A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS

Deyun Yang, MD, PhD*, Hofstra Northwell School of Medicine, New Hyde Park, NY;Dr. Liron Sinvani, MD, Northwell Health System, Manhasset, NY;Sean LaVine, M.D., Hofstra Northwell School of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY;Dr. Lawrence Belletti, M.D., Northwell Health, Manhasset, NY and Corey Karlin-Zysman, M.D., Hofstra Northwell School of Medicine, Long Island Jewish Medical Center and North Shore University Hospital, New Hyde Park, NY

Meeting: Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.

Abstract number: 43

Categories: Education, Innovations Abstracts

Keywords: , ,

Background:

Today, Medicare patients account for approximately 50% of hospital days. Hospitalists are a key strategy for providing care to hospitalized older adults, however, most of these hospitalists have not received geriatric training. Faculty development is an important component to the success of a hospitalist program. We developed a geriatric-focused lecture series to improve the skills of our hospitalists in geriatric medicine as one of our faculty development projects.

Purpose:

The aim of this initiative was to develop a geriatric-focused lecture series in order to improve care of hospitalized older adults and to assess its efficacy as a venue of faculty development.

Description:

Methods:

In a collaborative effort between the Divisions of Hospital Medicine and Geriatrics and Palliative Care Medicine, we created a lecture series in selected areas focused on the care of hospitalized older adults. Topics included the management of dementia and delirium, poly-pharmacy, falls and malnutrition as well as advanced care planning and community resources. Hospitalists across two academic tertiary care hospitals received 6 lectures over a 7 month period. Each lecture, given by a Geriatrics and Palliative Care expert was conducted twice (once at each hospital). Anonymous surveys of comfort levels (expressed as a Likert scales 1-5) in each of the selected areas were conducted before and after the lecture series.

Results:

Of the daytime hospitalists across the two centers, 47 hospitalists attended at least 1 lecture and 29 hospitalists attended 4 or more lectures. Pre-lecture surveys revealed that 51% of hospitalists had 5 or less years of experience and 86% had no formal training in Geriatrics. Most (66%) hospitalists expressed a need for additional training in Geriatrics.

Of the 47 hospitalists that attended at least 1 lecture, 35 completed a pre-intervention survey and 26 completed a post-intervention survey. In regards to comfort level of managing hospitalized older adults, the data demonstrated an increase in the level of physician comfort in 4 of the 6 areas, including the management of: dementia and delirium (from 36.5% to 73.1%), polypharmacy (from 44.4% to 84.6%), malnutrition (from 25.0% to 69.2%) and falls (41.7% to 83.3%). Comfort levels in advanced care planning (80.6% to 84.6%) and community resources (16.7% to 26.9%), showed less of an improvement.

Almost all (92%) hospitalists expressed that the geriatric lecture series was helpful or very helpful for their daily practice.

Conclusions:

While most hospitalists do not receive geriatric training, they are increasingly tasked with caring for an increasing population of frail older adults. Geriatric-focused faculty development initiatives could be an important strategy to improve hospitalists’ comfort levels in caring for common geriatric syndromes.

To cite this abstract:

Yang, D; Sinvani, L; LaVine, S; Belletti, L; Karlin-Zysman, C . A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 43. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/a-geriatric-focused-faculty-development-lecture-series-improves-hospitalists-comfort-level-in-caring-for-older-adults/. Accessed July 21, 2019.

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