Introduction: Surgical specialists and residents lack knowledge to adequately manage frail older patients. This study aims to evaluate the effects of an interactive online course regarding attitude, self-confidence and knowledge in perioperative management of the elderly patient. Methods: The six-weeks course consisted of expert videos, literature readings, quizzes and forum discussions. Surgical consultants with geriatric expertise and geriatricians moderated online discussions and stimulated interaction. Knowledge, self-confidence and attitude of course participants were compared at the beginning and end of the course. Results: 206 medical practitioners started the course. Knowledge scores improved significantly from 49% to 65% (p < 0.005). Participants felt more secure (p < 0.005) in the treatment of the older patient at the end of the course. A better attitude correlated with a higher total knowledge score in surgeons and surgical residents (p = 0.02). Conclusion: A six-week interactive online course on perioperative management of elderly patients increases relevant geriatric knowledge and improves self-confidence of residents and faculty.
Ozturk, E., van Iersel, M., van Loon, K., den Rooijen, C., van Dongen, E., van Wijngaarden, R. D. L., ... van Goor, H. (2018). Interactive online learning on perioperative management of elderly patients. American Journal of Surgery, 216(3), 624-629. https://doi.org/10.1016/j.amjsurg.2018.01.071