Assessment of a chief complaint-based curriculum for resident education in geriatric emergency medicine

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: We hypothesized that a geriatric chief complaint-based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED). Methods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints-abdominal pain, weakness, and falls-was developed and presented. A pre-and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre-and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95% confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction. Results: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved. Conclusion: A geriatric chief complaint-based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non-age-specific chief complaint-based curriculum.

Original languageEnglish (US)
Pages (from-to)484-488
Number of pages5
JournalWestern Journal of Emergency Medicine
Volume12
Issue number4
DOIs
StatePublished - Nov 1 2011

Fingerprint

Emergency Medicine
Geriatrics
Documentation
Curriculum
Education
Hospital Emergency Service
Abdominal Pain
Patient Care
Polypharmacy
Emergency Medical Services
Caregivers
Differential Diagnosis
Communication

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

@article{57c667c68f8940dc9c88b22fa91dc752,
title = "Assessment of a chief complaint-based curriculum for resident education in geriatric emergency medicine",
abstract = "Introduction: We hypothesized that a geriatric chief complaint-based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED). Methods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints-abdominal pain, weakness, and falls-was developed and presented. A pre-and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre-and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95{\%} confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction. Results: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved. Conclusion: A geriatric chief complaint-based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non-age-specific chief complaint-based curriculum.",
author = "Wadman, {Michael Charles} and Lyons, {William L} and Hoffman, {Lance H.} and Muelleman, {Robert Leo}",
year = "2011",
month = "11",
day = "1",
doi = "10.5811/westjem.2010.10.1722",
language = "English (US)",
volume = "12",
pages = "484--488",
journal = "Western Journal of Emergency Medicine",
issn = "1936-900X",
publisher = "University of California",
number = "4",

}

TY - JOUR

T1 - Assessment of a chief complaint-based curriculum for resident education in geriatric emergency medicine

AU - Wadman, Michael Charles

AU - Lyons, William L

AU - Hoffman, Lance H.

AU - Muelleman, Robert Leo

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Introduction: We hypothesized that a geriatric chief complaint-based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED). Methods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints-abdominal pain, weakness, and falls-was developed and presented. A pre-and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre-and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95% confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction. Results: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved. Conclusion: A geriatric chief complaint-based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non-age-specific chief complaint-based curriculum.

AB - Introduction: We hypothesized that a geriatric chief complaint-based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED). Methods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints-abdominal pain, weakness, and falls-was developed and presented. A pre-and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre-and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95% confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction. Results: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved. Conclusion: A geriatric chief complaint-based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non-age-specific chief complaint-based curriculum.

UR - http://www.scopus.com/inward/record.url?scp=81255179818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81255179818&partnerID=8YFLogxK

U2 - 10.5811/westjem.2010.10.1722

DO - 10.5811/westjem.2010.10.1722

M3 - Article

VL - 12

SP - 484

EP - 488

JO - Western Journal of Emergency Medicine

JF - Western Journal of Emergency Medicine

SN - 1936-900X

IS - 4

ER -