| Autor: |
Fernandez J; Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, Texas, USA., Agarwal KS; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA., Amspoker AB; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA., Godwin KM; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA., Green E; CarePartners, Houston, Texas, USA., Pickens S; College of Nursing, Texas Woman's University, Houston, Texas, USA., Lindo J; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA., Asghar-Ali AA; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.; South Central Mental Illness Research, Education and Clinical Center, Houston, Texas, USA. |
| Abstrakt: |
Despite a burgeoning older-adult population, the number of health-care professionals with geriatric expertise continues to lag behind. In 2014, the American Geriatrics Society's position statement encouraged interprofessional training for health-care professionals. Telementoring remotely connects clinicians with specialists for education and group mentoring. This dementia-focused, 11-month, 1-hour each, telementoring program was modeled on the Alzheimer's Association ECHO. Our interprofessional expert panel consisted of a geriatrician, a geriatric psychiatrist, an adult nurse practitioner (with geriatric expertise), two geriatric pharmacists, a licensed social worker (coordinating a dementia day program), and a project coordinator. Learners were residents in family medicine and general psychiatry, physician assistant residents in mental health and geriatric psychiatry fellows (total = 31). There was a significant improvement in learner intentions to change medication prescribing by midpoint assessment ( p = 0.04). Learners reported few barriers to incorporating skills they learned. An interprofessional telementoring program can help nongeriatric practitioners improve skills in caring for older adults. |
