Implementing Chief Resident Immersion Training (CRIT) in the Care of Older Adults: Overcoming Barriers and Promoting Facilitators
Christian Davis Furman,
Lori Wagner,
Josephine Gomes,
Rangaraj Gopalraj,
B. Frank Parker,
Laura Morton,
Demetra Antimisiaris,
Daniela Neamtu,
Sadaf Masroor,
Ramie Martin-Galijatovic,
Samantha Cotton,
M. Ann Shaw
Affiliations
Christian Davis Furman
Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA
Lori Wagner
Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA
Josephine Gomes
Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA
Rangaraj Gopalraj
Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA
B. Frank Parker
Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA
Laura Morton
Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA
Demetra Antimisiaris
Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA
Daniela Neamtu
Geriatrics, University of Louisville, 1941 Bishop Ln, Suite 900, Louisville, KY 40218, USA
Sadaf Masroor
Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA
Ramie Martin-Galijatovic
Kent School of Social Work, University of Louisville, Oppenheimer Hall, 2217 S. Third St., Louisville, KY 40292, USA
Samantha Cotton
Institute for Sustainable Health & Optimal Aging, University of Louisville, 300 E. Market Street, Suite 200, Louisville, KY 40202, USA
M. Ann Shaw
Division of General Internal Medicine, Palliative Medicine and Medical Education, Department of Internal Medicine, University of Louisville, 550 South Jackson St, 3rd Fl, Ste A3K00, Louisville, KY 40202, USA
The Chief Resident Immersion Training (CRIT) in the Care of Older Adults curriculum was developed at Boston University School of Medicine to improve the care of older adults through an educational intervention. The curriculum targeted chief residents (CRs) because their role as mediators between learners and faculty provides the greatest potential impact for transmitting knowledge. The goals of CRIT are to: (1) provide education on geriatric principles and on teaching/leadership skills, (2) foster interdisciplinary collaboration, and (3) complete an action project. This study demonstrates successful implementation of CRIT at a different academic institution in a rural state. The CRs indicated that their confidence in their ability to apply and teach geriatrics improved after CRIT. In addition, the CRs indicated that CRIT improved their confidence in their overall skills as CRs. The barriers and facilitators to implementation are addressed in order to promote successful adoption of CRIT at other institutions, including those in rural states.
