Core Competencies:Long Term Care Physicians EUGMS SIG-LTC and AMDA - - PowerPoint PPT Presentation

Core Competencies:Long Term Care Physicians

EUGMS SIG-LTC and AMDA

Olafur Samuelsson MD spec Geriatrics Landspitali University Hospital Reykjavik Iceland

CONFLICT OF INTEREST DISCLOSURE

I have no potential conflict of interest to report

SIG-LongTermCare

54 members from 30 countries

• R. Briggs, I. Holmerová, F.C. Martin, D.O’Neill

.

SIG-LTC task Defining curriculum for Core Competencies for LTC physicians

Populations:

• 10.000.000 20.000.000 30.000.000 40.000.000 50.000.000 60.000.000 70.000.000 80.000.000 90.000.000

GERMANY TURKEY* FRANCE: UNITED KINGDOM: ITALY: SPAIN: ROMANIA: THE NETHERLANDS BELGIUM GREECE: CZECH REPUBLIC : PORTUGAL: SWEDEN HUNGARY: AUSTRIA ISRAEL* SWITZERLAND: SERBIA* DENMARK: FINLAND: NORWAY: IRELAND POLAND: LITHUANIA SLOVENIA ESTONIA: LUXEMBURG: MALTA: ICELAND: Anne W. Ekdahl, Secretary EUGMS Executive Board

Proportion of 80+/pop.

Not represented: Cyprus Latvia Slovakia Three observer countries included: Turkey* Israel* Serbia* No numbers: Romania

0,00% 1,00% 2,00% 3,00% 4,00% 5,00% 6,00% 7,00%

TURKEY* UNITED KINGDOM: AUSTRIA ISRAEL* IRELAND SERBIA* CZECH REPUBLIC : MALTA: POLAND: LUXEMBURG: SLOVENIA HUNGARY: NORWAY: THE NETHERLANDS DENMARK: ICELAND: PORTUGAL: SWEDEN SWITZERLAND: FINLAND: ESTONIA: LITHUANIA GREECE: BELGIUM FRANCE: SPAIN: GERMANY ITALY:

Anne W. Ekdahl, Secretary EUGMS Executive Board

Inhabitants 80+/geriatrician

• 500

1.000 1.500 2.000 2.500 3.000 3.500

Anne W. Ekdahl, Secretary EUGMS Executive Board

Inhabitants 80+/geriatrician

• 10.000

20.000 30.000 40.000 50.000 60.000 70.000 80.000 90.000 100.000 POLAND: ESTONIA: LITHUANIA TURKEY: PORTUGAL: SERBIA GREECE:

Anne W. Ekdahl, Secretary EUGMS Executive Board

Additional differences:

Postgraduate education? What is a nursing home bed? How is LTC provided? And so on…..

Common issues:

• Nursing home residents represent a particularly

complex, frail and dependent cohort in need of skilled geriatric care.

• 90% of nursing home residents have a recorded

disability compared with less than 30% of those aged 651

• Despite this, there is a lack of formal training for staff

working in nursing homes including doctors, nurses and care assistants2

• Standards of quality of care are variable3.

1. Falconer M, O’Neill D. Profiling disability within nursing homes: a census-based approach. Age Ageing [Internet]. 2007 Jan 25 2. Mulley G. The Care Home Handbook. Bowman C, Boyd M, Stowe S, editors. Wiley-Blackwell; 2014. 3. Morley JE. Clinical practice in nursing homes as a key for progress. J Nutr Health Aging 2010 Aug

Among those aged 85 and over in EU28 countries, 12.6% are currently in long term care1. The number of

• lder people with functional limitations is projected to

increase by about 120% and the number of people receiving formal care in institutions will rise by about 130% on average by 20502.

1.

• Eurostat. People in the EU – statistics on an ageing society -2015

2. Pickard L, Comas-Herrera A, Costa-Font J, Gori C, di Maio A, Patxot C, et al. Modelling an entitlement to long-term care services for older people in Europe: projections for long-term care expenditure to 2050. J Eur Soc Policy

Defining the curriculum for medical care in nursing homes

Fitzpatrick D, Samuelsson O, Holmerová I, Martin F, O’Neill D on behalf of EUGMS Long Term Care SIG

1.Morley JE (International A of G and G. Nursing home

• care. McGraw-Hill Education; 2013. 309 p.
• 2. Mulley G. The Care Home Handbook. Bowman C,

Boyd M, Stowe S, editors. Wiley-Blackwell; 2014.

• 3. VERENSO: Bezemer M, Hertogh C, Koopmans R,

Piek G, Theeuwes C, Verburg D, et al. Elderly care physicians in the Netherlands [Internet]. 2015

• 4. Royal Australian College of General Practitioners.

Medical care of older persons in residential aged care facilities

• 5. Royal College of Physicians Ireland:O’Shea D,

Kennelly S, Timmons S, Kelly E, O’Neill D, Doyle R, et

• al. Diploma in Geriatric Medicine. 2016.
• 6. AMDA: Bach PL, Baker AS, Bluestein D,

Brechtelsbauer DA, Buhr G, Burl JB, et al. The Society for Post-Acute and Long-Term Care Medicine’s Competencies Curriculum for Attending Physicians Practicing in Post-Acute and Long Term Care

Next steps

• By a Delphi method get expert concencus on

the most important core competencies

• Cooperation with other European

groups/projects ?

• Publishing the results as a ground for

developing a LTC core curriculum

• In developing this curriculum, the EUGMS

hopes to take an important step in guaranteeing minimum standards of care for the frail population of nursing home residents.