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{
    "pk": 8002,
    "title": "Multidimensional Attitudes of Emergency Medicine Residents Toward Older Adults",
    "subtitle": null,
    "abstract": "Introduction: The demands of our rapidly expanding older population strain many emergency departments (EDs), and older patients experience disproportionately high adverse health outcomes. Trainee attitude is key in improving care for older adults. There is negligible knowledge of baseline emergency medicine (EM) resident attitudes regarding elder patients. Awareness of baseline attitudes can serve to better structure training for improved care of older adults. The objective of the study is to identify baseline EM resident attitudes toward older adults using a validated attitude scale and multidimensional analysis.\nMethods: Six EM residencies participated in a voluntary anonymous survey delivered in summer and fall 2009. We used factor analysis using the principal components method and Varimax rotation, to analyze attitude interdependence, translating the 21 survey questions into 6 independent dimensions. We adapted this survey from a validated instrument by the addition of 7 EM-specific questions to measures attitudes relevant to emergency care of elders and the training of EM residents in the geriatric competencies. Scoring was performed on a 5-point Likert scale. We compared factor scores using student t and ANOVA.Results: 173 EM residents participated showing an overall positive attitude toward older adults, with a factor score of 3.79 (3.0 being a neutral score). Attitudes trended to more negative in successive post-graduate year (PGY) levels.\nConclusion: EM residents demonstrate an overall positive attitude towards the care of older adults. We noted a longitudinal hardening of attitude in social values, which are more negative in successive PGY-year levels. [West J Emerg Med. 2014;15(4):511-517.]",
    "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": "attitudes, emergency medicine, residents, older adults"
        }
    ],
    "section": "Societal Impact on Emergency Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7fv2k981",
    "frozenauthors": [
        {
            "first_name": "Teresita",
            "middle_name": "M",
            "last_name": "Hogan",
            "name_suffix": "",
            "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Shu",
            "middle_name": "B",
            "last_name": "Chan",
            "name_suffix": "",
            "institution": "Presence Resurrection Medical Center, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Bhakti",
            "middle_name": "",
            "last_name": "Hansoti",
            "name_suffix": "",
            "institution": "Johns Hopkins School of Medicine, Baltimore, Maryland",
            "department": "None"
        }
    ],
    "date_submitted": "2013-10-08T17:53:38Z",
    "date_accepted": "2013-10-08T17:53:38Z",
    "date_published": "2014-05-15T21:50:44Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8002/galley/4634/download/"
        }
    ]
}