title: Achieving competency in wound care: an innovative training module using the long-term care setting.
abstract: Structured academic teaching on wound care was developed, based on the long-term care (LTC) setting, with the goal of ensuring that postgraduate family medicine residents attain competency in assessment and treatment of wounds and pressure ulcers (PUs). The curriculum for the 1-month learning module was based on clinical practice guidelines for the prevention, assessment, and treatment of PUs and wounds. The learning techniques used include a learners' needs assessment, a small-group didactic session, interdisciplinary bedside case discussions and a toolkit. The curriculum is delivered in four weekly, 90-minute interdisciplinary teaching sessions during the mandatory 1-month geriatrics rotation for postgraduate family medicine trainees. Competency is evaluated by the end of the module by reviewing trainees' documentation of a thorough objective clinical wound assessment, diagnosis of underlying cause, significant contributing risk factors and proposed treatment plan. This approach can be used to train family medicine, hospitalist, and geriatric residents in other acute or LTC teaching facilities where there is a prevalence of PUs.
authors.affiliation: Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada. Evelyn.Williams@sunnybrook.ca.|Division of Long Term Care, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Evelyn.Williams@sunnybrook.ca.
authors.forename: Evelyn M
authors.identifier: http://orcid.org/0000-0002-6958-9808
authors.initials: EM
authors.lastname: Williams
authors.affiliation: Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.|Division of Long Term Care, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Deering
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005194:Family Practice / Q000193:education* / Q000592:standards*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D008134:Long-Term Care / Q000379:methods; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000628:therapy*; D014947:Wounds and Injuries / Q000628:therapy*
keywords: Competency-based education; Family medicine; Long-term care; Wound care