(Press-News.org) New York (June 21, 2021)--The American Geriatrics Society (AGS) has published an updated version of the AGS Minimum Geriatrics Competencies for Graduating Medical Students, which were created to ensure that medical school graduates across the U.S. are prepared to provide high-quality care for us all as we age. A refresh of the original set first published more than a decade ago, the 27 competencies integrate new concepts that have emerged more recently in the field of geriatrics, including frailty and person-centered care, and are framed around five key areas of focus for all geriatrics healthcare professionals.
"The updated competencies reflect an evolution in how we frame the work of geriatrics health professionals, a greater understanding of frailty, and a greater focus nationally on ensuring that care is person-centered and driven by individual goals," explained AGS President Peter Hollmann, MD, AGSF. "With these competencies, the field of geriatrics has defined not just what all physicians should know as they embark on their careers but also how they should put that knowledge into practice."
The updated AGS Minimum Geriatrics Competencies for Graduating Medical Students are organized around the Geriatrics 5Ms, a framework developed in 2017 by Frank Molnar, MD, Allen Huang, MD, AGSF, and Mary Tinetti, MD, AGSF, around five key areas: Mind, Mobility, Medications, Multicomplexity, and what Matters most. Clinical educators in medical schools are rapidly adopting the 5Ms as a framework for teaching medical students the skills, knowledge, and abilities they should have to provide high-quality clinical care for older adults. In the updated competencies set, each of the Ms contains new or modified competencies. Of particular note, multicomplexity, which describes the person who benefits most from geriatrics care, includes guidance on integrating a health equity lens into the practice of medicine.
"When we added a 27th competency, we believed it was critically important to highlight how important it is that physicians not only understand the impact that ageism and other forms of discrimination can have on the health of older adults but also take steps to overcome their own bias in addressing issues of health equity," AGS CEO Nancy E. Lundebjerg, MPA, said.
A workgroup of AGS leaders co-chaired by Rosanne Leipzig, MD, PhD, Andrea W. Schwartz, MD, and Mandi Sehgal, MD, updated the 26 original competencies using a modified Delphi method to reach a group consensus based on expert and stakeholder input and a literature review. Having presented their work at the 2021 AGS Virtual Annual Scientific Meeting, the team is currently working on a paper describing their methodology and key qualitative findings from their research. The updated competencies are now available on the AGS website here.
Moving forward, the AGS will continue to advocate that undergraduate medical education prepares graduating physicians to care for us all as we age. AGS is also developing educational tools to help educators to integrate attention to the new competencies into their programs.
INFORMATION:
About the American Geriatrics Society
Founded in 1942, the American Geriatrics Society (AGS) is a nationwide, not-for-profit society of geriatrics healthcare professionals that has--for more than 75 years--worked to improve the health, independence, and quality of life of older people. Our nearly 6,000 members include geriatricians, geriatric nurses, social workers, family practitioners, physician assistants, pharmacists, and internists. The Society provides leadership to healthcare professionals, policymakers, and the public by implementing and advocating for programs in patient care, research, professional and public education, and public policy. For more information, visit AmericanGeriatrics.org.
SAN FRANCISCO, CA--June 21, 2021--The progression from a round ball of cells to an embryo with a head and a tail is one of the most critical steps in an organism's development. But just how cells first start organizing themselves with directionality along this head-to-tail axis is hard to study because it happens in the earliest days of embryonic development, in the confines of a mammal's uterus.
Now, scientists at Gladstone Institutes have created an organoid--a three-dimensional cluster of cells grown in the lab--that mimics the earliest developmental steps of the nervous system in embryos. The organoid is the first to show how human spinal cord cells ...
A study conducted in the Una Biological Reserve in the state of Bahia, Brazil, shows that in a habitat with high hunting pressure the risk of predation has such a significant impact on the behavior of the Yellow-breasted capuchin monkey Sapajus xanthosternos that it even avoids areas offering an abundant supply of plant biomass and invertebrates, its main sources of food.
An article reporting the findings of the study is published in the American Journal of Primatology.
"Many theories in the field of primatology assume that pressure to find food is more important that predation pressure. In this study we were able ...
A high body mass index (BMI) during adolescence is a significant risk factor for Type 2 diabetes, early heart attack and overall poorer health for young adults, regardless of BMI in adulthood, according to a research letter published today in the Journal of the American College of Cardiology.
