Geriatric Psychiatry Inpatient Primer for Residents

Nishina A. Thomas, Erin Van Enkevort, Robert K. Garrett, Mary (Molly) E. Camp

Research output: Contribution to journalArticle

Abstract

Objective: The authors describe a novel curricular intervention that enhances first- and second-year psychiatry residents’ geriatric psychiatry knowledge while preparing them for overnight call. Methods: A brief, four-page document covering evaluation and management of common clinical scenarios in older adults, including agitation, falls, insomnia, chest pain, abnormal vital signs, and review of pharmacologic interventions, was presented to first- and second-year psychiatry residents. The residents completed an anonymous survey including their comfort level in answering pages and knowledge-based questions regarding evidence-based interventions both before and after the intervention. The pre-survey and post-survey were analyzed using the Wilcoxon-signed rank test, paired T test, and Mann-Whitney U test. Results: The residents demonstrated statistically significant changes in first-line medication choices for common clinical scenarios such as non-aggressive agitation and insomnia. They were less likely to choose medications that should be avoided in elderly based on expert panel recommendations. Conclusions: Findings support the need for educational interventions designed to help residents taking call with geriatric patients. The results demonstrated an improvement in clinical knowledge following this brief intervention.

Original languageEnglish (US)
JournalAcademic Psychiatry
DOIs
StatePublished - Jan 1 2019

Fingerprint

Geriatric Psychiatry
geriatrics
psychiatry
Inpatients
Sleep Initiation and Maintenance Disorders
resident
Nonparametric Statistics
Psychiatry
Vital Signs
Chest Pain
Geriatrics
medication
scenario
Surveys and Questionnaires
pain
expert
evaluation
management
knowledge
evidence

Keywords

  • Curriculum development
  • Education
  • Geriatric psychiatry

ASJC Scopus subject areas

  • Education
  • Psychiatry and Mental health

Cite this

Geriatric Psychiatry Inpatient Primer for Residents. / Thomas, Nishina A.; Van Enkevort, Erin; Garrett, Robert K.; Camp, Mary (Molly) E.

In: Academic Psychiatry, 01.01.2019.

Research output: Contribution to journalArticle

@article{75c5c607398446abb298dc12811be443,
title = "Geriatric Psychiatry Inpatient Primer for Residents",
abstract = "Objective: The authors describe a novel curricular intervention that enhances first- and second-year psychiatry residents’ geriatric psychiatry knowledge while preparing them for overnight call. Methods: A brief, four-page document covering evaluation and management of common clinical scenarios in older adults, including agitation, falls, insomnia, chest pain, abnormal vital signs, and review of pharmacologic interventions, was presented to first- and second-year psychiatry residents. The residents completed an anonymous survey including their comfort level in answering pages and knowledge-based questions regarding evidence-based interventions both before and after the intervention. The pre-survey and post-survey were analyzed using the Wilcoxon-signed rank test, paired T test, and Mann-Whitney U test. Results: The residents demonstrated statistically significant changes in first-line medication choices for common clinical scenarios such as non-aggressive agitation and insomnia. They were less likely to choose medications that should be avoided in elderly based on expert panel recommendations. Conclusions: Findings support the need for educational interventions designed to help residents taking call with geriatric patients. The results demonstrated an improvement in clinical knowledge following this brief intervention.",
keywords = "Curriculum development, Education, Geriatric psychiatry",
author = "Thomas, {Nishina A.} and {Van Enkevort}, Erin and Garrett, {Robert K.} and Camp, {Mary (Molly) E.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s40596-019-01080-4",
language = "English (US)",
journal = "Academic Psychiatry",
issn = "1042-9670",
publisher = "American Psychiatric Publishing Inc.",

}

TY - JOUR

T1 - Geriatric Psychiatry Inpatient Primer for Residents

AU - Thomas, Nishina A.

AU - Van Enkevort, Erin

AU - Garrett, Robert K.

AU - Camp, Mary (Molly) E.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: The authors describe a novel curricular intervention that enhances first- and second-year psychiatry residents’ geriatric psychiatry knowledge while preparing them for overnight call. Methods: A brief, four-page document covering evaluation and management of common clinical scenarios in older adults, including agitation, falls, insomnia, chest pain, abnormal vital signs, and review of pharmacologic interventions, was presented to first- and second-year psychiatry residents. The residents completed an anonymous survey including their comfort level in answering pages and knowledge-based questions regarding evidence-based interventions both before and after the intervention. The pre-survey and post-survey were analyzed using the Wilcoxon-signed rank test, paired T test, and Mann-Whitney U test. Results: The residents demonstrated statistically significant changes in first-line medication choices for common clinical scenarios such as non-aggressive agitation and insomnia. They were less likely to choose medications that should be avoided in elderly based on expert panel recommendations. Conclusions: Findings support the need for educational interventions designed to help residents taking call with geriatric patients. The results demonstrated an improvement in clinical knowledge following this brief intervention.

AB - Objective: The authors describe a novel curricular intervention that enhances first- and second-year psychiatry residents’ geriatric psychiatry knowledge while preparing them for overnight call. Methods: A brief, four-page document covering evaluation and management of common clinical scenarios in older adults, including agitation, falls, insomnia, chest pain, abnormal vital signs, and review of pharmacologic interventions, was presented to first- and second-year psychiatry residents. The residents completed an anonymous survey including their comfort level in answering pages and knowledge-based questions regarding evidence-based interventions both before and after the intervention. The pre-survey and post-survey were analyzed using the Wilcoxon-signed rank test, paired T test, and Mann-Whitney U test. Results: The residents demonstrated statistically significant changes in first-line medication choices for common clinical scenarios such as non-aggressive agitation and insomnia. They were less likely to choose medications that should be avoided in elderly based on expert panel recommendations. Conclusions: Findings support the need for educational interventions designed to help residents taking call with geriatric patients. The results demonstrated an improvement in clinical knowledge following this brief intervention.

KW - Curriculum development

KW - Education

KW - Geriatric psychiatry

UR - http://www.scopus.com/inward/record.url?scp=85067355951&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067355951&partnerID=8YFLogxK

U2 - 10.1007/s40596-019-01080-4

DO - 10.1007/s40596-019-01080-4

M3 - Article

C2 - 31187436

AN - SCOPUS:85067355951

JO - Academic Psychiatry

JF - Academic Psychiatry

SN - 1042-9670

ER -