1. See One, Do One: Creating Geriatric Competencies Assessments for UME/GME Learners: Summary and Action Plan Zaldy S. Tan, MD, MPH Associate Professor, David Geffen School of Medicine University of California Los Angeles

2. How do you get it done at home? Does Shows Knows How Knows Factual knowledge tests Applied knowledge tests Demonstrated skills (standardized patient assessments, simulation exercises) Observed longitudinal practice, chart audit

3. Levels of Competency Assessment Does Shows Knows How Knows Miller GE. The Assessment of Clinical Skills / Competence / Performance, Academic Medicine 1990; 65:9, S63-S67. Ultimate Goal This Workshop

4. Rationale for Geriatrics Competency Certification Patient Safety Initiatives Centers for Medicare and Medicaid Services (CMS) quality initiatives for geriatric concerns – falls in hospital, pressure ulcers, readmission… Liaison Committee on Medical Education (LCME) Accreditation Council for Graduate Medical Education (ACGME)

5. Competency Domains in Geriatrics Falls, Balance, and Gait Disorders (AGS 2011) Cognitive and Behavioral Disorders (AGS 2012) Medication Management Self-Care Capacity Health Care Planning and Promotion Atypical Presentation of Disease Palliative Care Hospital Care for Elders

6. Competency Projects and Presentations Since… Falls, Balance and Gait Disorders –American College of Physicians Recreated workshop for practicing physicians –Baylor University Culberson C, Ahmed S, Agarwal K, et al. PREVENTING FALLS: AN EDUCATIONAL WORKSHOP TAUGHT BY GERIATRIC FELLOWS. Gerontological Society of America 2012 –Wake Forest University Omlor B, Watkins F, Lawlor J, Atkinson H. INTERN BOOT CAMP. American Geriatrics Society 2013

7. Competency Projects and Presentations Since… Cognitive and Behavioral Disorders –University of California San Diego Dr. Sara Bailey: Medical students and IM Residents –University of California Los Angeles Certification in Interprofessional Dementia Screening and Management

8. Competency Projects and Presentations Since… Cognitive & Behavioral Disorders –UCLA: California Geriatric Education Center 50 learners from 4 professions certified –10 Physicians –10 Nurses –10 Pharmacists –10 Social workers –Funded by HRSA supplement to California Geriatric Education Center (CGEC)

9. Summary Competency movement is here to stay Geriatric competencies can and need to be taught and tested Competency workshop is an interactive, creative and enjoyable way of teaching geriatrics

10. Competency Domains in Geriatrics Falls, Balance, and Gait Disorders (AGS 2011) Cognitive and Behavioral Disorders (AGS 2012) Medication Management (AGS 2013)! Self-Care Capacity Health Care Planning and Promotion Atypical Presentation of Disease Palliative Care Hospital Care for Elders

11. See you in Grapevine TX! Competency in Medication Management AGS 2013 ztan@mednet.ucla.edu