81 Geriatric education of Dutch emergency physicians CHAPTER 4 Utilization of GEM education by emergency physicians The majority of respondents (55%) stated that they get sufficient time to follow GEM education. Almost ninety percent of respondents (87%) also stated that they were autonomous in their utilization of GEM education. Only fifteen percent of respondents reported to spend sufficient time on GEM education. The majority of respondents (71%) were not aware where to obtain GEM education (table 3). What stands out in this table, is the high rate of EPs responding to be undecided regarding statements in table 3. Scale of GEM education utilized by emergency physicians The majority of respondents (70%) reported the absence of GEM education in their hospital. Forty-five respondents reported having the possibility to follow GEM education in their hospital; the majority of this group (78%) actually followed this education. A large majority of respondents (83%) did not follow GEM education outside their own hospital (supplement 5). Table 2 Educational needs of emergency physicians regarding geriatric competencies, N= 157 Statement Disagree* n (%) Undecided* n (%) Agree* n (%) I need more skills to better recognize geriatric problems in older adults. 42 (27) 53 (34) 62 (39) I need more skills to better determine the right diagnostic approach for older adults. 37 (23) 44 (28) 76 (48) I need more skills to better treat older adults. 25 (16) 47 (30) 85 (54) I need more skills to communicate better with older adults. 65 (41) 48 (30) 44 (28) I need more skills to work better with other care providers of older adults (either primary care providers or medical specialists). 43 (27) 53 (33) 61 (38) I need more skills to better determine the right community follow-up for the older adult. 30 (19) 43 (27) 84 (53) I need more knowledge of primary care to better organize the right community follow-up for the older adult. 29 (18) 23 (15) 105 (66) * Disagree = Likert score 1 or 2, Undecided = Likert score 3, Agree = Likert score 4 or 5 Respondents described (in the free-text fields) educational needs for: older adults with polypharmacy (n=7), organizing community care follow-up (n=4), skills for better teamwork with medical specialist (including geriatricians)(n=4), and knowledge/skills regarding specific geriatric conditions (n=7). Nine respondents reported miscellaneous needs (supplement 4).
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