Resident perspectives on the value of interdisciplinary conference calls for geriatric patients

doi:10.1186/s12909-021-02750-4

. 2021 Jun 3;21(1):314.

doi: 10.1186/s12909-021-02750-4.

Resident perspectives on the value of interdisciplinary conference calls for geriatric patients

Roxana Naderi¹, Tyson A Oberndorfer², Sarah R Jordan², Blythe Dollar³, Ethan U Cumbler⁴, Christine D Jones^{4

5}

Affiliations

¹ Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12401 E 17th Avenue, Mailstop F782, Aurora, CO, 80045, USA. roxananaderimd@gmail.com.
² Division of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 E 17th Avenue, Mailstop 8111, Aurora, CO, 80045, USA.
³ Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 E 17th Avenue, Aurora, CO, 80045, USA.
⁴ Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12401 E 17th Avenue, Mailstop F782, Aurora, CO, 80045, USA.
⁵ Veterans Health Administration, Eastern Colorado Health Care System, Denver-Seattle Center of Innovation for Veteran-Centered and Value Driven Care, 1700 North Wheeling Street, Aurora, CO, 80045-7211, USA.

PMID: 34082723
PMCID: PMC8173720
DOI: 10.1186/s12909-021-02750-4

Resident perspectives on the value of interdisciplinary conference calls for geriatric patients

Roxana Naderi et al. BMC Med Educ. 2021.

. 2021 Jun 3;21(1):314.

doi: 10.1186/s12909-021-02750-4.

Authors

Roxana Naderi¹, Tyson A Oberndorfer², Sarah R Jordan², Blythe Dollar³, Ethan U Cumbler⁴, Christine D Jones^{4

5}

Affiliations

¹ Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12401 E 17th Avenue, Mailstop F782, Aurora, CO, 80045, USA. roxananaderimd@gmail.com.
² Division of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 E 17th Avenue, Mailstop 8111, Aurora, CO, 80045, USA.
³ Department of Medicine, University of Colorado Anschutz Medical Campus, 12631 E 17th Avenue, Aurora, CO, 80045, USA.
⁴ Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12401 E 17th Avenue, Mailstop F782, Aurora, CO, 80045, USA.
⁵ Veterans Health Administration, Eastern Colorado Health Care System, Denver-Seattle Center of Innovation for Veteran-Centered and Value Driven Care, 1700 North Wheeling Street, Aurora, CO, 80045-7211, USA.

PMID: 34082723
PMCID: PMC8173720
DOI: 10.1186/s12909-021-02750-4

Abstract

Background: There are limited competency-based educational curricula for transitions of care education (TOC) for internal medicine (IM) residency programs. The University of Colorado implemented a virtual interdisciplinary conference call, TEAM (Transitions Expectation and Management), between providers on the inpatient Acute Care of the Elder (ACE) unit and the outpatient Seniors Clinic at the University of Colorado Hospital. Residents rotating on the ACE unit participated in weekly conferences discussing Seniors Clinic patients recently discharged, or currently hospitalized, to address clinical concerns pertaining to TOC. Our goals were to understand resident perceptions of the educational value of these conferences, and to determine if these experiences changed attitudes or practice related to care transitions.

Methods: We performed an Institutional Review Board-approved qualitative study of IM housestaff who rotated on the ACE unit during 2018-2019. Semi-structured interviews were conducted to understand perceptions of the value of TEAM calls for residents' own practice and the impact on patient care. Data was analyzed inductively, guided by thematic analysis.

Results: Of the 32 IM residents and interns who rotated on ACE and were invited to participate, 11 agreed to an interview. Three key themes emerged from interviews that highlighted residents' experiences identifying and navigating some of their educational 'blind spots:' 1) Awareness of patient social complexities, 2) Bridging gaps in communication across healthcare settings, 3) Recognizing the value of other disciplines during transitions.

Conclusions: This study highlights learner perspectives of the benefit of interdisciplinary conference calls between inpatient and outpatient providers to enhance transitions of care, which provide meaningful feedback and serve as a vehicle for residents to recognize the impact of their care decisions in the broader spectrum of patients' experience during hospital discharge. Educators can maximize the value of these experiences by promoting reflective debriefs with residents and bringing to light previously unrecognized knowledge gaps around hospital discharge.

Keywords: Geriatric medicine; Internal medicine; Qualitative; Resident education; Transitions of care.

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Conflict of interest statement

The authors of this manuscript do not have competing interests to disclose.

Figures

**Fig. 1**
Transitions Expectation and Management (TEAM) call visual model

See this image and copyright information in PMC

Cited by

Storied reflections: Development of a longitudinal interdisciplinary curriculum to improve patient-provider communication.
Defenbaugh N, Dickey LA, Foulke VC, Orlando JP. Defenbaugh N, et al. PEC Innov. 2023 May 26;2:100170. doi: 10.1016/j.pecinn.2023.100170. eCollection 2023 Dec. PEC Innov. 2023. PMID: 37384161 Free PMC article.

