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{
    "pk": 18258,
    "title": "Assessment of a Chief Complaint–Based Curriculum for Resident Education in Geriatric Emergency Medicine",
    "subtitle": null,
    "abstract": "Introduction: We hypothesized that a geriatric chief complaint–based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED).\n\n\nMethods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints—abdominal pain, weakness, and falls—was developed and presented. A pre- and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre- and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95% confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction.\n\n\nResults: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved.\n\n\nConclusion: A geriatric chief complaint–based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non–age-specific chief complaint–based curriculum. [West J Emerg Med. 2011;12(4):484–488.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "curriculum development"
        },
        {
            "word": "Resident Education"
        },
        {
            "word": "Geriatrics"
        },
        {
            "word": "Curriculum and Instruction"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Geriatrics",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/73t2k528",
    "frozenauthors": [
        {
            "first_name": "Michael",
            "middle_name": "C",
            "last_name": "Wadman",
            "name_suffix": "",
            "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska",
            "department": "None"
        },
        {
            "first_name": "William",
            "middle_name": "L",
            "last_name": "Lyons",
            "name_suffix": "",
            "institution": "University of Nebraska Medical Center, Section of Geriatrics and Gerontology, Department of Internal Medicine, Omaha, Nebraska",
            "department": "None"
        },
        {
            "first_name": "Lance",
            "middle_name": "H",
            "last_name": "Hoffman",
            "name_suffix": "",
            "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska",
            "department": "None"
        },
        {
            "first_name": "Robert",
            "middle_name": "L",
            "last_name": "Muelleman",
            "name_suffix": "",
            "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska",
            "department": "None"
        }
    ],
    "date_submitted": "2009-09-23T03:00:00-04:00",
    "date_accepted": "2009-09-23T03:00:00-04:00",
    "date_published": "2011-05-27T03:00:00-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18258/galley/9357/download/"
        }
    ]
}