BMI is calculated based on weight and height. According to the National Heart, Lung, and Blood Institute, BMI categories are defined as: less than 18.5 kg/m2 is underweight; 18.5 to 24.9 is normal weight; 25 to 29.9 is overweight; and 30 or greater is obese.
Researchers analyzed the BMI z-scores, which is relative weight adjusted for a child's age and sex, of 12,300 adolescents ...
Data captured in NCDR registries is similar in quality, depth and granularity when compared to data captured through clinical trials, according to research in JACC: Cardiovascular Interventions that compared data from the DAPT Study to NCDR CathPCI Registry data. This is good news for streamlining data collection and supports recent efforts to standardize data elements and definitions used in clinical trials and registries.
"We found an overall high level of similarity in data between these two sources. This suggests that registries may also be suitable to support baseline data collection for many clinical studies," said senior study author Robert W. Yeh, MD, MSc, director of the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology ...
The use of statin therapy in adults 65 years old or older is not associated with incident dementia, mild cognitive impairment (MCI) or decline in individual cognition domains, according to a study published in the Journal of the American College of Cardiology (JACC).
Cognitive decline and dementia are major health concerns in older individuals, affecting about 10% of people over 60 years old. Statins are used to reduce low-density lipoprotein cholesterol, or bad cholesterol, thus they are a fundamental treatment for prevention of primary and secondary cardiovascular disease (CVD) events. The Food and Drug Administration released a warning in 2012 about cases of apparent short-term ...
It's a treasure trove of data: the global geodatabase of vegetation plots "sPlotOpen" is now freely accessible. It contains data on vegetation from 114 countries and from all climate zones on Earth. The database was compiled by an international team of researchers led by Martin Luther University Halle-Wittenberg (MLU), the German Centre for Integrative Biodiversity Research (iDiv) and the French National Centre for Scientific Research (CNRS). Researchers around the world finally have a balanced, representative dataset of the Earth's vegetation at their disposal, as the team reports in the journal Global Ecology & Biogeography.
Global issues and questions require global answers. "If we want to understand or predict how climate ...
June 21, 2021 -- A new study published in Nutrients investigated the effect of increased dietary potassium from a whole food source--baked/boiled potatoes and baked French fries--or a potassium supplement on blood pressure and other cardiovascular disease risk factors compared to a 'typical American' control diet (lower potassium intake) among 30 pre-hypertensive to hypertensive men and women. Results showed that including baked/boiled potato consumption as part of a typical American diet had the greatest benefit on reducing sodium retention, even more than the supplement, and resulted ...
COVID-19 therapies made from antibodies often are given to patients who are at high risk of severe illness and hospitalization. However, there have been nagging questions about whether such antibody therapies retain their effectiveness as worrisome new virus variants arise.
New research at Washington University School of Medicine in St. Louis suggests that many, but not all, therapies made from combinations of two antibodies are effective against a wide range of variants of the virus. Further, combination therapies appear to prevent the emergence of drug resistance.
The study, in mice and hamsters, tested all single and combination antibody-based therapies authorized for emergency use ...
HOUSTON - (June 21, 2021) - Diamond may be just a phase carbon goes through when exposed to a flash of heat, but that makes it far easier to obtain.
The Rice University lab of chemist James Tour is now able to "evolve" carbon through phases that include valuable nanodiamond by tightly controlling the flash Joule heating process they developed 18 months ago.
Best of all, they can stop the process at will to get product they want.
In the American Chemical Society journal ACS Nano, the researchers led by Tour and graduate student and lead author Weiyin Chen show that adding organic fluorine compounds and ...
LAWRENCE -- Tulsa may not be the first town one thinks of when talking about jazz, and flood management may not be the first vocation one compares to the musical genre. But the success Tulsa displayed in going from one of the nation's most flood-prone cities to a nationally recognized model of long-term risk reduction in just two decades is analogous to the evolution of one of the most American styles of music, a University of Kansas professor points out in a new study.
Tulsa, the second-largest city in Oklahoma, suffered several devastating floods in the 1970s and 1980s, then became a national model for flood mitigation by the 1990s. What hasn't been studied closely is how a group of engineers, planners, government officials, journalists, attorneys and citizens came together ...