References

1. Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. Moving beyond readmission penalties: creating an ideal process to improve transitional care: moving beyond readmission penalties. J Hosp Med. 2013;8(2):102–109. doi: 10.1002/jhm.1990. - DOI - PMC - PubMed
1. Coleman EA, Parry C, et al. The Care Transitions Intervention: Results of a Randomized Controlled Trial. Arch Intern Med. 2006;166:7. doi: 10.1001/archinte.166.17.1822. - DOI - PubMed
1. Kane RL, Huckfeldt P, Tappen R, Engstrom G, Rojido C, Newman D, Yang Z, Ouslander JG. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. JAMA Intern Med. 2017;177(9):1257–1264. doi: 10.1001/jamainternmed.2017.2657. - DOI - PMC - PubMed
1. Moore AB, Krupp JE, Dufour AB, Sircar M, Travison TG, Abrams A, Farris G, Mattison MLP, Lipsitz LA. Improving transitions to Postacute Care for Elderly Patients Using a novel video-conferencing program: ECHO-Care transitions. Am J Med. 2017;130(10):1199–1204. doi: 10.1016/j.amjmed.2017.04.041. - DOI - PubMed
1. Chan B, Englander H, Kent K, Desai S, Obley A, Harmon D, Kansagara D. Transitioning toward competency: a resident-faculty collaborative approach to developing a transitions of care EPA in an internal medicine residency program. J Grad Med Educ. 2014;6(4):760–764. doi: 10.4300/JGME-D-13-00414.1. - DOI - PMC - PubMed

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[1] Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. Moving beyond readmission penalties: creating an ideal process to improve transitional care: moving beyond readmission penalties. J Hosp Med. 2013;8(2):102–109. doi: 10.1002/jhm.1990. - DOI - PMC - PubMed

[2] Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. Moving beyond readmission penalties: creating an ideal process to improve transitional care: moving beyond readmission penalties. J Hosp Med. 2013;8(2):102–109. doi: 10.1002/jhm.1990. - DOI - PMC - PubMed

[3] Coleman EA, Parry C, et al. The Care Transitions Intervention: Results of a Randomized Controlled Trial. Arch Intern Med. 2006;166:7. doi: 10.1001/archinte.166.17.1822. - DOI - PubMed

[4] Coleman EA, Parry C, et al. The Care Transitions Intervention: Results of a Randomized Controlled Trial. Arch Intern Med. 2006;166:7. doi: 10.1001/archinte.166.17.1822. - DOI - PubMed

[5] Kane RL, Huckfeldt P, Tappen R, Engstrom G, Rojido C, Newman D, Yang Z, Ouslander JG. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. JAMA Intern Med. 2017;177(9):1257–1264. doi: 10.1001/jamainternmed.2017.2657. - DOI - PMC - PubMed

[6] Kane RL, Huckfeldt P, Tappen R, Engstrom G, Rojido C, Newman D, Yang Z, Ouslander JG. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. JAMA Intern Med. 2017;177(9):1257–1264. doi: 10.1001/jamainternmed.2017.2657. - DOI - PMC - PubMed

[7] Moore AB, Krupp JE, Dufour AB, Sircar M, Travison TG, Abrams A, Farris G, Mattison MLP, Lipsitz LA. Improving transitions to Postacute Care for Elderly Patients Using a novel video-conferencing program: ECHO-Care transitions. Am J Med. 2017;130(10):1199–1204. doi: 10.1016/j.amjmed.2017.04.041. - DOI - PubMed

[8] Moore AB, Krupp JE, Dufour AB, Sircar M, Travison TG, Abrams A, Farris G, Mattison MLP, Lipsitz LA. Improving transitions to Postacute Care for Elderly Patients Using a novel video-conferencing program: ECHO-Care transitions. Am J Med. 2017;130(10):1199–1204. doi: 10.1016/j.amjmed.2017.04.041. - DOI - PubMed

[9] Chan B, Englander H, Kent K, Desai S, Obley A, Harmon D, Kansagara D. Transitioning toward competency: a resident-faculty collaborative approach to developing a transitions of care EPA in an internal medicine residency program. J Grad Med Educ. 2014;6(4):760–764. doi: 10.4300/JGME-D-13-00414.1. - DOI - PMC - PubMed

[10] Chan B, Englander H, Kent K, Desai S, Obley A, Harmon D, Kansagara D. Transitioning toward competency: a resident-faculty collaborative approach to developing a transitions of care EPA in an internal medicine residency program. J Grad Med Educ. 2014;6(4):760–764. doi: 10.4300/JGME-D-13-00414.1. - DOI - PMC - PubMed

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Resident perspectives on the value of interdisciplinary conference calls for geriatric patients

Affiliations

Resident perspectives on the value of interdisciplinary conference calls for geriatric patients

Authors

Affiliations

Abstract

Conflict of interest statement

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