Implementing Chief Resident Immersion Training (CRIT) in the Care of Older Adults: Overcoming Barriers and Promoting Facilitators

Christian Davis Furman; Lori Wagner; Josephine Gomes; Rangaraj Gopalraj; B Frank Parker; Laura Morton; Demetra Antimisiaris; Daniela Neamtu; Sadaf Masroor; Ramie Martin-Galijatovic; Samantha Cotton; M Ann Shaw

doi:10.3390/geriatrics3040062

Implementing Chief Resident Immersion Training (CRIT) in the Care of Older Adults: Overcoming Barriers and Promoting Facilitators

Geriatrics (Basel). 2018 Sep 26;3(4):62. doi: 10.3390/geriatrics3040062.

Authors

Christian Davis Furman^{1

2

3

4}, Lori Wagner^{5

6

7}, Josephine Gomes^{8

9}, Rangaraj Gopalraj^{10

11}, B Frank Parker^{12

13}, Laura Morton^{14

15}, Demetra Antimisiaris^{16

17}, Daniela Neamtu^{18

19}, Sadaf Masroor²⁰, Ramie Martin-Galijatovic²¹, Samantha Cotton^{22

23}, M Ann Shaw^{24

25}

Affiliations

¹ Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA. christian.furman@louisville.edu.
² Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. christian.furman@louisville.edu.
³ Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA. christian.furman@louisville.edu.
⁴ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. christian.furman@louisville.edu.
⁵ Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA. lori.wagner@va.gov.
⁶ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. lori.wagner@va.gov.
⁷ Robley Rex Veterans Affairs Medical Center, 800 Zorn Ave., Louisville, KY 40206, USA. lori.wagner@va.gov.
⁸ Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. josephine.gomes@louisville.edu.
⁹ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. josephine.gomes@louisville.edu.
¹⁰ Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. rangaraj.gopalraj@louisville.edu.
¹¹ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. rangaraj.gopalraj@louisville.edu.
¹² Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA. b.parker.1@louisville.edu.
¹³ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. b.parker.1@louisville.edu.
¹⁴ Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. laura.morton@louisville.edu.
¹⁵ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. laura.morton@louisville.edu.
¹⁶ Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. demetra.antimisiaris@louisville.edu.
¹⁷ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. demetra.antimisiaris@louisville.edu.
¹⁸ Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA. daniela.neamtu@louisville.edu.
¹⁹ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. daniela.neamtu@louisville.edu.
²⁰ Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA. masroorsadaf00@gmail.com.
²¹ Kent School of Social Work, University of Louisville, Oppenheimer Hall, 2217 S. Third St., Louisville, KY 40292, USA. ramie.martingalijatovic@louisville.edu.
²² Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA. sam.cotton@louisville.edu.
²³ Kent School of Social Work, University of Louisville, Oppenheimer Hall, 2217 S. Third St., Louisville, KY 40292, USA. sam.cotton@louisville.edu.
²⁴ Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA. monica.shaw@louisville.edu.
²⁵ School of Medicine, University of Louisville, Abell Administration Bldg, 323 East Chestnut St., Louisville, KY 40202, USA. monica.shaw@louisville.edu.

Abstract

The Chief Resident Immersion Training (CRIT) in the Care of Older Adults curriculum was developed at Boston University School of Medicine to improve the care of older adults through an educational intervention. The curriculum targeted chief residents (CRs) because their role as mediators between learners and faculty provides the greatest potential impact for transmitting knowledge. The goals of CRIT are to: (1) provide education on geriatric principles and on teaching/leadership skills, (2) foster interdisciplinary collaboration, and (3) complete an action project. This study demonstrates successful implementation of CRIT at a different academic institution in a rural state. The CRs indicated that their confidence in their ability to apply and teach geriatrics improved after CRIT. In addition, the CRs indicated that CRIT improved their confidence in their overall skills as CRs. The barriers and facilitators to implementation are addressed in order to promote successful adoption of CRIT at other institutions, including those in rural states.

Keywords: curricular innovations; curriculum; geriatrics; geriatrics curriculum; interprofessional education; older adults.

Grants and funding

XXX/Donald W. Reynolds Foundation