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S96
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
P-240
Geriatric co-management programs: do they change attitudes
towards aging?
L. Vognar
1
, J. Mateos-Nozal
2
, L. Garc´ıa Cabrera
2
, G. Turini
1
,
J. Defillo
1
, R. Besdine
1
1
Brown University, Providence, United States of America;
2
Hospital
Ram´on y Cajal, Madrid, Spain
Objective:
Evaluate the educational impact of a geriatric co-
management (GCM) Program and geriatric lectures developed in
an Orthopedics Unit by the Geriatric Division of Brown University
supported by the Reynolds Grant.
Methodology:
Geriatric attitude assessment was done by an online
questionnaire with the Geriatric Attitude Scale (GAS) in 2014. The
intervention group were orthopedicians and the control group are
urologist. The Orthogeriatric Unit has hired a full-time geriatrician
while the Urology department is a comparable surgical unit without
co-management or geriatric education.
Results:
Both units include 8 attendings, with different amount
of trainees (30 vs 16). The answer rate from each group was
52.63% (6 attendings and 14 trainees) and 73.08% (8 attendings
and 10 trainees). 84.2% of the first group reported previous
education in geriatrics and only 31.6% of the second group (p 0.001).
Most of the orthopedicians (94.7%) have worked recently with a
geriatrician, in contrast to only 36.8% of the urologists (p
<
0.001).
Geriatric attitudes were favourable in both groups (GAS 3.6 vs 3.81,
p 0.12), finding better attitudes in the orthopedic attendings (GAS
3.93 vs 3.89, p 0.86). Recent work with a geriatrician was related to
better attitudes (GAS 3.74 vs 3.65, p 0.57), but no association was
found with geriatric education (GAS 3.7 vs 3.72).
Conclusions:
Our study shows positive geriatric attitudes in both
groups of surgeons. An association between recent cooperation
with a geriatrician and higher attitudes towards older people was
found. GCM Programs should be developed as educational places.
P-241
Curriculum alignment: Bringing the benefits of this technique
to departmental teaching
T. Welsh
1
, K. Bagguley
2
, A. Gordon
3
, A. Blundell
3
1
University of Nottingham, Nottingham, United Kingdom;
2
University
Hospitals of Nottingham NHS Trust, Nottingham, United Kingdom;
3
Nottingham University Hospitals NHS Trust, Nottingham, United
Kingdom
Objectives:
Although medical curricula specify learning outcomes
which must be achieved at each level of training, departmental
teaching still tends to be arranged in an ad hoc manner. Curriculum
alignment is a valuable technique that ensures that teaching relates
directly to curriculum items, but it is little known of outside
of academic educational circles. This project aims to describe
the process of mapping key curriculum outcomes to teaching for
trainees rotating through a busy geriatric medicine department.
Methods:
The UK foundation, core medical trainee and geriatric
medicine speciality trainee curricula were searched systematically
for learning outcomes/competences specific to geriatric medicine.
These outcomes were then reviewed and duplicates were excluded.
A core group of outcomes were identified as being deliverable
through small group teaching. These outcomes were grouped into
topics and were sent to lecturers who were instructed to align their
teaching to them.
Results:
363 competencies/outcomes specific for geriatric medicine
were identified. After removing duplicate items 300 competences/
outcomes were left. These were then reviewed and 82 outcomes,
grouped into 14 topics, were identified as being deliverable through
small group teaching. A full list of lecture headings and outcomes
will be presented in tabular form.
Conclusions:
A curricular mapping process followed by an
alignment of teaching interventions to learning objectives allowed
a rational, consensus-based core programme of postgraduate
teaching in geriatric medicine to be established. This process,
using the new European Undergraduate Curriculum, has potential
application in teaching programmes in other European centres.
Geriatrics in organ disease
P-242
Oropharyngeal dysphagia in patients with community-acquired
pneumonia
E.H. Azana Fernandez
1
, Y.R. Davila Barboza
1
1
Hospital San Juan de Dios, Le´on, Spain
Introduction:
Oropharyngeal dysphagia (OD) is highly prevalent
in elderly patients. OD is associated with nutritional deficits and
community-acquired pneumonia (CAP).
Objectives:
Assess the prevalence of dysphagia among inpatient
patients with CAP.
Methods:
We conducted a observational study on CAP patients
consecutively admitted to a Geriatric Department over 6 months.
OD was clinically assessed using the Volume-Viscosity Swallow Test
(V-VST).
Results:
72 patients (77.6% women), mean age 84.2
±
4.3 years. The
specific clinical history detected previous oropharyngeal dysphagia
in 16 patients (22.2%).
The V-VST detected oropharyngeal dysphagia in 35 patients
(48.65%). Of them, 27 patients (74.2%) had mixed swallowing
disorder, 3 (8.6%) had isolated efficacy disorder, and 6 (17.1%) had
isolated safety disorder. Those patients with a positive dysphagia
test had a statistically significant higher prevalence of cognitive
disorder, higher age, more positive history of previous dysphagia
and lower functional status.
Conclusion:
OD is a highly prevalent clinical finding in elderly
patients with pneumonia. Screening test to detect dysphagia should
be performed in these group of patients.
P-243
Oropharyngeal dysphagia in patients with chronic obstructive
pulmonary disease
E.H. Azana Fernandez
1
, Y.R. Davila Barboza
1
1
Hospital San Juan de Dios, Le´on, Spain
Introduction:
Some authors reported a higher prevalence of
Oropharyngeal dysphagia (OD) in individuals with chronic
obstructive pulmonary disease (COPD) than in controls. The cause
is believed to lie in the intricate coordination of swallowing and
breathing.
Objectives:
Assess the prevalence of dysphagia in patients with
COPD.
Methods:
We conducted a observational study on COPD patients
consecutively admitted to a Geriatric Department over 6 months.
OD was clinically assessed using the Volume-Viscosity Swallow Test
(V-VST).
Results:
62 patients were included, mean patient age was
85.12
±
3.84 years. 69.35% were female. 9 patients required long-
term oxygen therapy (very severe COPD).
The V-VST detected oropharyngeal dysphagia in 20 pa-
tients (32.26%). Of them, 14 patients (70.0%) had mixed swallowing
disorder, 5 (25%) had isolated efficacy disorder, and 1 (5%) had
isolated safety disorder.
Eleven patients (55%) had safe swallow at nectar; 5 (25%) at liquid,
and 4 (20%) at pudding viscosity.
Conclusion:
Prevalence of OD is very high in COPD patients.
Screening test to detect dysphagia should be performed in these
group of patients.