Reynolds at UNC Chapel Hill

2012 Retreat_Lecture

Participating Reynolds Specialty Faculty Scholar represent the following specialties: Emergency Medicine, Physical Medicine and Rehabilitation, Surgery, Internal Medicine/Hospitalists, Hematology and Oncology, Radiology Family Medicine, and the Designated Institutional Official.

The UNC Chapel Hill Reynolds Specialty Faculty Scholar range in position and rank from very senior faculty, including full professors, to very junior faculty, and recent graduates out of resident training. Senior faculty serve as mentors to the junior faculty.

As the grant continues, new scholars are continually drawn to the program and actively participate in retreats, meetings and in teaching and applying the Reynolds curriculum.

 

Specific aims in the "Next Steps in Physicians Training in Geriatrics" UNC Chapel Hill Reynolds curriculum include:

  • evaluate the environment including personnel, institutional support, and the institutional environment
  • develop curricula
  • implement the ages score and specialty curricula
  • evaluate the ages core and specialty-specific curricula
  • disseminate the validated curricula
  • increase impact and sustainability
  • conduct ongoing project assessment and evaluation

In 2013 the Reynolds Specialty Faculty Scholars continue to disseminate the Reynolds curriculum throughout UNC Chapel Hill. the curriculum was published on the Reynolds education website called POG0e and are available free of charge to any interested medical professional nationally and internationally.  Rental specialty faculty scholars began to disseminate the Reynolds curriculum statewide including to area health education centers, and at various national meetings and conferences.  By the end of 2014 it is projected the curricula will be taught to 944 UNC Chapel Hill residents by incorporating the modules into existing residency curricula. The curricula will also be taught to 240 chief residents and 92 faculty.

The efforts and in of the Reynolds specialty faculty scholars is gaining substantial momentum within the various UNC specialties at Chapel Hill. Scholars are being asked to teach and present educational sessions with increasing frequency as both the need and desire to work more effectively with geriatric patients is recognized.  As a result of the Donald W Reynolds grant the following advancements have occurred at UNC Chapel Hill:

  • Joint fellowship programs have been established including geriatric oncology, geriatric nephrology, geriatric emergency medicine and the fellowship in hospital medicine where the age's curriculum and a focus on geriatric patients will be a core component of the curricula
  • The UNC hospital medicine program is creating the fellowship in hospital medicine with a focus on geriatric patients
  • The office of medical education is now requiring every first-year medical student be paired with the community dwelling senior mentor to have longitudinal one year experience with their mentor
  • Clinical trials have been activated using geriatric assessment to follow functional changes in older adults treated for cancer
  • Hospitalists performed a retrospective study on hip fracture patients looking at frequency with which hospitalists checked older adults patient's vitamin D levels in addition to monitoring the frequency vitamin D was prescribed
  • Hospitalists have created templates for electronic medical records for the following notes hip fracture admissions, geriatric consult, total hip and total knee replacement consults, geriatric admission, and delirium prevention
  • Hospitalists have begun advocating for the usage geriatric order set and a fracture order set hospitalists have been able to implement stocking the medicine floors with the medical orders for scope of treatment form which is an adaptation of the physician orders for life-sustaining treatment paradigm
  • Reynolds Specialty Faculty Scholars continue to meet every 6 to 8 weeks with all specialty scholars at separate planning meetings by specialty. A geriatrician is assigned to work with each particular specialty to assist with development and implementation of the specialty curriculum