The Association of Directors of Geriatric Academic programs in collaboration with Boston University Medical Center incepted the Chief Resident Immersion Training program (CRIT) to train chief residents in care of the older adult. Our program CRIT Extend was an extension of the original program in maximizing learner participation beyond chief residents. The program was developed at a large academic hospital in Northeast Ohio. The primary goal was to foster collaboration among physician and nursing disciplines in developing geriatric skills. Program completion involved development of an interdisciplinary Quality Improvement (QI) action plan. The program brought a diverse group of leaders from several domains. Consultation was sought from established CRIT sites in program development. Multiple teaching cases and educational lectures in geriatrics and leadership skills were developed based on the themes from the original CRIT principles. Mini-lectures, small group interactive exercises, workshops and seminars were conducted. Trainees were mix matched to develop a 6 month QI action plan with measurable endpoints. Twenty QI projects were generated whose themes focused on care quality improvement and patient safety. Pre- and post-program surveys were conducted using a subjective rating scale and analyzed utilizing a two-tailed, paired t-test at P< .05. The program showed improved communication between nursing and physician leadership. A 3 month post follow up survey showed that 60 percent of participants had a QI project that was either discussed, initiated or conducted. CRIT Extend provides an extended dimension of the original CRIT in breaking communication barrier between nursing and physician silos.
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