Falls and Fall Prevention

Abstract

OPEN ACCESSSeptember 26, 2014Falls and Fall Prevention Huai Cheng, MD Huai Cheng, MD University of Virginia School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9910 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractThis workshop is intended to promote and enhance active learning and problem-solving among third-year medical students. At our institution, we decided to transform the existing didactic and case-based falls/fall-prevention workshop into a team-based learning (TBL) format, integrating two minimum geriatric competencies and the latest evidence-based clinical practice guideline (CPG) on fall prevention into a 2-week required geriatric clerkship. The use of a standardized patient with the students is similar to a case-based workshop. Methods: One to three days prior to the workshop, the instructor emails every student the clerkship introduction, learning objectives, and required prereading materials. During the workshop, the instructor reviews the goals, objectives, and TBL logistics. Students are divided into two teams. Individual students complete the individual Readiness Assurance Test (RAT), then join their teams and take the group RAT. The instructor leads a discussion of the RAT. Next, the class does the first Group Application Exercise (GAE), based on a simulated case, followed by a second GAE, which is a role-play. Finally, the instructor wraps up the session. The workshop is 1.5 hours long and can be used in a small or large group. Results: The workshop was well accepted and rated 4.19 on a scale of 1-5 by 150 third-year medical students. Discussion: This module can be used by other clerkships (internal medicine, family medicine, neurology) for a fourth-year elective or postgraduate medical education. The author noted very few TBL workshops in internal medicine, psychiatry, or OB-GYN clerkships and most in the required geriatrics clerkship. This module can become a template for other medical educators to develop similar workshops. Educational Objectives By the end of this lesson, learners will be able to: Remember that a fall is not just due to normal aging.Describe two to three adverse consequences related to a fall in older adults.Follow the latest (2010) guideline on fall evaluation and prevention in older persons living in the community.Identify three to four preventable fall risk factors and offer three to four measures to prevent another fall for the patient in the case.Choose an appropriate cane for older patients. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Fall Instructor's Guide.docx Fall Prevention TBL.docx Fall Resource Files 1 Handout.docx Fall Resource Files 2 Teacher.doc Fall Resource Files 3 Evaluation.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2014 Cheng. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsTeam-Based LearningOlder AdultsAccidental FallsMedicalStudentsFallTBLFall PreventionClinical Practice Guideline Disclosures None to report. Funding/Support None to report. Prior Presentations Abstract presented at: Gerontological Society of American's 66th Annual Scientific Meeting; 2013; New Orleans, LA. Loading ...