
@article{ref1,
title="Don't fall for that: a residency curricular innovation about fall prevention",
journal="Permanente journal",
year="2019",
author="Lee, David R. and Lo, Joan C. and Tran, H. Nicole",
volume="24",
number="",
pages="e19.058-e19.058",
abstract="INTRODUCTION: Amid a growing geriatric population and rise in frailty-related morbidity, fall prevention represents an opportunity to improve patient outcomes and reduce health care costs. Traditional lectures on geriatric content have had limited impact on physician behaviors; however, use of multimodal teaching can be more effective in building knowledge and skills. <br><br>OBJECTIVE: To develop a novel, engaging fall prevention program to empower internal medicine residents to identify and manage patients at risk of falls and fall-related injuries. <br><br>METHODS: Two 20-minute multimodal workshops were created: 1) a classroom session with a video depicting a fall scenario, a team exercise (&quot;Where's the Fall Risk?&quot;) and review of the American Geriatrics Society Beers Criteria; and 2) a small-group session reviewing a screening algorithm, case study, physical examination maneuvers, and patient resources. INNOVATION: The first workshop included a 5-minute Kaiser Permanente video depicting an older couple whose travel plans are upended by a fall and how they modify their home and lifestyle, a competitive game in which trainees identify fall hazards, an overview of Beers Criteria, and Medical Knowledge Self-Assessment Program questions to apply knowledge to practice. The second workshop, held in small groups before clinic, included a discussion of the Centers for Disease Control and Prevention's fall prevention screening algorithm, review of a case, and education on how to properly perform the Timed Up and Go test. <br><br>CONCLUSION: Fall prevention remains an important yet undertaught topic for trainees and practicing physicians. These brief multicomponent workshops can be easily implemented and adapted for all clinical learners.<p /> <p>Language: en</p>",
language="en",
issn="1552-5767",
doi="10.7812/TPP/19.058",
url="http://dx.doi.org/10.7812/TPP/19.058"
}