104 Chapter 5 Table I shows the features of the geriatric education program we developed. The programwas a mix of an online training and lectures. The themes of the lectures were all outlined by the European Task Force on Geriatric Emergency Medicine (ETFGEM) as relevant for the competencies of EPs [18]. It was not feasible to cover all themes outlined by ETFGEM. Therefore a relevant selection of themes outlined by ETFGEM were selected for this education program. The online training as well as the interactive sessions were all in Dutch (content of both are available on request). The studywas carried out in the Netherlands in accordance with the applicable rules concerning the review of research ethics committees. Setting and population All thirteen physicians (including residents) working in the period 2015-2017 at the ED of the Radboud University Medical Center (Radboudumc; an academic level I trauma center with a 650 bed capacity and an annual census of approximately 22,000 patients) participated in the online training and attended the interactive lectures. The mean attendance was 53% (range 13%-88%). Eight of the eleven EPs working at the Canisius Wilhelmina hospital (CWZ; a regional hospital, with a 458 bed capacity and an annual census of 25,000 patients) followed the online training. It was not feasible for EPs working in the CWZ to participate at the interactive lecture sessions. Table 1 Features of the geriatric education program. 1. The program started in February 2016 and ended in October 2016. 2. 6-weeks online training*†: - Module 1: Frailty and frail elderly patients - Module 2: Delirium and cognitive impairment - Module 3: Functional decline - Module 4: Polypharmacy - Module 5: Shared-decision making - Module 6: Summary of themes and examination 3. Monthly interactive lectures (March-October 2016)†: - Duration of session: 2 hours - An experienced geriatrician acted as lecturer - Focus on geriatric syndromes of frequent occurrence - Focus on the organization of prehospital elderly care - Use of multiple cases (real stories), including cases with falls *Developed by The Royal DutchMedical Association. Time investment was 1.5-2 hours per module per EP. †Content is available upon request. EP= Emergency physician.
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