40 Questions
What is the 'engine room' of geriatric medicine, according to the text?
The multidisciplinary team (MDT)
What is the gold standard of care for older people with frailty?
Comprehensive geriatric assessment (CGA)
What does the paper aim to offer according to the text?
A reflective review on MDTs and MDT meetings within geriatric medicine
What should training in the specialty prioritize, according to the text?
Non-technical skills (NTS)
What necessitates a multilateral approach and therefore a team in geriatric medicine?
The nature of frailty in older people
What distinguishes transdisciplinary teams from interdisciplinary teams?
Team members share roles as well as goals
According to the 'Big Five' model, what are three mechanisms that allow team members to work well together?
Shared mental models, mutual trust, and closed loop communication
What characterizes high performing teams according to the text?
Shared values and clear leadership with a shared vision
What distinguishes interdisciplinary teams from multidisciplinary teams according to the text?
Members come together as a whole to discuss their individual assessments
What is required to foster cohesiveness in teams according to the text?
Mutual respect for each other’s roles
What has historically been the 'engine room' of geriatric medicine?
Multidisciplinary team (MDT) meeting
Why does geriatric medicine require a team-based approach?
To manage the numerous comorbidities in older people
In what way has geriatric medicine been slow compared to other specialities?
Reflecting formally on how team working can be enhanced
What is the focus of the reflective review mentioned in the text?
Practice and its changing patterns within geriatric medicine
Which healthcare professionals are mentioned as part of the team-based approach in geriatric medicine?
Allied health professionals, social work, nursing alongside medicine
What is a crucial aspect of an MDT meeting according to the text?
Establishing patient-centered goals and revisiting progress regularly
Why is the distinction between multidisciplinary, interdisciplinary, and transdisciplinary teams important according to the text?
It impacts how teams are set up and work in practice
What did trialists rank as important to the Comprehensive Geriatric Assessment (CGA) process?
Specialty expertise and clinical leadership
What did evidence from cancer MDTs suggest about the effectiveness of MDTs?
MDTs are likely to be ineffective or dysfunctional if one of the three elements is missing
What was a critical difference between CGA settings and control groups in available RCT evidence?
Having a coordinated team with clear meetings and tailored plans for each patient
What is the main purpose of reflection for geriatric MDT members?
To identify the optimal team-working model and develop their team
Why does the text suggest that assuming an MDT will simply ‘work’ once it has been formed goes against the evidence?
Because the composition of a team does not guarantee its expertise as a team
What was the main outcome of the study on perioperative care in 108 Veterans Affairs Hospitals in the USA?
A reduction in postoperative mortality and improved aspects of team process
What is the significance of using propensity score matching in the study on perioperative care?
To adjust for any discrepancies in case-mix between intervention and control hospitals
Why does the text describe changes in junior doctors’ working patterns as creating a more transitional workforce?
Because changes in working hours and shifts lead to a workforce that is frequently changing
What is the distinction between technical and non-technical skills in healthcare?
Non-technical skills complement technical skills and contribute to safe and efficient task performance.
What is the purpose of incident reporting in healthcare?
To learn from incidents and address the conditions that triggered them.
Why has an industry of simulators and simulation technologies developed in aviation and healthcare?
To allow pilots and healthcare professionals to practice rare crises without posing risks to passengers or patients.
What did a recent study find about including older people as part of simulations for trainees in healthcare?
It allowed older people to contribute to care improvement and gave them a sense of purpose.
Why is the provision and evidencing of systematic training in team skills an imperative in modern healthcare?
To make sure that systematic training in team skills is a requirement of training and appraisal, not an optional scenario.
What is one of the proposed strategies to enhance MDT working in modern geriatric medicine, as outlined in Box 4?
Implement consistent, clear communication aids
Why is it suggested to engage patients into the training design and delivery in geriatric medicine?
To offer feedback to trainees on their experience and empathic skills
What is a suggested approach to reduce the risks of a poor outcome in acute hospital settings?
Using safety checklists in surgical and anaesthetic settings
How should the specialty of geriatric medicine adapt to meet new demands throughout the hospital setting?
By standardizing high frequency elements of care to reduce harm
What is one example of geriatric input into MDTs mentioned in the text?
Geriatric input into cancer MDTs
Which type of surgery has shown a significant reduction in length of stay for older patients according to the text?
Orthopaedic surgery
What is a limitation mentioned in the text regarding the reflective synthesis presented?
The lack of a systematic review of evidence
What does the text suggest is needed for the evidence base within geriatric medicine?
Further development
What should subsequent research do according to the text?
Put the recommendations to empirical evaluation
What does the text suggest is necessary for geriatric medicine to meet increasing demand?
Fully embrace approaches to improve MDT working
Explore evidence-based strategies aimed at improving multi-disciplinary team (MDT) working in geriatric medicine, covering training and care delivery. The outlined strategies include systematic team training, utilization of regional simulation centers, and patient engagement in training design and delivery.
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