Core Competencies:Long Term Care Physicians EUGMS SIG-LTC and AMDA - PowerPoint PPT Presentation

Core Competencies:Long Term Care Physicians EUGMS SIG-LTC and AMDA Olafur Samuelsson MD spec Geriatrics Landspitali University Hospital Reykjavik Iceland

CONFLICT OF INTEREST DISCLOSURE I have no potential conflict of interest to report

SIG-LongTermCare 54 members from 30 countries

R. Briggs, I. Holmerová, F.C. Martin, D.O’Neill .

SIG-LTC task Defining curriculum for Core Competencies for LTC physicians

ICELAND: Populations: MALTA: LUXEMBURG: ESTONIA: Anne W. Ekdahl, Secretary EUGMS Executive Board SLOVENIA LITHUANIA POLAND: IRELAND NORWAY: FINLAND: DENMARK: SERBIA* SWITZERLAND: ISRAEL* AUSTRIA HUNGARY: SWEDEN PORTUGAL: CZECH REPUBLIC : GREECE: BELGIUM THE NETHERLANDS ROMANIA: SPAIN: ITALY: UNITED KINGDOM: FRANCE: TURKEY* GERMANY - 10.000.000 20.000.000 30.000.000 40.000.000 50.000.000 60.000.000 70.000.000 80.000.000 90.000.000

Proportion of 80+/pop. Anne W. Ekdahl, Secretary EUGMS Executive Board ITALY: GERMANY SPAIN: FRANCE: BELGIUM GREECE: LITHUANIA ESTONIA: FINLAND: SWITZERLAND: SWEDEN PORTUGAL: ICELAND: DENMARK: THE NETHERLANDS NORWAY: HUNGARY: SLOVENIA Not represented: LUXEMBURG: Cyprus POLAND: Latvia MALTA: Slovakia CZECH REPUBLIC : Three observer countries included: SERBIA* Turkey* IRELAND Israel* ISRAEL* Serbia* AUSTRIA No numbers: Romania UNITED KINGDOM: TURKEY* 0,00% 1,00% 2,00% 3,00% 4,00% 5,00% 6,00% 7,00%

3.500 Inhabitants 80+/geriatrician 3.000 Anne W. Ekdahl, Secretary EUGMS Executive Board 2.500 2.000 1.500 1.000 500 -

Inhabitants 80+/geriatrician Anne W. Ekdahl, Secretary EUGMS Executive Board 100.000 90.000 80.000 70.000 60.000 50.000 40.000 30.000 20.000 10.000 - POLAND: ESTONIA: LITHUANIA TURKEY: PORTUGAL: SERBIA GREECE:

Additional differences: Postgraduate education? What is a nursing home bed? How is LTC provided? And so on…..

Common issues:

• Nursing home residents represent a particularly complex, frail and dependent cohort in need of skilled geriatric care. • 90% of nursing home residents have a recorded disability compared with less than 30% of those aged 65 1 • Despite this, there is a lack of formal training for staff working in nursing homes including doctors, nurses and care assistants 2 • Standards of quality of care are variable 3 . 1. Falconer M, O’Neill D. Profiling disability within nursing homes: a census -based approach. Age Ageing [Internet]. 2007 Jan 25 2. Mulley G. The Care Home Handbook. Bowman C, Boyd M, Stowe S, editors. Wiley-Blackwell; 2014. 3. Morley JE. Clinical practice in nursing homes as a key for progress. J Nutr Health Aging 2010 Aug

Among those aged 85 and over in EU28 countries, 12.6% are currently in long term care 1 . The number of older people with functional limitations is projected to increase by about 120% and the number of people receiving formal care in institutions will rise by about 130% on average by 2050 2 . 1. Eurostat. People in the EU – statistics on an ageing society -2015 2. Pickard L, Comas-Herrera A, Costa-Font J, Gori C, di Maio A, Patxot C, et al. Modelling an entitlement to long-term care services for older people in Europe: projections for long-term care expenditure to 2050. J Eur Soc Policy

Defining the curriculum for medical care in nursing homes Fitzpatrick D, Samuelsson O, Holmerová I, Martin F, O’Neill D on behalf of EUGMS Long Term Care SIG 1.Morley JE (International A of G and G. Nursing home care. McGraw-Hill Education; 2013. 309 p. 2. Mulley G. The Care Home Handbook. Bowman C, Boyd M, Stowe S, editors. Wiley-Blackwell; 2014. 3. VERENSO: Bezemer M, Hertogh C, Koopmans R, Piek G, Theeuwes C, Verburg D, et al. Elderly care physicians in the Netherlands [Internet]. 2015 4. Royal Australian College of General Practitioners . Medical care of older persons in residential aged care facilities 5. Royal College of Physicians Ireland:O’Shea D, Kennelly S, Timmons S, Kelly E, O’Neill D, Doyle R, et al. Diploma in Geriatric Medicine. 2016. 6. AMDA: Bach PL, Baker AS, Bluestein D, Brechtelsbauer DA, Buhr G, Burl JB, et al . The Society for Post-Acute and Long-Term Care Medicine’s Competencies Curriculum for Attending Physicians Practicing in Post-Acute and Long Term Care

Next steps • By a Delphi method get expert concencus on the most important core competencies • Cooperation with other European groups/projects ? • Publishing the results as a ground for developing a LTC core curriculum

• In developing this curriculum, the EUGMS hopes to take an important step in guaranteeing minimum standards of care for the frail population of nursing home residents.