title: A before and after study of medical students' and house staff members' knowledge of ACOVE quality of pharmacologic care standards on an acute care for elders unit.
abstract: BACKGROUND
  The Assessing Care of Vulnerable Elders (ACOVE) comprehensive set of quality assessment tools for ill older persons is a standard designed to measure overall care delivered to vulnerable elders (ie, those aged > or =65 years) at the level of a health care system or plan.
  
  
  OBJECTIVE
  The goal of this research was to quantify the pretest and posttest results of medical students and house staff participating in a pharmacotherapist-led educational intervention that focused on the ACOVE quality of pharmacologic care standards.
  
  
  METHODS
  This was a before and after study assessing the knowledge ofACOVE standards following exposure to an educational intervention led by a pharmacotherapist. It was conducted at the 29-bed Acute Care for Elders (ACE) unit of Maimonides Medical Center, a 705-bed, independent teaching hospital located in Brooklyn, New York. Participants included all medical students and house staff completing a rotation on the ACE unit from August 2004 through May 2005 who completed both the pre-and posttests. A pharmacotherapist provided a 1-hour active learning session reviewing the evidence supporting the quality indicators and reviewed case-based questions with the medical students and house staff. Educational interventions also occurred daily through pharmacotherapeutic consultations and during work rounds. Medical students and house staff were administered the same 15-question, patient-specific, case-based, multiple-choice pre-and posttest to assess knowledge of the standards before and after receiving the intervention.
  
  
  RESULTS
  A total of 54 medical students and house staff (median age, 28.58 years; 40 men, 14 women) completed the study. Significantly higher median scores were achieved on the multiple-choice test after the intervention than before (median scores, 14/15 [93.3%] vs 12/15 [80.0%], respectively; P = 0.001).
  
  
  CONCLUSIONS
  A pharmacotherapist-led educational intervention improved the scores of medical students and house staff on a test evaluating knowledge of evidence-based recommendations for pharmacotherapy in the elderly.
authors.affiliation: Maimonides Medical Center, Department of Pharmaceutical Services, Brooklyn, New York 11219, USA. sjelline@maimonidesmed.org
authors.forename: Samantha P
authors.initials: SP
authors.lastname: Jellinek
authors.forename: Victor
authors.initials: V
authors.lastname: Cohen
authors.forename: Marcia
authors.initials: M
authors.lastname: Nelson
authors.forename: Antonios
authors.initials: A
authors.lastname: Likourezos
authors.forename: William
authors.initials: W
authors.lastname: Goldman
authors.forename: Barbara
authors.initials: B
authors.lastname: Paris
mesh_terms: D000328:Adult; D000368:Aged; D019317:Evidence-Based Medicine; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006299:Health Services for the Aged / Q000592:standards; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education; D009519:New York City; D010607:Pharmacy Service, Hospital / Q000592:standards*; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D013337:Students, Medical