DEVELOPING AN INTERDISCIPLINARY GERIATRIC CURRICULUM: THE PERILS AND PAYOFFS OF COLLABORATION

Almost all of the emphasis within interdisciplinary education in geriatrics has focused on the training of clinical teams, to the exclusion of an appreciation for the unique issues facing educational teams. This paper explores the perils and payoffs of the development and implementation of an interdisciplinary curriculum by an inter-institutional faculty team at the Rhode Island Geriatric Education Center (RIGEC). Following a discussion of the principles and concepts guiding the development of the curriculum - an interdisciplinary team approach, a goal-based focus, and continuous quality improvement - the structure and implementation of the curriculum development are described. Special attention is directed toward process and outcome evaluation issues. Lastly, recommendations related to the educational team process are suggested as guidelines for faculty developing academic teams in gerontology and geriatrics. Overall, the unique and multifaceted challenges of educational teams are highlighted and lessons learned from the RIGEC experience summarized.     

INTERGENERATIONAL SHARING SEMINARS: THEIR IMPACT ON YOUNG ADULT COLLEGE STUDENTS AND SENIOR GUEST STUDENTS

A 3‐month intergenerational program was developed on the premise that it is important for young adults, who are in the formative period of career development and direction, to experience the benefits of positive interaction with older persons. Program evaluation findings showed that participation not only influenced the young adults’ interest in gerontology, but also increased their willingness to accept older persons on social and academic levels. Positive changes were documented for the Senior Guest students and included more favorable attitudes toward young adult family members as well as toward the younger generation of college students in general.     

DEVELOPING AND EVALUATING AN INTERDISCIPLINARY CLINICAL TEAM TRAINING PROGRAM: LESSONS TAUGHT AND LESSONS LEARNED

The training of clinicians in working together as an interdisciplinary team has received growing support in geriatrics. Most teamwork training programs have focused on group process and development as the core competencies of team practice necessary to improve levels of team functioning. The experience of the Rhode Island Geriatric Education Center (RIGEC) in developing and implementing an ongoing teamwork training program, including the training of several geriatric teams from a variety of health care settings, suggests that additional objectives should include the empowerment of teams for advocacy in rapidly changing health care settings increasingly shaped by economic forces. The lessons learned by RIGEC for the development and implementation of teamwork training include the importance of defining team membership, dealing with the shifting shoals of the health care system, understanding individuals and systems under stress, and redefining the objectives of teamwork training.     

EVALUATING AN INTERDISCIPLINARY TEAM TRAINING INSTITUTE IN GERIATRICS: IMPLICATIONS FOR TEACHING TEAMWORK THEORY AND PRACTICE

Changes occurring in both health care and higher education systems in the U.S. suggest the need for the development of innovative model programs for interdisciplinary team training. This article reports on the development and evaluation of one such program: an interdisciplinary team training institute in geriatrics and primary care sponsored by the Rhode Island Geriatric Education Center in 1999. Key principles underlying the design of program content are summarized. Evaluation data analyzed include information on attendees' backgrounds and teamwork experience, and an assessment of the most important and least important insights gained from participation. Specific ratings for each session include relevance and knowledge attainment. Major observations and recommendations include the combination of theory and practice, a focus on current and cutting edge issues, the importance of educational marketing research, and implications for program evaluation.     

PROGRAM EVALUATION: MEETING THE APPLIED RESEARCH EDUCATIONAL NEEDS OF MASTER'S LEVEL STUDENTS IN GERONTOLOGY

The research education offered by a master's gerontology program should focus on the career and academic goals of the student population as determined by the nature of the particular program. The purpose of this article is to describe how the Master's of Arts (M.A.) gerontology program at UNCC addresses the research methods needs of its students through a two-course series. The basic research educational needs of the students are addressed in a brief discussion of the first course. The primary focus, however, is on this program's inclusion of a second course on evaluation research. Evaluation research is described as an effective way to address the applied research needs of the students of UNCC M.A. gerontology program, through heightening awareness of accountability to investors of services for older adults, linking both the generator and consumer roles of research, and inculcating a philosophy of professionalization essential to the professional development of the students.     

COGNITIVE KNOWLEDGE AND ATTITUDES TOWARD THE AGED OF DENTAL AND MEDICAL STUDENTS

The need for the incorporation of training in geriatrics and gerontology into basic medical and dental education has recently been recognized. Studies that have attempted to measure the attitudes of medical and dental students toward the aged have been extremely limited. The present study, part of a larger study of attitudes and knowledge among 700 health workers, examines the attitudes and knowledge of over 283 dental and medical students at different stages in their professional education, using Rosencranz and McNevin's Aging Semantic Differential and Palmore's Short Quiz on Facts on Aging. No significant deterioration or improvement in attitudes toward the aged was found in the course of medical and dental education. Correlational analysis revealed a complex relationship between knowledge and attitude scores.     

