title: Resident learning across the full range of core competencies through a transitions of care curriculum.
abstract: The authors developed a Transitions of Care (TOC) curriculum to teach and measure learner competence in performing TOC tasks for older adults. Internal medicine interns at an academic residency program received the curriculum, which consisted of experiential learning, self-study, and small group discussion. Interns completed retrospective pre/post surveys rating their confidence in performing five TOC tasks, qualitative open-ended survey questions, and a self-reflection essay. A subset of interns also completed follow-up assessments. For all five TOC tasks, the interns' confidence improved following completion of the TOC curriculum. Self-confidence persisted for up to 3 months later for some but not all tasks. According to the qualitative responses, the TOC curriculum provided interns with learning experiences and skills integral to performing safe care transitions. The TOC curriculum and a mixed-method assessment approach effectively teaches and measures learner competency in TOC across all six Accreditation Council for Graduate Medical Education competency domains.
authors.affiliation: a Duke University Medical Center , Division of Geriatrics , Durham , North Carolina , USA.
authors.forename: Juliessa M
authors.initials: JM
authors.lastname: Pavon
authors.affiliation: a Duke University Medical Center , Division of Geriatrics , Durham , North Carolina , USA.
authors.forename: Sandro O
authors.initials: SO
authors.lastname: Pinheiro
authors.affiliation: a Duke University Medical Center , Division of Geriatrics , Durham , North Carolina , USA.
authors.forename: Gwendolen T
authors.initials: GT
authors.lastname: Buhr
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D005853:Geriatrics / Q000193:education / Q000379:methods; D006801:Humans; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency / Q000379:methods / Q000458:organization & administration; D017145:Models, Educational; D010360:Patient Transfer / Q000379:methods*; D018794:Problem-Based Learning / Q000379:methods*
keywords: ACGME core competencies; geriatrics curriculum development; graduate medical education; transitions of care