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?

  • 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?

    <p>Social work</p> Signup and view all the answers

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

    <p>Role of MDTs in geriatric medicine</p> Signup and view all the answers

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

    <p>The multidisciplinary team (MDT)</p> Signup and view all the answers

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

    <p>Comprehensive geriatric assessment (CGA)</p> Signup and view all the answers

    Which factor should training in the geriatric medicine specialty prioritize?

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

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

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

    What are the core elements of the geriatric MDT meeting?

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

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

    <p>Covering domains of medical problems, functional ability, and cognitive or psychiatric health, bringing opinions together openly, and allocating responsibility</p> 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?

    <p>The MDT is likely to be ineffective or dysfunctional</p> 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?

    <p>They found that MDT meetings were crucial to the CGA process</p> Signup and view all the answers

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

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

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

    <p>They are conceptually different models of team-working and have a significant impact on patient care</p> Signup and view all the answers

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

    <p>To address the conditions that triggered the incidents</p> 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?

    <p>To ensure that non-technical skills are recognized and assessed</p> Signup and view all the answers

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

    <p>Flight simulators and simulation technologies</p> Signup and view all the answers

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

    <p>The availability of team training resources is inconsistent</p> 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?

    <p>To give older people a sense of purpose</p> Signup and view all the answers

    What distinguishes transdisciplinary teams from interdisciplinary teams?

    <p>Transdisciplinary teams involve sharing roles and goals, while interdisciplinary teams involve separate but interrelated roles.</p> 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?

    <p>Mutual trust, shared mental models, and open communication</p> Signup and view all the answers

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

    <p>Regularly articulated vision and mutual respect for each other's roles</p> Signup and view all the answers

    What distinguishes multidisciplinary teams from interdisciplinary teams?

    <p>Multidisciplinary teams integrate closer to complete a shared goal, while interdisciplinary teams involve separate professionals maintaining their own disciplinary boundaries.</p> 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?

    <p>Role blurring</p> Signup and view all the answers

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

    <p>It did not cover a systematic review of evidence across different literatures</p> 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?

    <p>Empirical evaluation of the recommendations</p> Signup and view all the answers

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

    <p>National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London</p> Signup and view all the answers

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

    <p>Director of London Safety and Training Solutions Ltd</p> Signup and view all the answers

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

    <p>Co-applicant on the NIHR grant</p> Signup and view all the answers

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

    <p>Incorporating patient feedback into team training</p> Signup and view all the answers

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

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

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

    <p>Making a commitment to ask patients what matters to them</p> Signup and view all the answers

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

    <p>Standardizing high frequency elements of care using safety checklists</p> Signup and view all the answers

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

    <p>They should be able to work with a broader MDT and support care delivery to a multimorbid patient cohort</p> Signup and view all the answers

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

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

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

    <p>A significant reduction in postoperative mortality in the intervention sites.</p> Signup and view all the answers

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

    <p>A clear dose–response relationship between the level of training and mortality outcome.</p> Signup and view all the answers

    What does the text imply about multidisciplinary roles in MDTs?

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

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

    <p>The lack of a framework for joint training and evaluation in team-working.</p> Signup and view all the answers

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