{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T07:14:07Z","timestamp":1766819647216,"version":"build-2065373602"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T00:00:00Z","timestamp":1636156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The increased ambulatory training time in an \u201cX\u2009+\u2009Y\u201d (inpatient + ambulatory) residency schedule affords more opportunities to teach geriatrics principles of care. We describe our internal medicine (IM) residency program's experience in teaching the IM\u2013family medicine (FM) minimum geriatrics competencies (MGC) during a longitudinal geriatrics rotation embedded within interns' yearlong \u201c4\u2009+\u20092\u201d schedule. Interns spend 1\u00a0day of the ambulatory block in a geriatrics outpatient setting (Program of All\u2010Inclusive Care for the Elderly, house calls, nursing home), during which geriatrics division faculty members give core didactic seminars. We revamped core seminars to address MGC related to medication management, cognitive health, complex chronic illnesses, end of life care, and ambulatory care. Three consecutive intern cohorts completed anonymous surveys pre\u2010 and postrotation, rating their confidence level in MGC addressed by the curriculum on a 5\u2010point Likert scale. On postrotation surveys, they also rated the curriculum's contribution to geriatrics skills enhancement. Interns who completed both surveys (\n                    <jats:italic>N<\/jats:italic>\n                    \u00a0=\u00a022, 92%) reported statistically significant improved confidence ratings on all items, with the greatest point gains seen in performance of functional assessment (1.56), practice of optimal geriatric pharmacotherapy (1.78), and identification of older patients eligible for skilled (1.71) and unskilled home\u2010based services (1.65). They rated geriatrics curricular components as being more helpful than other rotations and conferences in enhancing their geriatric skills. In conclusion, we developed a longitudinal geriatrics curriculum within the context of our \u201c4\u2009+\u20092\u201d immersion schedule which other programs can easily adapt. Aligning curricular content with the MGC has resulted in interns' improved confidence in several important geriatrics skills.\n                  <\/jats:p>","DOI":"10.1111\/jgs.17543","type":"journal-article","created":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T10:18:00Z","timestamp":1636193880000},"page":"251-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Teaching medicine interns minimum geriatrics competencies within a \u201c4\u2009+\u20092\u201d schedule"],"prefix":"10.1111","volume":"70","author":[{"given":"Serena H.","family":"Chao","sequence":"first","affiliation":[{"name":"Department of Medicine\u2010Geriatrics Division Cambridge Health Alliance  Cambridge Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy Y.","family":"Kwok","sequence":"additional","affiliation":[{"name":"Department of Medicine\u2010Geriatrics Division Cambridge Health Alliance  Cambridge Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin N.","family":"Ubani","sequence":"additional","affiliation":[{"name":"Institute for Community Health  Malden Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca E. P.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Cambridge Health Alliance  Cambridge Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel L.","family":"Stark","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Cambridge Health Alliance  Cambridge Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,6]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Geriatrics Workforce by the Numbers.2020.The American Geriatrics Society (online).https:\/\/www.americangeriatrics.org\/geriatrics-profession\/about-geriatrics\/geriatrics-workforce-numbers. Accessed August 7 2020."},{"volume-title":"National and Regional Projections of Supply and Demand for Geriatricians: 2013\u20132025","year":"2017","author":"U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis","key":"e_1_2_10_3_1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0095"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201010\u201000065.1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2017.09.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-04887-x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200503000-00014"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31828b09f4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-14-00040.1"},{"key":"e_1_2_10_11_1","article-title":"A multimodal evaluation for an internal medicine geriatrics rotation. POGOe\u2014portal of geriatrics online","author":"Ghazi A","year":"2011","journal-title":"Education"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.17543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T14:06:18Z","timestamp":1762178778000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.17543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,6]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/jgs.17543"],"URL":"https:\/\/doi.org\/10.1111\/jgs.17543","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"type":"print","value":"0002-8614"},{"type":"electronic","value":"1532-5415"}],"subject":[],"published":{"date-parts":[[2021,11,6]]},"assertion":[{"value":"2021-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}