Thesis

83 Geriatric education of Dutch emergency physicians CHAPTER 4 Survey among ED managers Participant characteristics Of 77 respondents contacted, 38 responded to the survey (response of 49.4%). Twenty-nine respondents fully completed the survey, whereas 9 respondents did not respond to one or two questions. Almost half of respondents (47.4%) were female. The mean age of these respondents was 47.9 years (SD 7.1). Most of the 38 respondents were employed as a manager at the ED for a mean time period of 5.8 years (SD 5.8). The majority of respondents (65.8%) had a medical background and about a quarter (26.3%) had a background as nurse. Almost forty percent of respondents were working in a teaching hospital. Responder and non-responder groups were not significantly different in gender (p=0.78). Respondents working in a hospital situated in a region with 250-500 inhabitants per km2 were overrepresented when compared to non- responders (p=0.03). No significant differences were found between responders and non-responders regarding working in densely populated areas (>2500 inhabitants per 1 km2), and working in the municipality with an aged population. Management support for GEM education of emergency physicians Eight of the 38 respondents (21.1%) stated that there was a GEM education program for EPs in their hospital. According to them, GEM education was offered by e-learning (10.5%), cased based discussions (7.9%), or geriatric internship (2.6%). Improving care for older adults in the ED is considered an important issue by most respondents (86.2%). About half of the respondents (58.6%) indicated that sufficient expertise was available for GEM education in their hospital. Time and finances were reported as major obstacles to provide GEM education for EPs; 17.2% of the respondents stated sufficient time for education and 31% of respondents reported sufficient finances for GEM education. A high percentage of respondents remained neutral regarding available expertise, time and finances to provide GEM education for EPs (table 4).

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