von Streng Paats, Tasslem; Masud, Tahir; Huwendiek, Sören; Blundell, Adrian; Vassallo, Michael; Stuck, Andreas E (2022). Geriatric medicine learning objectives and entrustable professional activities in undergraduate medical curricula: a scoping review. Age and ageing, 51(5) Oxford University Press 10.1093/ageing/afac100
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BACKGROUND
entrustable professional activities (EPAs) have become an important component of competency-based medical education. The aim of this study is to evaluate how geriatric medicine learning objectives are addressed by undergraduate medical curricula including EPAs.
METHODS
we performed a scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines to identify undergraduate medical curricula that include EPAs. A content analysis was conducted to examine how these curricula address the care of older individuals. In addition, we mapped the curricula to 19 geriatric medicine learning objectives identified from the European curriculum of undergraduate medical education.
RESULTS
we found nine curricula, each containing between 4 and 16 core EPAs. In the sections describing the EPAs, three of the nine curricula specify that all core EPAs apply to all age groups including older patients, whereas the remaining six curricula either only refer to older patients in selected EPAs or not at all. Mapping revealed that some geriatric medicine learning objectives are covered by most curricula (e.g. medication use, multidisciplinary team work), whereas others are lacking in the majority (e.g. normal ageing, geriatric assessment, cognitive assessment, nutrition assessment, decision-making capacity assessment, long-term care). Three curricula cover most geriatric learning objectives by using a matrix aligning EPAs with geriatric competencies.
CONCLUSIONS
geriatric learning objectives continue to be missing from undergraduate medical curricula, also from those adopting the novel approach of EPAs. However, this review also identified some curricula that might serve as models for how geriatric learning objectives can be successfully covered within future EPA frameworks.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute for Medical Education > Assessment and Evaluation Unit (AAE) 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic > Geriatric Clinic Inselspital 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic |
UniBE Contributor: |
von Streng, Tasslem, Huwendiek, Sören, Stuck, Andreas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0002-0729 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
11 May 2022 13:16 |
Last Modified: |
05 Dec 2022 16:19 |
Publisher DOI: |
10.1093/ageing/afac100 |
PubMed ID: |
35536879 |
Uncontrolled Keywords: |
Geriatrics biological ageing geriatric assessment long-term care older people systematic review undergraduate medical education |
BORIS DOI: |
10.48350/169910 |
URI: |
https://boris.unibe.ch/id/eprint/169910 |
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