To increase advance care planning (ACP) discussions and documentation among geriatric patients in a primary care setting through a trainee-led intervention.
Approach:
Quality Improvement Process: A root-cause analysis was conducted to identify barriers to ACP, followed by the development of a trainee-led educational intervention integrated into clinic workflows.
Trainee Involvement: Medical students and residents participated in a standardized ACP training session and conducted brief educational sessions with patients during their clinical rotations.
Implementation Period: The intervention was implemented from March 9, 2023, to April 7, 2023, targeting patients over 60 years of age without advance directives.
Key Findings:
Barriers to ACP include limited patient understanding and competing demands in primary care settings.
Trainee-led interventions can effectively engage patients in ACP discussions.
Interpretation:
The trainee-led intervention aims to address the low engagement rates in ACP among geriatric patients by leveraging the educational role of medical trainees.
Limitations:
The study is limited to a specific time frame and patient population.
Results may not be generalizable to other settings or populations.
Conclusion:
The trainee-led ACP intervention represents a promising approach to enhance ACP discussions in geriatric primary care.
Nearly 90% of patients who met algorithmic criteria for postacute sequelae of SARS-CoV-2 infection had at least 1 chronic or potentially chronic condition requiring ongoing clinical management.
