40 Questions
What has historically been the 'engine room' of geriatric medicine?
Multidisciplinary team (MDT) meetings
What characteristic of older people's frailty necessitates a team-based approach in geriatric medicine?
Multiple comorbidities
Which speciality has been mentioned in the text as being slow compared to others to reflect formally on how team working can be enhanced?
Geriatric medicine
In addition to medicine, which other profession is mentioned in the text as requiring a team-based approach in managing older patients' comorbidities?
Social work
What is the focus of the paper mentioned in the text?
Role of MDTs in geriatric medicine
What is the 'engine room' of the geriatric medicine specialty?
The multidisciplinary team (MDT)
What is the gold standard of care for older people with frailty?
Comprehensive geriatric assessment (CGA)
Which factor should training in the geriatric medicine specialty prioritize?
Non-technical skills (NTS) like leadership and communication
What is the aim of the paper mentioned in the text?
To reflect on the implications of behavioural safety science for the clinical perspective
What are the core elements of the geriatric MDT meeting?
Assimilation of information across key domains and staff understanding their roles
What are the core principles of an MDT meeting, as stated in the text?
Covering domains of medical problems, functional ability, and cognitive or psychiatric health, bringing opinions together openly, and allocating responsibility
What did the evidence from cancer MDTs suggest about the effectiveness of MDT meetings if one of the three elements is missing?
The MDT is likely to be ineffective or dysfunctional
What did the Cochrane Review of CGA trials find about the importance of MDT meetings to the CGA process?
They found that MDT meetings were crucial to the CGA process
What was a critical difference between CGA settings and control groups in the available RCT evidence?
Having a coordinated team with clear meetings and a tailored plan for each patient
What distinguishes multidisciplinary, interdisciplinary, and transdisciplinary teams as mentioned in the text?
They are conceptually different models of team-working and have a significant impact on patient care
What is the purpose of incident reporting in healthcare, as per the text?
To address the conditions that triggered the incidents
What is the main purpose of the distinction between technical and non-technical skills (NTS) in healthcare, as mentioned in the text?
To ensure that non-technical skills are recognized and assessed
What has been developed to train and assess pilots in a safe environment, as mentioned in the text?
Flight simulators and simulation technologies
Why is team training curricula, modules, and facilities considered haphazard, as per the text?
The availability of team training resources is inconsistent
What is the aim of including older people as part of simulations for trainees, as mentioned in the text?
To give older people a sense of purpose
What distinguishes transdisciplinary teams from interdisciplinary teams?
Transdisciplinary teams involve sharing roles and goals, while interdisciplinary teams involve separate but interrelated roles.
According to the 'Big Five' model, what are the three mechanisms that allow team-members to work well together?
Mutual trust, shared mental models, and open communication
In the context of high performing teams, what characteristic is likely to unify a team?
Regularly articulated vision and mutual respect for each other's roles
What distinguishes multidisciplinary teams from interdisciplinary teams?
Multidisciplinary teams integrate closer to complete a shared goal, while interdisciplinary teams involve separate professionals maintaining their own disciplinary boundaries.
What concept is best exemplified by an individual taking on elements of someone else’s role in a setting to share the workload?
Role blurring
What is the primary limitation mentioned regarding the reflective synthesis offered in the text?
It did not cover a systematic review of evidence across different literatures
What does the author suggest should be the focus of subsequent research based on the perspective offered in the text?
Empirical evaluation of the recommendations
Which organization is mentioned as funding Sevdalis' research in the text?
National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London
What is declared as the conflict of interest for Sevdalis in the text?
Director of London Safety and Training Solutions Ltd
What does the author declare as their role in relation to the NIHR grant mentioned in the text?
Co-applicant on the NIHR grant
What is one of the strategies proposed in Box 4 to enhance MDT working in modern geriatric medicine?
Incorporating patient feedback into team training
Which evidence-based element does the text suggest is important for effective MDT care in geriatric medicine?
Implementing consistent, clear communication aids
What is suggested as a way to support patient-centeredness in geriatric medicine MDT working?
Making a commitment to ask patients what matters to them
What is proposed as a method to address variation in healthcare outcomes in acute hospital settings?
Standardizing high frequency elements of care using safety checklists
What does the text suggest about the specialty's future consultants in geriatric medicine?
They should be able to work with a broader MDT and support care delivery to a multimorbid patient cohort
What does the text suggest about assuming MDTs will work effectively once formed?
It goes against evidence from both inside and outside of healthcare.
What was the significant finding of the large cohort study on perioperative care?
A significant reduction in postoperative mortality in the intervention sites.
How does the text describe the impact of team training on mortality outcomes?
A clear dose–response relationship between the level of training and mortality outcome.
What does the text imply about multidisciplinary roles in MDTs?
They are crucial in achieving positive patient outcomes and complementing the team.
What is highlighted as a challenge for geriatric care teams in the text?
The lack of a framework for joint training and evaluation in team-working.
Explore strategies based on available evidence across healthcare specialities that geriatric medicine could consider adopting for training and care delivery, including systematic team training, utilization of simulation centers, and patient engagement in training design.
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