Background: With nearly 12.3 million inpatient discharges per year attributed to geriatric patients, hospitalists need to be proficient in the practice of geriatric medicine. Our objective was to conduct a systematic literature review to identify published geriatrics educational interventions for hospitalists.
Methods: We conducted a systematic search of Medline, EMBASE, ERIC, PsycInfo, Scopus, Web of Science, and Google Scholar for articles from 1996 to 2016. Studies reporting on inpatient geriatric education interventions for hospitalists, including process improvement studies with a significant education component, were eligible for inclusion. We excluded interventions aimed only at geriatricians, residents, fellows, nurse practitioners, and physician assistants.
Results: Our search yielded 464 reports; 11 met criteria for study inclusion. Eight distinct educational programs were identified plus 3 modifications of the Curriculum for the Hospitalized Aging Medical Patient (CHAMP) program. Most of the 11 studies were conducted in academic medical centers, employed pre-post evaluation design, and targeted a variety of inpatient physician providers. Seven studies employed multi-intervention curricula, with lectures, team based learning, video review, and group discussion being most frequently employed. Assessment techniques, outcomes measurements, and results were heterogeneous. Seven programs were train-the-trainer involving academic hospitalists, and 3 were components of process improvement projects. We did not find educational curricula focused on educating non-teaching hospitalists and none of the studies explicitly incorporated the Society of Hospital Medicine’s (SHM) geriatrics core competencies. The most robust geriatrics hospital medicine educational program with a rigorously designed curriculum, multi-intervention approach, and well defined assessment and outcomes reporting was CHAMP.
Conclusions: Only 8 distinct geriatrics educational programs for hospital medicine were identified; none with a rigorous educational curriculum specifically designed for non-teaching hospitalists. Hospitalists and geriatricians should partner to co-produce educational interventions aimed at improving geriatric patient outcomes and ensuring hospitalist proficiency in SHM geriatric medicine core competencies.
To cite this abstract:Young, RS; Munchhof, A; Arseven, A; Skopelja, E; Counsell, S . GERIATRICS EDUCATIONAL INTERVENTIONS FOR HOSPITALISTS: A SYSTEMATIC REVIEW. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 52. https://www.shmabstracts.com/abstract/geriatrics-educational-interventions-for-hospitalists-a-systematic-review/. Accessed December 14, 2018.