Strategies for Enhancing MDT Working in Geriatric Medicine
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Questions and Answers

What is the 'engine room' of geriatric medicine, according to the text?

  • The comprehensive geriatric assessment (CGA)
  • The multidisciplinary team (MDT) (correct)
  • The psychology and improvement science
  • The clinical perspective

    • What is the gold standard of care for older people with frailty?

  • Non-technical skills training
  • Clinical perspective
  • Comprehensive geriatric assessment (CGA) (correct)
  • Acute admitting geriatric wards

    • What does the paper aim to offer according to the text?

  • A review of clinical care and policy models
  • An overview of evidence-based practices in geriatric medicine
  • A reflective review on MDTs and MDT meetings within geriatric medicine (correct)
  • A synthesis of evidence from clinical geriatric research

    • What should training in the specialty prioritize, according to the text?

    <p>Non-technical skills (NTS)</p> Signup and view all the answers

    What necessitates a multilateral approach and therefore a team in geriatric medicine?

    <p>The nature of frailty in older people</p> Signup and view all the answers

    What distinguishes transdisciplinary teams from interdisciplinary teams?

    <p>Team members share roles as well as goals</p> Signup and view all the answers

    According to the 'Big Five' model, what are three mechanisms that allow team members to work well together?

    <p>Shared mental models, mutual trust, and closed loop communication</p> Signup and view all the answers

    What characterizes high performing teams according to the text?

    <p>Shared values and clear leadership with a shared vision</p> Signup and view all the answers

    What distinguishes interdisciplinary teams from multidisciplinary teams according to the text?

    <p>Members come together as a whole to discuss their individual assessments</p> Signup and view all the answers

    What is required to foster cohesiveness in teams according to the text?

    <p>Mutual respect for each other’s roles</p> Signup and view all the answers

    What has historically been the 'engine room' of geriatric medicine?

    <p>Multidisciplinary team (MDT) meeting</p> Signup and view all the answers

    Why does geriatric medicine require a team-based approach?

    <p>To manage the numerous comorbidities in older people</p> Signup and view all the answers

    In what way has geriatric medicine been slow compared to other specialities?

    <p>Reflecting formally on how team working can be enhanced</p> Signup and view all the answers

    What is the focus of the reflective review mentioned in the text?

    <p>Practice and its changing patterns within geriatric medicine</p> Signup and view all the answers

    Which healthcare professionals are mentioned as part of the team-based approach in geriatric medicine?

    <p>Allied health professionals, social work, nursing alongside medicine</p> Signup and view all the answers

    What is a crucial aspect of an MDT meeting according to the text?

    <p>Establishing patient-centered goals and revisiting progress regularly</p> Signup and view all the answers

    Why is the distinction between multidisciplinary, interdisciplinary, and transdisciplinary teams important according to the text?

    <p>It impacts how teams are set up and work in practice</p> Signup and view all the answers

    What did trialists rank as important to the Comprehensive Geriatric Assessment (CGA) process?

    <p>Specialty expertise and clinical leadership</p> Signup and view all the answers

    What did evidence from cancer MDTs suggest about the effectiveness of MDTs?

    <p>MDTs are likely to be ineffective or dysfunctional if one of the three elements is missing</p> Signup and view all the answers

    What was a critical difference between CGA settings and control groups in available RCT evidence?

    <p>Having a coordinated team with clear meetings and tailored plans for each patient</p> Signup and view all the answers

    What is the main purpose of reflection for geriatric MDT members?

    <p>To identify the optimal team-working model and develop their team</p> Signup and view all the answers

    Why does the text suggest that assuming an MDT will simply ‘work’ once it has been formed goes against the evidence?

    <p>Because the composition of a team does not guarantee its expertise as a team</p> Signup and view all the answers

    What was the main outcome of the study on perioperative care in 108 Veterans Affairs Hospitals in the USA?

    <p>A reduction in postoperative mortality and improved aspects of team process</p> Signup and view all the answers

    What is the significance of using propensity score matching in the study on perioperative care?

    <p>To adjust for any discrepancies in case-mix between intervention and control hospitals</p> Signup and view all the answers

    Why does the text describe changes in junior doctors’ working patterns as creating a more transitional workforce?

    <p>Because changes in working hours and shifts lead to a workforce that is frequently changing</p> Signup and view all the answers

    What is the distinction between technical and non-technical skills in healthcare?

    <p>Non-technical skills complement technical skills and contribute to safe and efficient task performance.</p> Signup and view all the answers

    What is the purpose of incident reporting in healthcare?

    <p>To learn from incidents and address the conditions that triggered them.</p> Signup and view all the answers

    Why has an industry of simulators and simulation technologies developed in aviation and healthcare?

    <p>To allow pilots and healthcare professionals to practice rare crises without posing risks to passengers or patients.</p> Signup and view all the answers

    What did a recent study find about including older people as part of simulations for trainees in healthcare?

    <p>It allowed older people to contribute to care improvement and gave them a sense of purpose.</p> Signup and view all the answers

    Why is the provision and evidencing of systematic training in team skills an imperative in modern healthcare?

    <p>To make sure that systematic training in team skills is a requirement of training and appraisal, not an optional scenario.</p> Signup and view all the answers

    What is one of the proposed strategies to enhance MDT working in modern geriatric medicine, as outlined in Box 4?

    <p>Implement consistent, clear communication aids</p> Signup and view all the answers

    Why is it suggested to engage patients into the training design and delivery in geriatric medicine?

    <p>To offer feedback to trainees on their experience and empathic skills</p> Signup and view all the answers

    What is a suggested approach to reduce the risks of a poor outcome in acute hospital settings?

    <p>Using safety checklists in surgical and anaesthetic settings</p> Signup and view all the answers

    How should the specialty of geriatric medicine adapt to meet new demands throughout the hospital setting?

    <p>By standardizing high frequency elements of care to reduce harm</p> Signup and view all the answers

    What is one example of geriatric input into MDTs mentioned in the text?

    <p>Geriatric input into cancer MDTs</p> Signup and view all the answers

    Which type of surgery has shown a significant reduction in length of stay for older patients according to the text?

    <p>Orthopaedic surgery</p> Signup and view all the answers

    What is a limitation mentioned in the text regarding the reflective synthesis presented?

    <p>The lack of a systematic review of evidence</p> Signup and view all the answers

    What does the text suggest is needed for the evidence base within geriatric medicine?

    <p>Further development</p> Signup and view all the answers

    What should subsequent research do according to the text?

    <p>Put the recommendations to empirical evaluation</p> Signup and view all the answers

    What does the text suggest is necessary for geriatric medicine to meet increasing demand?

    <p>Fully embrace approaches to improve MDT working</p> Signup and view all the answers

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