title: Uncovering frustrations. A qualitative needs assessment of academic general internists as geriatric care providers and teachers.
abstract: BACKGROUND
  General internists commonly provide medical care for older adults and geriatric education to trainees, but lack the necessary knowledge and skills to fulfill these tasks.
  
  
  OBJECTIVE
  Assess the geriatric training needs of academic general internists in 3 hospital systems in Portland, OR.
  
  
  METHODS
  Ten focus groups and 1 semi-structured interview. Interview transcripts were analyzed using thematic analysis, a well-recognized qualitative technique.
  
  
  METHODS
  A convenience sample of 22 academic general internists and 8 geriatricians from 3 different teaching hospitals.
  
  
  METHODS
  We elicited stories of frustration and success in caring for elderly patients and in teaching about their care. We asked geriatricians to recount their experiences as consultants to general internists and to comment on the training of Internists in geriatrics.
  
  
  RESULTS
  In addition to deficits in their medical knowledge and skills, our Internists reported frustration with the process of delivering care to older adults. In particular, they felt ill prepared to guide care transitions for patients, use multidisciplinary teams effectively, and were frustrated with health care system issues. Additionally, general internists' approach to medical care, which largely relies on the medical model, is different from that of geriatricians, which focuses more on social and functional issues.
  
  
  CONCLUSIONS
  Although our findings may not be broadly representative, improving our general internists' abilities to care for the elderly and to teach learners how to do the same should address deficits in medical knowledge and skills, barriers to the processes of delivering care, and philosophical approaches to care. Prioritizing and quantifying these needs and measuring the effectiveness of curricula to address them are areas for future research.
authors.affiliation: Oregon Health & Science Univ./Portland VA Medical Center, Portland, OR, USA.
authors.forename: Craig E
authors.initials: CE
authors.lastname: Tanner
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Eckstrom
authors.forename: Sima S
authors.initials: SS
authors.lastname: Desai
authors.forename: Carol L
authors.initials: CL
authors.lastname: Joseph
authors.forename: Marnie R
authors.initials: MR
authors.lastname: Ririe
authors.forename: Judith L
authors.initials: JL
authors.lastname: Bowen
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003695:Delivery of Health Care; D017144:Focus Groups; D005639:Frustration; D005853:Geriatrics / Q000193:education*; D006787:Hospitals, Veterans; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007407:Interviews as Topic; D020380:Needs Assessment; D036301:Qualitative Research