PREFERRED LEARNING STYLES OF COMMUNITY COLLEGE CAREER AND TRANSFER STUDENTS

The purpose of this study was to ascertain differences in learning styles of 400 community college students in career and transfer programs as measured by the Canfield Learning Styles Inventory. Independent variables were program area and sex. Dependent variables were scores regarding each of the Learning Style Inventory Scales for the following categories: (a) conditions, (b) content, (c) mode, and (d) expectation. The data indicated: (1) female students have greater interest in areas of qualitative, people, and listening, (2) male students have a greater interest for the inanimate, (3) career students have greater interest for inanimate, greater expectations for average and below average performance, and (4) transfer students have greater expectations for above average performance.     

GERONTOLOGICAL INTEREST AND OPINIONS OF HEALTH CARE PROVIDERS

The purpose of this study was (1) to examine and analyze the opinions and interests in geriatrics, gerontology, and older people of physicians, registered nurses, and dentists; and (2) to make comparisons of the expressed interests and opinions between the three groups of practitioners. The instrument consisted of two parts, demographic information and 22 questions regarding the interest and training in geriatrics/gerontology and opinions of the health needs of the elderly. From the results obtained in this study implications for the future training of health care providers are discussed.     

Students' Knowledge of Aging and Career Preferences

The increased number of older adults attributes to a rising need for future professionals to work in gerontology. Understanding the influence of students' career choices is important. A qualitative study was conducted after students' taking a gerontology course to explore students' knowledge and career preference in gerontology. The results were that students reported higher competency in that their knowledge was higher. Although increased knowledge did not necessarily encourage students to choose careers in gerontology, it may have made students more amenable toward accepting working with the aging population in the future. The study offers suggestions on how to increase students' competency level in practice.     

A career transition program for older persons

The Second Careers program undertaken by the George Washington University School of Medicine and Health Sciences during 1975–1976 was designed to help older persons seeking second careers in the health care field make realistic career decisions. The program grew out of an awareness that persons over 45 are not adequately served by American educational institutions and frequently are denied opportunities to embark upon second careers in which they can make significant contributions. The age group 45–65 now makes up 20% of the American population. This group of persons is increasingly well educated, politically active, and relatively healthy; many are not inclined to settle for retirement or continued participation in jobs they may have outgrown. This population includes the early retiree; the homemaker returning to the marketplace either from choice or necessity; and the individual who seeks counseling, training, and education to support a midlife change to a new career. Second Careers was established for this large and educationally underserved group. This article describes a model program, conducted over a one year period, which combined classroom work and field experience with individual and group counseling. It involved twelve part-time students, all of whom made significant career decisions by the end of the year. Although this effort focused primarily on exploring career opportunities in the health care field, the model can be adapted to almost any educational setting. This paper is offered as a guide for individuals and organizations involved in or contemplating similar educational, counseling, and/or service programs for older persons.This article reprinted with permission fromEducational Gerontology An International Quarterly Vol. 4(1) Hemisphere Publishing Company.     

FACTORS INFLUENCING COLLEGE STUDENTS TO CHOOSE CAREERS WORKING WITH ELDERLY PERSONS

As the proportion of older adults in our society increases, the need for professionals with a knowledge of the aging process and a desire to work with elderly persons is being recognized. Relatively little information is available concerning the factors that contribute to the desire to work with older adults. To explore such factors, 282 college students (35 males and 227 females) ranging in age from 18 to 72, who attended three colleges and one university in central Massachusetts, were examined. For the past 20 years, these academic institutions have offered an intercollegiate, interdisciplinary program in Gerontology studies. Thirty-one percent of the students surveyed planned on specializing in careers working with older adults. While emotional closeness to an older adult during childhood was found to be related to considering a career in health care, having taken care of an elderly person during childhood was significantly associated with a desire to work with older adults. Positive work characteristics most frequently listed by students who planned on working with older adults were: interesting, challenging, emotionally lifting, and productive. However, the students also listed negative work characteristics as well. Those most frequently reported were: difficult, frustrating, and depressing.     

DESIGNING A MULTI-DISCIPLINARY GERIATRICS HEALTH PROFESSIONAL MENTORING PROGRAM

This paper describes a Geriatric Health Professionals Mentoring Program designed to address recruitment and retention of health professionals in geriatrics and gerontology. The training provided information on the mentoring process, negotiating mentoring agreements, and coaching mentees. The evaluative framework described examines: (a) the effects of mentoring, (b) reactions of mentors and mentees, and (c) the effect of intervening variables. Trained mentors expressed satisfaction with the program and were comfortable about general mentoring but less confident about specific guidance for mentees. A cadre of mentors can be successfully trained to assist geriatric health professionals to better care for older Americans.     

Learning What It Takes to Teach Science: High School Students as Science Teachers for Middle School Students

This study examines the influence of St. John's University Summer Science Experience and Teacher Mentoring Program on African American and Hispanic high school students' interest in science and science teaching as career goals. In the first phase of the program, high school students from six school districts in Suffolk County, Long Island (a suburb of metropolitan New York City) engaged in investigative science experiences that emphasized environmental science, chemistry, and technology and learned about effective science pedagogy. The second phase of the program functioned as a teaching practicum for the high school students, where they planned for instruction and taught middle school students investigations similar to those that they had engaged in during the summer program. Various surveys were developed to assess high school students' attitudes about science and science teaching, knowledge of effective teaching approaches, knowledge of ways to motivate younger students, and the overall impact of the program on the high students' interest in science and/or science teaching as career goals. Program evaluations reveal that over 75% of the students expressed an interest in considering science or science teaching as career possibilities. Implications for minority teacher recruitment are discussed.     

