title: Informed consent in the older adult: OSCEs for assessing fellows' ACGME and geriatric gastroenterology competencies.
abstract: OBJECTIVE
  The American Gastroenterological Association fellowship curriculum identifies geriatric components for gastroenterology (GI) training; however, few tools are available for this purpose. Using an objective structured clinical examination (OSCE), we aimed to assess ACGME competencies of communication, professionalism, and geriatric-specific patient care among GI fellows.
  
  
  METHODS
  We developed an informed-consent case involving a geriatric patient who needs surveillance colonoscopy. We used a validated faculty skills checklist to rate fellows across three competency domains. Fifteen fellows from four GI training programs participated.
  
  
  RESULTS
  Although the fellows excelled at communication and professionalism, only 51% excelled at geriatric-specific patient-care skills. Fellows were least likely to demonstrate collaboration with the patient, to assess patient understanding, and to explain the limits of the test. Communication and geriatric-specific skills were correlated.
  
  
  CONCLUSIONS
  OSCEs are a feasible method for assessing geriatric-related ACGME competencies for fellows. The results highlight the need for curriculum development.
authors: Henry D. Janowitz Division of Gastroenterology, Mount Sinai School of Medicine, New York, New York, USA. brijen.shah@mssm.edu
authors: Brijen
authors: B
authors: Shah
authors: Roy
authors: R
authors: Miler
authors: Michael
authors: M
authors: Poles
authors: Sondra
authors: S
authors: Zabar
authors: Colleen
authors: C
authors: Gillespie
authors: Elizabeth
authors: E
authors: Weinshel
authors: Sita
authors: S
authors: Chokhavatia
mesh_terms: D000368:Aged; D057189:Checklist; D002983:Clinical Competence; D003142:Communication; D005762:Gastroenterology; D005853:Geriatrics; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D010817:Physician-Patient Relations