title: Team-Based Interprofessional Competency Training for Dementia Screening and Management.
abstract: As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team-based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 faculty members was trained to facilitate four interactive competency stations on dementia screening, differential diagnoses, dementia management and team care planning, and screening for and managing caregiver stress. Registrants were organized into teams of five members, with at least one member of each profession per team. The teams rotated through all stations, completing assigned tasks through interprofessional collaboration. A total of 117 professionals (51 physicians, 11 nurses, 20 pharmacists, 24 social workers, 11 others) successfully completed the program. Change scores showed significant improvements in overall competence in dementia assessment and intervention (very low = 1; very high = 5; average change 1.12, P < .001), awareness of importance of dementia screening (average change 0.85, P < .001), and confidence in managing medication (average change 0.86, P < .001). Eighty-seven participants (82.9%) reported feeling confident or very confident using the dementia toolkit at their home institution. In a survey administered 3 months after the session, 48 respondents reported that they had changed their approach to administering the Mini-Cog test (78%), differential diagnosis (49%), assessment of caregiver stress (74%), and accessing community support and services (69%). In conclusion, team-based interprofessional competency training is a team teaching model that can be used to enhance competency in dementia screening and management in medical, nursing, pharmacy, and social work practitioners.
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California.|University of California, Los Angeles, Los Angeles, California.
authors.forename: Zaldy S
authors.initials: ZS
authors.lastname: Tan
authors.affiliation: University of California, Los Angeles, Los Angeles, California.
authors.forename: JoAnn
authors.initials: J
authors.lastname: Damron-Rodriguez
authors.affiliation: University of California, Los Angeles, Los Angeles, California.
authors.forename: Mary
authors.initials: M
authors.lastname: Cadogan
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California.|University of California, Los Angeles, Los Angeles, California.
authors.forename: Daphna
authors.initials: D
authors.lastname: Gans
authors.affiliation: Health Services Advisory Group, Glendale, California.
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Price
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California.|University of California, Los Angeles, Los Angeles, California.
authors.forename: Sharon S
authors.initials: SS
authors.lastname: Merkin
authors.affiliation: Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California.|University of California, Los Angeles, Los Angeles, California.
authors.forename: Lee
authors.initials: L
authors.lastname: Jennings
authors.affiliation: Los Angeles County-Olive View-University of California, Los Angeles Medical Center, Sylmar, California.
authors.forename: Heather
authors.initials: H
authors.lastname: Schickedanz
authors.affiliation: Western University of Health Sciences , Pomona, California.
authors.forename: Sam
authors.initials: S
authors.lastname: Shimomura
authors.affiliation: California Association of Long Term Care Medicine, Los Angeles, California.
authors.forename: Dan
authors.initials: D
authors.lastname: Osterweil
authors.affiliation: Division of Geriatric Medicine and Palliative Care, School of Medicine, New York University, New York, New York.
authors.forename: Joshua
authors.initials: J
authors.lastname: Chodosh
mesh_terms: D002983:Clinical Competence; D003226:Congresses as Topic; D003704:Dementia / Q000175:diagnosis* / Q000628:therapy*; D004496:Education, Continuing; D006801:Humans; D008503:Medical Staff; D009483:Neuropsychological Tests; D009740:Nursing Staff; D010348:Patient Care Team; D010595:Pharmacists; D000068217:Social Workers
keywords: dementia; education; interprofessional; team