Developing efficient viable geriatric curriculum model for Family Medicine programs is a very hot nationwide topic nowadays, and our work effectively addresses it. For the last 3.5 years, we have successfully conducted new curriculum, increasing teaching time by 25% in the one-month 3rd year block rotation. Residents strongly agreed on relevance and importance of learning quality geriatric care for their future practices and their improved confidence and skills, and unanimously supported idea to increase the curriculum time. Our other goal is to expand a cross-cultural geriatrics component, as our residents care for a significant number of Pacific minorities population.
Learners should be able to identify the most efficient ways of conducting geriatric medicine rotations for family medicine residency programs.
Additional information/Special implementation requirements or guidelines:
19 third-year family medicine residents in in-/outpatient, SNF/Rehab Center, and home visits settings; didactics seminars; interdisciplinary team meetings; home visits; elements of in-patient geriatric consult services and out-patient geriatric family counseling. The strongest points were considered: one-on-one tutoring/rotation learning-to-service ratio; detailed discussions of patients seen; topics (geriatric assessment, dementia, MMSE, polypharmacy; delirium, home care). The most frequent suggestions for improvement were: more home visits; increased number of complex patients; increased topics in behavioral health, end-of-life and ethics. Absence of yet fully functional geriatric clinic was perceived as the weakest point of the program.