Gerontology Content in MSW Curricula and Student Attitudes Toward Older Adults

The unprecedented growth in the nation's older adult population has called attention to the increasing need for geriatric social workers. However, research suggests that social work students hold ageist attitudes that prevent many from pursuing careers in gerontology. The present study sought to identify student perceptions of gerontology content in MSW education and possible correlations with attitudes toward older adults and interest in gerontology. A sample of 252 MSW students participated in classroom surveys. The survey outcomes revealed that gerontology content in MSW curriculum was correlated with positive attitudes toward older adults, but it was not related to increased interest in gerontology.     

“It’s Like I’m Really There”: Using VR Experiences for STEM Career Development

Research suggests that the likelihood of students entering into science, technology, engineering, and mathematics (STEM) careers can be increased by promoting and maintaining students’ interest in STEM during middle school years, a critical developmental stage when students’ interests begin to solidify. One way to attract students to STEM is through technology-enhanced learning environments and experiences, which can spark and cultivate the long-term interest needed to pursue STEM careers. Virtual reality (VR) can potentially increase access to such STEM-related experiences for all students due to its educational and technological affordances. Currently, there has been little exploration of the intersection between VR and career development for K-12 students. This study, therefore, aims to address this gap by exploring the use of VR 360 videos for STEM career exploration. Data were collected using focus group interviews with 39 primarily Latinx middle school students who participated in the summer enrichment program. These interviews were conducted immediately after a VR 360 video activity that featured female characters and/or characters from racial minorities in order to best support students who are underrepresented in STEM fields. The findings support the potential of VR as a tool for career development as long as content, possible physical side effects, and scaffolding are considered. The implications for research and practice are discussed.

     

YOU CAN TOUCH THIS: SIMULATION EXERCISES FOR AGING AND DISABILITY

Materials and exercises that may be used to simulate some of the deficits that occur in vision, hearing, mobility, and manual dexterity with increased age or disability are described. How arthritis, stroke, glaucoma, cataracts, and yellowing of the lens of the eye may be simulated is explained. The demonstrations are appropriate for educating health care professionals in gerontology and geriatrics and have been used with students of all ages.     

EMPLOYING SERVICE-LEARNING TO TEACH RESEARCH METHODS TO GERONTOLOGY STUDENTS

Undergraduate student interest in aging was examined in relation to age, gender, and contact with older adults. Interest in aging is conceived of along a continuum, ranging from initial interest-taking an aging course-to substantial interest as evidenced by academic and career interest. Undergraduate students who have taken an aging course (n = 189) and a stratified random comparison group (n = 261) self-assessed their interest in aging. Background information, including the frequency and duration of contact with older family and non-family individuals, was reported. Being female (p < 001) and having frequent contact with older family members (p < .01) significantly explains initial interest in aging. Initial interest in aging (i.e., taking an aging course) significantly contributes to substantial interest in aging (p < .0001) i.e., taking more aging courses, majoring in gerontology, working or planning to work with older adults. Contact with older adults positively affects undergraduate interest in aging. Interest in aging proceeds along a continuum, from preceding factors to initial interest in aging and then to substantial interest in aging. Aging courses and opportunities for interaction with older adults should be offered at the undergraduate level.     

GERONTOLOGICAL NURSING EDUCATION: A PROFESSIONAL AND PERSONAL CHALLENGE FOR FUTURE BACCALAUREATE FACULTY AND STUDENTS

Investigators in this study wanted to know if student nurses were increasing their factual knowledge and changing their attitudes about the elderly, as well as, desire to work with them. Respondents included two groups of undergraduates from a main campus (n = 87) and two from a satellite campus (n = 47) of a Baccalaureate College of Nursing (BSN) in a southern university during 1992‐1995. E. D. Palmore's (1990) quizzes (FAQ1, FAQ2, FAMHQ) were used as pre‐tests (upon entering the junior year) and post‐tests (upon completion of the senior year). E. D. Palmore's (1988) “documentation” and “classification” of items were used to calculate knowledge and attitude scores. Feelings about working with the elderly were part of demographic data, as were “determinants” in E. D. Palmore's (1982) “Theoretical Model.” Mean scores within groups were by dependent t tests. Grand Means for comparison between campuses were by independent t Jests at a ≤ .05 level of significance. Students from the main campus scored significantly less on the FAQ2, significantly more on the FAMHQ for knowledge, with significantly less negative attitudes on post‐tests. Subjects from the satellite campus scored significantly higher on FAQ1 for knowledge, with somewhat less negative attitudes on post‐tests. From 25% to 52% of all students checked “really like” working with the elderly on post‐tests. Recommendations include evaluation and revisions of BSN curricula for gerontological content, assisting faculty to enhance expertise in gerontology, and encouraging students to pursue career tracks in gerontology.