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. 2024 Jan;25(1):51-60.
doi: 10.5811/westjem.60842.

Integration of Geriatric Education Within the American Board of Emergency Medicine Model

Lauren T Southerland  1 , Lauren R Willoughby  1 , Jason Lyou  1 , Rebecca R Goett  2 , Daniel W Markwalter  3   4 , Diane L Gorgas  1
Affiliations

Integration of Geriatric Education Within the American Board of Emergency Medicine Model

Lauren T Southerland et al. West J Emerg Med. 2024 Jan.

Abstract

Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overlap with the EM Model and KSAs to help residency programs include them in their educational curricula.

Methods: Trained emergency physicians independently mapped the geriatric resident competencies onto the 2019 EM Model items and the 2021 KSAs using Excel spreadsheets. Discrepancies were resolved by an independent reviewer with experience with the EM Model development and resident education, and the final mapping was reviewed by all team members.

Results: The EM Model included 77% (20/26) of the geriatric competencies. The KSAs included most of the geriatric competencies (81%, 21/26). All but one of the geriatric competencies mapped onto either the EM Model or the KSAs. Within the KSAs, most of the geriatric competencies mapped onto necessary level skills (ranked B, C, D, or E) with only five (8%) also mapping onto advanced skills (ranked A).

Conclusion: All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this mapping to integrate the geriatric competencies within their curriculums.

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Conflict of interest statement

Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. Diane L. Gorgas is a board member of the American Board of Emergency Medicine. Lauren T. Southerland has contributed to some of the free educational websites mentioned in the discussion.

References

    1. Kizziah MA, Miller KN, Bischof JJ, et al. Emergency medicine resident clinical experience vs. in-training examination content: a national database study. AEM Educ Train. 2022;6(2):e10729. - PMC - PubMed
    1. Ashman JJ, Schappert SM, Santo L. Emergency department visits among adults aged 60 and over: United States, 2014–2017. NCHS Data Brief, no 367. Hyattsville, MD: National Center for Health Statistics. 2020. - PubMed
    1. American Board of Emergency Medicine . The 2019 Model of the Clinical Practice of Emergency Medicine. Available at: https://www.abem.org/public/resources/em-model. Accessed September 9, 2020.
    1. American Board of Emergency Medicine . 2022 Knowledge, Skills, & Abilities. Available at: https://www.abem.org/public/resources/emergency-medicine-milestones-ksas. Accessed August 9, 2022.
    1. Hogan TM, Losman ED, Carpenter CR, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Acad Emerg Med. 2010;17(3):316–24. - PMC - PubMed