriatric Attitude Scale (GAS) in 2014. The intervention group were orthopedicians and the control group are urologist. The Orthogeriatric Unit has hired a full-time geriatrician while the Urology department is a comparable surgical unit without co-management or geriatric education. Results: Both units include 8 attendings, with different amount of trainees (30 vs 16). The answer rate from each group was 52.63% (6 attendings and 14 trainees) and 73.08% (8 attendings and 10 trainees). 84.2% of the first group reported previous education in geriatrics and only 31.6% of the second group (p 0.001). Most of the orthopedicians (94.7%) have worked recently with a geriatrician, in contrast to only 36.8% of the urologists (p < 0.001). Geriatric attitudes were favourable in both groups (GAS 3.6 vs 3.81, p 0.12), finding better attitudes in the orthopedic attendings (GAS 3.93 vs 3.89, p 0.86). Recent work with a geriatrician was related to better attitudes (GAS 3.74 vs 3.65, p 0.57), but no association was found with geriatric education (GAS 3.7 vs 3.72). Conclusions: Our study shows positive geriatric attitudes in both groups of surgeons. An association between recent cooperation with a geriatrician and higher attitudes towards older people was found. GCM Programs should be developed as educational places. P-241 Curriculum alignment: Bringing the benefits of this technique to departmental teaching T. Welsh1 , K. Bagguley2 , A. Gordon3 , A. Blundell3 University of Nottingham, Nottingham, United Kingdom; 2 University Hospitals of Nottingham NHS Trust, Nottingham, United Kingdom; 3 Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
1
Objectives: Although medical curricula specify learning outcomes which must be achieved at each level of training, departmental teaching still tends to be arranged in an ad hoc manner. Curriculum alignment is a valuable technique that ensures that teaching relates directly to curriculum items, but it is little known of outside of academic educational circles. This project aims to describe the process of mapping key curriculum outcomes to teaching for trainees rotating through a busy geriatric medicine department. Methods: The UK foundation, core medical trainee and geriatric medicine speciality trainee curricula were searched systematically for learning outcomes/competences specific to geriatric medicine. These outcomes were then reviewed and duplicates were excluded. A core group of outcomes were identified as being deliverable through small group teaching. These outcomes were grouped into topics and were sent to lecturers who were instructed to align their teaching to them. Results: 363 competencies/outcomes specific for geriatric medicine were identified. After removing duplicate items 300 competences/ outcomes were left. These were then reviewed and 82 outcomes, grouped into 14 topics, were identified as being deliverable through small group teaching. A full list of lecture headings and outcomes will be presented in tabular form. Conclusions: A curricular mapping process followed by an alignment of teaching interventions to learning objectives allowed
a rational, consensus-based core programme of postgraduate teaching in geriatric medicine to be established. This process, using the new European Undergraduate Curriculum, has potential application in teaching programmes in other European centres.
Geriatrics in organ disease P-242 Oropharyngeal dysphagia in patients with community-acquired pneumonia E.H. Azana Fernandez1 , Y.R. Davila Barboza1 Hospital San Juan de Dios, Le´ on, Spain
1
Introduction: Oropharyngeal dysphagia (OD) is highly prevalent in elderly patients. OD is associated with nutritional deficits and community-acquired pneumonia (CAP). Objectives: Assess the prevalence of dysphagia among inpatient patients with CAP. Methods: We conducted a observational study on CAP patients consecutively admitted to a Geriatric Department over 6 months. OD was clinically assessed using the Volume-Viscosity Swallow Test (V-VST). Results: 72 patients (77.6% women), mean age 84.2±4.3 years. The specific clinical history detected previous oropharyngeal dysphagia in 16 patients (22.2%). The V-VST detected oropharyngeal dysphagia in 35 patients (48.65%). Of them, 27 patients (74.2%) had mixed swallowing disorder, 3 (8.6%) had isolated efficacy disorder, and 6 (17.1%) had isolated safety disorder. Those patients with a positive dysphagia test had a statistically significant higher prevalence of cognitive disorder, higher age, more positive history of previous dysphagia and lower functional status. Conclusion: OD is a highly prevalent clinical finding in elderly patients with pneumonia. Screening test to detect dysphagia should be performed in these group of patients. P-243 Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease E.H. Azana Fernandez1 , Y.R. Davila Barboza1 Hospital San Juan de Dios, Le´ on, Spain
1
Introduction: Some authors reported a higher prevalence of Oropharyngeal dysphagia (OD) in individuals with chronic obstructive pulmonary disease (COPD) than in controls. The cause is believed to lie in the intricate coordination of swallowing and breathing. Objectives: Assess the prevalence of dysphagia in patients with COPD. Methods: We conducted a observational study on COPD patients consecutively admitted to a Geriatric Department over 6 months. OD was clinically assessed using the Volume-Viscosity Swallow Test (V-VST). Results: 62 patients were included, mean patient age was 85.12±3.84 years. 69.35% were female. 9 patients required longterm oxygen therapy (very severe COPD). The V-VST detected oropharyngeal dysphagia in 20 patients (32.26%). Of them, 14 patients (70.0%) had mixed swallowing disorder, 5 (25%) had isolated efficacy disorder, and 1 (5%) had isolated safety disorder. Eleven patients (55%) had safe swallow at nectar; 5 (25%) at liquid, and 4 (20%) at pudding viscosity. Conclusion: Prevalence of OD is very high in COPD patients. Screening test to detect dysphagia should be performed in these group of patients.