Strategies for Enhancing MDT Working in Geriatric Medicine

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

Social work

Allied health professionals

Multidisciplinary team (MDT) meetings (correct)

Nursing

What characteristic of older people's frailty necessitates a team-based approach in geriatric medicine?

High blood pressure

Physical fitness

Obesity

Multiple comorbidities (correct)

Which speciality has been mentioned in the text as being slow compared to others to reflect formally on how team working can be enhanced?

Surgery

Geriatric medicine (correct)

Trauma

Cancer

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 Signup and view all the answers

What is the focus of the paper mentioned in the text?

Role of MDTs in geriatric medicine Signup and view all the answers

What is the 'engine room' of the geriatric medicine specialty?

The multidisciplinary team (MDT) Signup and view all the answers

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

Comprehensive geriatric assessment (CGA) Signup and view all the answers

Which factor should training in the geriatric medicine specialty prioritize?

Non-technical skills (NTS) like leadership and communication Signup and view all the answers

What is the aim of the paper mentioned in the text?

To reflect on the implications of behavioural safety science for the clinical perspective Signup and view all the answers

What are the core elements of the geriatric MDT meeting?

Assimilation of information across key domains and staff understanding their roles Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

What is the purpose of incident reporting in healthcare, as per the text?

To address the conditions that triggered the incidents Signup and view all the answers

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 Signup and view all the answers

What has been developed to train and assess pilots in a safe environment, as mentioned in the text?

Flight simulators and simulation technologies Signup and view all the answers

Why is team training curricula, modules, and facilities considered haphazard, as per the text?

The availability of team training resources is inconsistent Signup and view all the answers

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 Signup and view all the answers

What distinguishes transdisciplinary teams from interdisciplinary teams?

Transdisciplinary teams involve sharing roles and goals, while interdisciplinary teams involve separate but interrelated roles. Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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. Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

What is declared as the conflict of interest for Sevdalis in the text?

Director of London Safety and Training Solutions Ltd Signup and view all the answers

What does the author declare as their role in relation to the NIHR grant mentioned in the text?

Co-applicant on the NIHR grant Signup and view all the answers

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

Incorporating patient feedback into team training Signup and view all the answers

Which evidence-based element does the text suggest is important for effective MDT care in geriatric medicine?

Implementing consistent, clear communication aids Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

What does the text suggest about assuming MDTs will work effectively once formed?

It goes against evidence from both inside and outside of healthcare. Signup and view all the answers

What was the significant finding of the large cohort study on perioperative care?

A significant reduction in postoperative mortality in the intervention sites. Signup and view all the answers

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. Signup and view all the answers

What does the text imply about multidisciplinary roles in MDTs?

They are crucial in achieving positive patient outcomes and complementing the team. Signup and view all the answers

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. Signup and view all the answers

Strategies for Enhancing MDT Working in Geriatric Medicine

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Questions and Answers

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

What characteristic of older people's frailty necessitates a team-based approach in geriatric medicine?

Which speciality has been mentioned in the text as being slow compared to others to reflect formally on how team working can be enhanced?

In addition to medicine, which other profession is mentioned in the text as requiring a team-based approach in managing older patients' comorbidities?

What is the focus of the paper mentioned in the text?

What is the 'engine room' of the geriatric medicine specialty?

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

Which factor should training in the geriatric medicine specialty prioritize?

What is the aim of the paper mentioned in the text?

What are the core elements of the geriatric MDT meeting?

What are the core principles of an MDT meeting, as stated in the text?

What did the evidence from cancer MDTs suggest about the effectiveness of MDT meetings if one of the three elements is missing?

What did the Cochrane Review of CGA trials find about the importance of MDT meetings to the CGA process?

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

What distinguishes multidisciplinary, interdisciplinary, and transdisciplinary teams as mentioned in the text?

What is the purpose of incident reporting in healthcare, as per the text?

What is the main purpose of the distinction between technical and non-technical skills (NTS) in healthcare, as mentioned in the text?

What has been developed to train and assess pilots in a safe environment, as mentioned in the text?

Why is team training curricula, modules, and facilities considered haphazard, as per the text?

What is the aim of including older people as part of simulations for trainees, as mentioned in the text?

What distinguishes transdisciplinary teams from interdisciplinary teams?

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

In the context of high performing teams, what characteristic is likely to unify a team?

What distinguishes multidisciplinary teams from interdisciplinary teams?

What concept is best exemplified by an individual taking on elements of someone else’s role in a setting to share the workload?

What is the primary limitation mentioned regarding the reflective synthesis offered in the text?

What does the author suggest should be the focus of subsequent research based on the perspective offered in the text?

Which organization is mentioned as funding Sevdalis' research in the text?

What is declared as the conflict of interest for Sevdalis in the text?

What does the author declare as their role in relation to the NIHR grant mentioned in the text?

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

Which evidence-based element does the text suggest is important for effective MDT care in geriatric medicine?

What is suggested as a way to support patient-centeredness in geriatric medicine MDT working?

What is proposed as a method to address variation in healthcare outcomes in acute hospital settings?

What does the text suggest about the specialty's future consultants in geriatric medicine?

What does the text suggest about assuming MDTs will work effectively once formed?

What was the significant finding of the large cohort study on perioperative care?

How does the text describe the impact of team training on mortality outcomes?

What does the text imply about multidisciplinary roles in MDTs?

What is highlighted as a challenge for geriatric care teams in the text?

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