Curriculum Development Matrix: Care of Geriatric Patients
AIMS
Competencies
SAFE1
TIMELY2
EFFECTIVE3
EFFICIENT4
EQUITABLE5
PATIENT-CENTERED6
Assessment of Care
Safe care for the
elderly patient
PATIENT CARE7
MEDICAL KNOWLEDGE
and SKILLS8
(What must we know?)
INTERPERSONAL AND
COMMUNICATION
SKILLS9
(What must we say?)
Timely access to
care and timely
information on
diseases. Palliative
Care Management
Guidelines for care of
common chronic
diseases for the elderly.
Functional impact of
acute and chronic
diseases.
Physical limitations Understand varying Functional assessment
and the role of
presentation of
and management of
normative aging.
illness in aging.
geriatric syndrome.
Prescribing
Differentiate
Improve awareness of
medications safely between disease
atypical presentation of
and normal aging.
disease in older adults.
Communication
Geriatric
Communicate
related to coconsultation
sensitively and
morbidities,
effectively with older
impairments, etc
persons and caregivers.
that compromise
safety.
Knowledge of
Respect role of
Discuss geriatric
ethical issues
other professionals syndrome (dementia,
related to elderly
in order to avoid
incontinence, falls, etc.)
patient: autonomy, delays.
sensitively and
driving, elder abuse
effectively with older
persons and caregivers.
Care of the elderly with Positive attitudes Identifying patient goals
simple or chronic
toward all elderly
and respecting these
diseases.
and their individual choices and goals.
cultures
Adapt physical exam to Understand how
older patient. Learn
culture can alter
elements of a
treatment plans.
comprehensive geriatric
assessment.
Familiarity with multiple Cultivate respect
geriatric syndromes
for cultural, ethnic
and gender
differences.
Set realistic treatment
goals for the elderly
person. Learn to
organize mgmt of
PROFESSIONALISM10
(How must we behave?)
multiple acute and
chronic diseases
simultaneously.
Knowledge of
Become acquainted Appreciation for
Appreciate the epidem
SYSTEM-BASED
safety
resources
for
with
and
participate
continuity
of
care
across
and
public health
PRACTICE11
elderly (e.g. fall
in interdisciplinary
different levels of care. consequences of aging
(What is the process?
prevention, meds team care of older Organize mgmt of
of the population. Know
On whom do we
adult to assure
multiple acute and
financial limitations that
depend? Who depends containers)
timely
and
effective
chronic
diseases
may affect good care.
on us?)
care
simultaneously
Adapting knowledge of
illness to older patient
and in a patient
centered manner. Set
realistic diagnostic and
treatment goals with pt
Cultivate listening skills
with elder pt especially
with hearing/other
limitations.
Professional
values and
obligations of
physician. Know
patient belief
systems and
respect it.
Foster and run
family care
planning
conferences that
are culturally
appropriate to the
patient.
Empathy and
understanding of
effects of illness on
aging pt. Being an
advocate for the elderly
in confusing healthcare
systems.
Promote maximum
patient independence.
Utilizing lest restrictive
environment. Identify
and use community
resources effectively.
Discussions of
cultural
competence.
Instructions in patientcentered healthcare
systems and outcomes
of care.
Improvement
Small Group
discussions of
PRACTICE-BASED
ethical and safety
LEARNING AND
IMPROVEMENT12
concerns of
(What have we learned? treating elderly.
Didactic sessions
on new and timely
approaches to mgmt
of illness in elderly
Journal Club
Utilization of
discussions of
community resources
management of geriatric
syndromes.
What will we improve?)
Information Technology
© 2004 Bingham, Quinn Vanderbilt University
1
Safe: Avoiding injuries to patients from the care that is intended to help them.
Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.
3
Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse,
respectively).
4
Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.
5
Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socio-economic status.
6
Patient-Centered: Providing care that is respectful of and responsive to individual patient preferences, needs and values and ensuring that patient values guide all clinical decisions.
7
Patient care: that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
8
Medical Knowledge: about established and evolving biomedical, clinical, and cognate sciences (e.g. epidemiological and social-behavioral) and the application of this knowledge to patient
care.
9
Interpersonal and communication skills: that result in effective information exchange and teaming with patients, their families and other health professionals.
10
Professionalism: as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
11
System-based practice: as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on
system resources to provide care that is of optimal value.
12
Practice-based learning and improvement: that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvement in patient
care.
2