Geriatric Research Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Division of Geriatric Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
J Am Geriatr Soc. 2016 Nov;64(11):2343-2348. doi: 10.1111/jgs.14382. Epub 2016 Oct 3.
The Veterans Affairs Geriatric Scholars Program (GSP) is a continuing professional development program to integrate geriatrics into the clinical practices of primary care providers and select associated health professions that support primary care teams. GSP uses a blended program educational format, and the minimal requirements are to attend an intensive course in geriatrics, participate in an interactive workshop on quality improvement (QI), and initiate a local QI project to demonstrate application of new knowledge to benefit older veterans. Using a retrospective post/pre survey design, the effect of GSP on clinical practices and behaviors and variation of that effect on clinicians working in rural and nonrural settings were evaluated. Significant improvement was found in the frequency of using evidence-based brief standardized assessments, clinical decision-making, and standards of care. Significant subgroup differences were observed in peer-to-peer information sharing between rural and nonrural clinicians. Overall, 77% of the sample reported greater job satisfaction after participating in GSP. The program is a successful model for advancing postgraduate education in geriatrics and a model that might be replicated to increase access to quality health care, particularly in rural areas.
退伍军人事务老年学者计划（GSP）是一个持续的专业发展计划，旨在将老年医学融入初级保健提供者的临床实践中，并选择支持初级保健团队的相关健康专业。GSP 使用混合式计划教育格式，其最低要求是参加老年医学强化课程、参加关于质量改进（QI）的互动研讨会，并启动本地 QI 项目，以展示新知识在造福老年退伍军人方面的应用。使用回顾性后/前调查设计，评估了 GSP 对临床实践和行为的影响及其对在农村和非农村环境中工作的临床医生的影响变化。发现使用基于证据的简短标准化评估、临床决策和护理标准的频率有显著提高。在农村和非农村临床医生之间的同行信息共享方面观察到显著的亚组差异。总体而言，77%的样本报告说，参加 GSP 后工作满意度更高。该计划是推进老年医学研究生教育的成功模式，也是一个可以复制的模式，以增加获得高质量医疗保健的机会，特别是在农村地区。
