2012 Chief Resident Six Month Follow-up Survey and Evaluation of Program: Care of Older Adults (CRIT)

!!IMPORTANT: So that we can keep your information confidential, we ask you to insert your ID.
Your initials with birth month and day (e.g., Kasey Participant born on September 1st = KP0901)

To understand the impact of CRIT, it is important for us to learn about specific ways that participants have applied what they learned or used the connections they made. What are some specific examples of how you have used what you learned or gained from CRIT, regarding the way you ...

Think about and/or practice medicine with older patients (including applying content knowledge, skills, inter-disciplinary approaches, viewpoints)?

Carry out your job as chief resident/resident, including teaching others?

Have used any connections with others you made while at CRIT?

Knowing what you know now (with the benefit of some months as a chief resident), do you have any suggestions for CRIT 2013?

What advice/feedback would you give to CRIT faculty for staging future post-CRIT gatherings, including an academic forum for all CRIT alums to present their completed Action Plans?

Did your Program Director (PD) or a faculty mentor attend CRIT with you?

If your PD or a faculty mentor attended CRIT with you, how have they supported you, if at all, in carrying out your Action Project (e.g., meetings)?

Comments or suggestions for improvement related to these other aspects of the CRIT. We welcome any general comments.

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Indicate your level of confidence in your ability to:						Indicate the extent that CRIT contributed to your confidence.
Low		.	High			Not at all		Some-what	A lot
1	2	3	4	5		1	2	3	4	5
					Apply clinical problem-solving skills to the care of older patients
					Teach others clinical problem-solving skills related to the care of older patients
					Incorporate geriatrics issues into your formal and informal teaching
					Understand the roles of different interprofessional team members (e.g., nursing, pharmacy, case management)
					Understand the components for a safe discharge plan for a complex older adult (transitions of care)
					Teach physician learners about the components for a safe discharge plan for a complex older adult (transitions of care)

In the past six months, indicate which of the following topics you have taught in reference to the care of older patients.	Check all that apply.
Assessing decision-making abilities of older patients
Conducting a pre-operative assessment of an older patient
Conducting a functional assessment of an older patient
Recognizing dementia
Managing dementia
Recognizing delirium
Managing delirium
Reviewing medications for evidence of polypharmacy
Assessing the adequacy of the patient’s social support/living arrangements
Creating a post-discharge management plan
Understanding implications of different insurance coverages for older patients
Knowledge of long-term care services, including home care services
Taking into account cultural differences in making decisions regarding patient care plans
Transitions of care involving complex older adults
Identifying the roles of different interprofessional team members
Facilitating an interdisciplinary, collaborative team process
Incorporating the principles of geriatrics rehabilitation
Pain assessment
Pain management
Other, please specify:

In the past six months, how often have YOU covered topics related to the care of older patients (65+) in the following venues?	Never	Once or twice	A few times	At least once/month	At least once/week
Bed-side teaching
Other small group teaching
Other conferences or lectures

How would you rate yourself on each of the following?	Not at all		.	A great deal
How would you rate yourself on each of the following?	1	2	3	4	5
The amount of responsibility you feel for teaching medical students about geriatrics issues
The amount of responsibility you feel for teaching house staff about geriatrics issues
The extent to which medical students come to you as a resource on geriatrics issues
The extent to which house staff and/or faculty come to you as a resource on geriatrics issues
The extent you enjoy teaching about issues related to older patients
The amount of responsibility you feel for teaching medical students about the value of interprofessional team care in taking care of older adults
The amount of responsibility you feel for teaching house staff about the value of interprofessional team care in taking care of older adults

In the past six months, when caring for an older patient, how often did you initiate consults with the following:	Never	Once or twice	A few times	At least once/month	At least once/week
Geriatrics specialists
Residents/chief residents outside your specialty
Other attendings outside your specialty
Other practitioners not in your specialty (e.g., OT, PT)

	Not at All	A Little	Somewhat	Very
Indicate how helpful your mentor's involvement was in carrying out your Action Plan.

	No	Yes
Have you changed your Action Project plan in any substantial ways since you originally designed it?

	No	Yes
Have you encountered any barriers to completion of your Action Project?