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Improving Medical Student Attitudes Toward Older Patients Through a “Council of Elders” and Reflective Writing Experience
Author(s) -
Westmoreland Glenda R.,
Counsell Steven R.,
Sennour Youcef,
Schubert Cathy C.,
Frank Kathryn I.,
Wu Jingwei,
Frankel Richard M.,
Litzelman Debra K.,
Bogdewic Stephen P.,
Inui Thomas S.
Publication year - 2009
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2008.02102.x
Subject(s) - geriatrics , session (web analytics) , medicine , active listening , scale (ratio) , reflective writing , medical education , family medicine , gerontology , psychology , pedagogy , psychiatry , physics , communication , quantum mechanics , world wide web , computer science
In an effort to reduce “agism” which is prevalent among medical trainees, a new geriatrics educational experience for medical students aimed at improving attitudes toward older patients was developed. Each 90‐minute Older Adult Session included four components: initial reflective writing exercise; introduction to the session; 75‐minute dialogue with the “Council of Elders,” a group of active, “well” older adults; and final reflective writing exercise. The new session was provided to 237 first‐ and second‐year medical students during the 2006/07 academic year at Indiana University School of Medicine. Session evaluation included comparing scores on the 14‐item Geriatrics Attitude Scale administered before and after the session, identifying attitude changes in the reflective writing exercises, and a student satisfaction survey. Student responses on the Geriatrics Attitude Scale after the session were significantly improved in seven of 14 items, demonstrating better attitudes toward being with and listening to older people and caring for older patients. Analysis of the reflective writings revealed changing of negative to positive or reinforced positive attitudes in 27% of medical students, with attitudes not discernable in the remaining 73% (except one student, in whom positive attitudes changed to negative). Learner satisfaction with the Older Adult Session was high, with 98% agreeing that the session had a positive effect on insight into the care of older adults. A Council of Elders coupled with a reflective writing exercise is a promising new approach to improving attitudes of medical students toward their geriatric patients.