Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers

Mulligan, R.; Gilmer-Scott, Melissa; Kouchel, Dana; Nickelson, Davia; Safavi, Atousa; Drickamer, Margaret A.; Roberts, Ellen

doi:10.15766/mep_2374-8265.10631

Cited by 11 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 25 Mulligan and colleagues' SP-based learning activity involves evaluation of geriatric patients with weight loss; however, it is designed as an interprofessional team activity with team-oriented learning goals and practice using a specific screening tool rather than diagnostic reasoning. 26 Akins 27 and Krugler 28 have each published SP cases of acute abdominal pain representing acute cholecystitis intended for use with medical students. In both publications, an SP script and student performance evaluation form are included.…”

Section: Introductionmentioning

confidence: 99%

The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

et al. 2020

View full text Add to dashboard Cite

Introduction Cognitive integration is required to perform clinical decision-making tasks, even in the preclinical curriculum of medical school. Simulation supports students' cognitive integration by providing practical application of basic science knowledge in a relevant clinical context. To address the need for integrative activities in our curriculum, we implemented a simulated clinic exercise with cases representing gastrointestinal diseases for first-year medical students. Methods Basic science and clinical skills course directors collaborated to design this simulated clinic event, during which student small groups rotated through a series of standardized patient encounters. During each encounter, one student performed the history and physical exam, following which the small group collaboratively developed a prioritized differential diagnosis. Afterwards, the gastroenterology course director debriefed students to highlight key learning points. We collected learner evaluation data following the event. Results Two hundred eighty first-year medical students participated in the simulated clinic in 2018 and 2019. Students rated these events as effective for learning about clinical features of the diseases presented and for reinforcing skills learned in the clinical skills course. Students agreed that the small-group format, pace, and duration were appropriate and that the problem-solving aspect was intellectually stimulating. The most effective aspects were opportunities to solidify illness scripts, apply knowledge to solve a problem, and encounter diseases in a realistic clinical context. Discussion This simulated clinic model effectively supported preclinical students' basic and clinical science integration to complete diagnostic reasoning tasks for gastrointestinal gastrointestinal conditions and was evaluated favorably by learners.

show abstract

Section: Introductionmentioning

confidence: 99%

The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

et al. 2020

View full text Add to dashboard Cite

show abstract

“…6 Another considers dementia as a cause of weight loss among older adults. 7 They both employ role-playing and simulation as instructional methods, requiring prework for participants and facilitators, as well as a simulation lab and standardized patients. In contrast to these resources, our seminar is dedicated in its entirety to discussing the development of eating and swallowing problems in the advanced stage of dementia, along with concerns among family caregivers, and requires minimal financial or structural resources or learner prework for implementation.…”

Section: Introductionmentioning

confidence: 99%

Eating Problems in Advanced Dementia: Navigating Difficult Conversations

et al. 2020

View full text Add to dashboard Cite

“…However, preexisting cases tend to focus on very specific aspects of geriatric medicine (e.g., unintentional weight loss, fall risk, and oral health care) or involve limited interprofessional interactions. [10][11][12][13][14][15][16] However, our scenario differs by incorporating health professions students from seven different areas of health care and, in doing so, offers a broad, comprehensive overview of geriatric care.…”

Section: Introductionmentioning

confidence: 99%

Geriatric Assessment in a Primary Care Environment: A Standardized Patient Case Activity for Interprofessional Students

et al. 2019

View full text Add to dashboard Cite

Introduction: Given the aging population and the benefits of comprehensive geriatric assessment to this subset of patients, an interprofessional education training approach may be advantageous for learners from a number of different health professions. Methods: Through intercollegiate collaborations involving seven different colleges, an interprofessional simulation using standardized patients was developed and instituted for learners in medicine, nursing, pharmacy, occupational therapy, physical therapy, dental hygiene, and dietitian programs. Herein, we describe the design of the simulation experience and examine its impact on students, as assessed primarily via written reflective comments provided via exit slips at the conclusion of the activity. Results: Of the 340 student participants, 83% submitted exit slips describing something gained from the interprofessional session that would not have occurred if students had completed the activity with only students from their own discipline. Three key themes were identified from these reflections: new understanding of roles and responsibilities of other disciplines, new knowledge or skills pertaining to geriatric assessments, and the value of teamwork. Discussion: Reflective comments from students regarding the interprofessional experience are evidence of this initiative's benefits, which include increasing knowledge of geriatric medical and allied health-provided care and attainment of interprofessional competencies.

show abstract

Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers

Abstract: Introduction: Interprofessional teams can provide better care and management of complex geriatric

Cited by 11 publications

References 20 publications

The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

Eating Problems in Advanced Dementia: Navigating Difficult Conversations

Geriatric Assessment in a Primary Care Environment: A Standardized Patient Case Activity for Interprofessional Students

Contact Info

Product

Resources

About