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P2‐549: LIVING WELL WITH DEMENTIA: THE ROLE OF COMMUNITY‐BASED PROGRAMS IN PROMOTING SOCIAL CONNECTEDNESS FOR PERSONS WITH DEMENTIA AND THEIR CAREGIVERS
Author(s) -
Sun Winnie
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.1243
Subject(s) - dementia , social isolation , recreation , social connectedness , psychology , gerontology , mainstream , social engagement , isolation (microbiology) , intervention (counseling) , medicine , disease , psychiatry , social psychology , sociology , pathology , social science , philosophy , theology , microbiology and biotechnology , political science , law , biology
resident exposure and patient access to dementia clinics have improved with these changes. Methods: The first three months (July to September) of the 2016-17 and 2017-18 academic years were analyzed. The electronic health record was used to determine the number of patients seen, total clinic time available, and actual time spent seeing clinic patients. These were analyzed in the JMP statistical software program. Results: From 2016 to 2017, there were more hours of resident clinic in all subspecialties (462 vs. 498), but fewer hours of clinic per resident (33 vs. 31.1225). Overall, neurology residents saw significantly fewer total patients per day (4.1 vs. 6.0, p 1⁄4 0.0006), had fewer available minutes in clinic per day (388 vs. 570, p < 0.0001), and spent fewer actual minutes seeing clinic patients per day (204 vs. 300, p 1⁄4 0.0006). However, when comparing only the resident dementia clinics, there was an increase in both total hours of clinic (9 vs. 36) and hours of clinic per resident (0.214 vs. 0.75). Furthermore, there were no significant changes in total patients per day (1.5 vs. 2, p < 0.3976), available minutes in clinic per day (180 vs. 270, p < 0.2500), and actual minutes seeing clinic patients per day (90 vs. 120 , p < 0.3976) in resident dementia clinic. Conclusions: The AMC neurology resident clinic changes resulted in fewer patients seen, less total available time, and less actual time on patient care overall, but these decreases were not seen in the dementia clinics. Strategies used by the dementia clinic can be used to improve resident exposure and patient access to the rest of the resident clinics. These include dedicating a specific time of the week for resident precepting, and opening up attending schedules a year in advance during those times to accommodate multiple resident clinics.