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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.
Am J Geriatr Pharmacother. 2008 Jun; 6(2):82-90.AJ

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).

CONCLUSION

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.

Links

Publisher Full Text

Authors+Show Affiliations

Jellinek SP
Maimonides Medical Center, Department of Pharmaceutical Services, Brooklyn, New York 11219, USA. sjelline@maimonidesmed.org
Cohen V
No affiliation info available
Nelson M
No affiliation info available
Likourezos A
No affiliation info available
Goldman W
No affiliation info available
Paris B
No affiliation info available

MeSH

AdultAgedEvidence-Based MedicineFemaleHealth Knowledge, Attitudes, PracticeHealth Services for the AgedHospitals, TeachingHumansMaleMedical Staff, HospitalNew York CityPharmacy Service, HospitalQuality Assurance, Health CareQuality Indicators, Health CareStudents, Medical

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18675766

Citation

Jellinek, Samantha P., et al. "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." The American Journal of Geriatric Pharmacotherapy, vol. 6, no. 2, 2008, pp. 82-90.
Jellinek SP, Cohen V, Nelson M, et al. 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. Am J Geriatr Pharmacother. 2008;6(2):82-90.
Jellinek, S. P., Cohen, V., Nelson, M., Likourezos, A., Goldman, W., & Paris, B. (2008). 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. The American Journal of Geriatric Pharmacotherapy, 6(2), 82-90. https://doi.org/10.1016/j.amjopharm.2008.06.003
Jellinek SP, et al. 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. Am J Geriatr Pharmacother. 2008;6(2):82-90. PubMed PMID: 18675766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Jellinek,Samantha P, AU - Cohen,Victor, AU - Nelson,Marcia, AU - Likourezos,Antonios, AU - Goldman,William, AU - Paris,Barbara, PY - 2008/04/15/accepted PY - 2008/8/5/pubmed PY - 2008/9/26/medline PY - 2008/8/5/entrez SP - 82 EP - 90 JF - The American journal of geriatric pharmacotherapy JO - Am J Geriatr Pharmacother VL - 6 IS - 2 N2 - 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). CONCLUSION: 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. SN - 1543-5946 UR - https://www.unboundmedicine.com/medline/citation/18675766/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1543-5946(08)00023-8 DB - PRIME DP - Unbound Medicine ER -