See One Do One Creating Geriatric Competencies Assessments

See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David Geffen School of Medicine University of California Los Angeles

How do you get it done at home? Observed longitudinal practice, chart audit Does Shows Knows How Knows Demonstrated skills (standardized patient assessments, simulation exercises) Applied knowledge tests Factual knowledge tests

Levels of Competency Assessment Ultimate Goal Does This Workshop Shows Knows How Knows Miller GE. The Assessment of Clinical Skills / Competence / Performance, Academic Medicine 1990; 65: 9, S 63 -S 67.

Rationale for Geriatrics Competency Certification • Patient Safety Initiatives • Centers for Medicare and Medicaid Services (CMS) quality initiatives for geriatric concerns – falls in hospital, pressure ulcers, readmission… • Liaison Committee on Medical Education (LCME) • Accreditation Council for Graduate Medical Education (ACGME)

Competency Domains in Geriatrics • Falls, Balance, and Gait Disorders (AGS 2011) • Cognitive and Behavioral Disorders (AGS 2012) • Medication Management • Self-Care Capacity • Health Care Planning and Promotion • Atypical Presentation of Disease • Palliative Care • Hospital Care for Elders

Competency Projects and Presentations Since… • Falls, Balance and Gait Disorders – American College of Physicians • Recreated workshop for practicing physicians – Baylor University • Culberson C, Ahmed S, Agarwal K, et al. PREVENTING FALLS: AN EDUCATIONAL WORKSHOP TAUGHT BY GERIATRIC FELLOWS. Gerontological Society of America 2012 – Wake Forest University • Omlor B, Watkins F, Lawlor J, Atkinson H. INTERN BOOT CAMP. American Geriatrics Society 2013

Competency Projects and Presentations Since… • Cognitive and Behavioral Disorders – University of California San Diego • Dr. Sara Bailey: Medical students and IM Residents – University of California Los Angeles • Certification in Interprofessional Dementia Screening and Management

Competency Projects and Presentations Since… • Cognitive & Behavioral Disorders – UCLA: California Geriatric Education Center • 50 learners from 4 professions certified – – 10 Physicians 10 Nurses 10 Pharmacists 10 Social workers – Funded by HRSA supplement to California Geriatric Education Center (CGEC)

Summary • Competency movement is here to stay • Geriatric competencies can and need to be taught and tested • Competency workshop is an interactive, creative and enjoyable way of teaching geriatrics

Competency Domains in Geriatrics • Falls, Balance, and Gait Disorders (AGS 2011) • Cognitive and Behavioral Disorders (AGS 2012) • Medication Management (AGS 2013)! • Self-Care Capacity • Health Care Planning and Promotion • Atypical Presentation of Disease • Palliative Care • Hospital Care for Elders

See you in Grapevine TX! Competency in Medication Management AGS 2013 ztan@mednet. ucla. edu