4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students

Introduction Given the growing population of older adults, it is of utmost importance for all future physicians to be trained in the core skills of conducting geriatric assessment. Methods We designed an interactive, skills-based session introducing core competencies for geriatric assessment for sec...

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Main Authors: Gabrielle R. Goldberg, Gabriela Solis, Janice T. John, Doreen M. Olvet, Kimberly A. Kranz
Format: Article
Language:English
Published: Association of American Medical Colleges 2022-06-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11264
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author Gabrielle R. Goldberg
Gabriela Solis
Janice T. John
Doreen M. Olvet
Kimberly A. Kranz
author_facet Gabrielle R. Goldberg
Gabriela Solis
Janice T. John
Doreen M. Olvet
Kimberly A. Kranz
author_sort Gabrielle R. Goldberg
collection DOAJ
description Introduction Given the growing population of older adults, it is of utmost importance for all future physicians to be trained in the core skills of conducting geriatric assessment. Methods We designed an interactive, skills-based session introducing core competencies for geriatric assessment for second-year medical students (MS2s). We organized our curriculum for early learners based on the 4Ms framework: mind/memory, medications, mobility, and matters most. The session consisted of brief didactics with integration of real-time skills-based practice. Students completed pre- and postsession surveys to assess their confidence in their knowledge and skills. All students completed a geriatric assessment during a clinical skills encounter as part of a multistation, end-of-course, summative clinical skills examination (CSE). The session was conducted virtually over 2 academic years, and the CSE was conducted virtually in 2020 and in person in 2021. Results One hundred ninety-nine MS2s participated in the session (100 in 2020, 99 in 2021). All students surveyed (33%) reported improved confidence in geriatric knowledge and skills by the end of the session (ps < .001). Students were more likely to use a cognitive screening tool, ask about advance care planning, and assess medication adherence on the CSE in 2021 compared to 2020 (ps < .001). Discussion We provide an interactive curriculum for MS2s to develop geriatric assessment skills. The curriculum and assessment tools are versatile, can be easily integrated into any medical school curriculum, and can be effectively delivered in person or on a virtual platform.
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spelling doaj.art-458a874399224870a277fdbae67a24f32022-12-22T00:33:56ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652022-06-011810.15766/mep_2374-8265.112644Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical StudentsGabrielle R. Goldberg0Gabriela Solis1Janice T. John2Doreen M. Olvet3Kimberly A. Kranz4Assistant Professor and Director, Clinical Skills, Department of Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/NorthwellAssistant Professor, Department of Geriatrics and Palliative Care, Donald and Barbara Zucker School of Medicine at Hofstra/NorthwellAssistant Professor, Department of Pediatrics, and Assistant Dean for Integrated Medical Education, Albert Einstein College of MedicineAssociate Professor and Medical Education Research Project Manager, Department of Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/NorthwellAssociate Professor, Department of Internal Medicine and Geriatrics, Renaissance School of Medicine at Stony Brook UniversityIntroduction Given the growing population of older adults, it is of utmost importance for all future physicians to be trained in the core skills of conducting geriatric assessment. Methods We designed an interactive, skills-based session introducing core competencies for geriatric assessment for second-year medical students (MS2s). We organized our curriculum for early learners based on the 4Ms framework: mind/memory, medications, mobility, and matters most. The session consisted of brief didactics with integration of real-time skills-based practice. Students completed pre- and postsession surveys to assess their confidence in their knowledge and skills. All students completed a geriatric assessment during a clinical skills encounter as part of a multistation, end-of-course, summative clinical skills examination (CSE). The session was conducted virtually over 2 academic years, and the CSE was conducted virtually in 2020 and in person in 2021. Results One hundred ninety-nine MS2s participated in the session (100 in 2020, 99 in 2021). All students surveyed (33%) reported improved confidence in geriatric knowledge and skills by the end of the session (ps < .001). Students were more likely to use a cognitive screening tool, ask about advance care planning, and assess medication adherence on the CSE in 2021 compared to 2020 (ps < .001). Discussion We provide an interactive curriculum for MS2s to develop geriatric assessment skills. The curriculum and assessment tools are versatile, can be easily integrated into any medical school curriculum, and can be effectively delivered in person or on a virtual platform.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11264Medication ReconciliationFallsMobilityCase-Based LearningClinical Skills Assessment/OSCEsGeriatrics
spellingShingle Gabrielle R. Goldberg
Gabriela Solis
Janice T. John
Doreen M. Olvet
Kimberly A. Kranz
4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
MedEdPORTAL
Medication Reconciliation
Falls
Mobility
Case-Based Learning
Clinical Skills Assessment/OSCEs
Geriatrics
title 4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
title_full 4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
title_fullStr 4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
title_full_unstemmed 4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
title_short 4Ms for Early Learners: A Skills-Based Geriatrics Curriculum for Second-Year Medical Students
title_sort 4ms for early learners a skills based geriatrics curriculum for second year medical students
topic Medication Reconciliation
Falls
Mobility
Case-Based Learning
Clinical Skills Assessment/OSCEs
Geriatrics
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11264
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