Page 147 - HA Convention 2015

Symposiums

S10.1 Care for the Elderly 10:45 Convention Hall C

Competency-based Education in Geriatrics — Opportunities for the Inter-professional Team Tuesday, 19 May
Wong RYM
Faculty of Medicine, University of British Columbia, Canada

Promoting geriatric education in undergraduate and postgraduate medical education as well as among the health professions
is pivotal in the broad dissemination of geriatric knowledge and skills, which in turn contributes to the improvement
and sustainability of best possible care for older patients. In recent years there has been increasing interest in applying
competency-based education (CBE) in geriatrics. CBE is an approach to preparing practitioners that is fundamentally
oriented to graduate outcome abilities and is organised around competencies derived from an analysis of societal and patient
needs. It moves away from a strictly time-based training model towards one that identifies the specific knowledge, skills, and
abilities needed for practice. The components of CBE curriculum include developing vision/mission/goal statements, writing
exit outcomes (expressed as key and enabling competencies and educational milestones), selecting assessment tools,
determining curriculum design (e.g. longitudinal, block, spiral), expanding unit objectives, designing educational activities,
and implementing the CBE curriculum. Geriatrics is well positioned to adopt the CBE approach as the latter facilitates the
successful teaching and learning of complex and multi-component concepts and principles. This approach also allows
multiple competencies (such as communication and collaboration techniques) to be covered simultaneously and tailored to
the clinical care setting. CBE can also be readily implemented in the inter-professional team setting. Examples of CBE tools
that can be deployed in geriatrics include the CanMEDS framework, curriculum mapping, and e-portfolio. In summary, CBE
is a novel approach in teaching and assessing geriatrics.

S10.2 Care for the Elderly 10:45 Convention Hall C

Ageing Population — from Social Care Perspective HOSPITAL AUTHORITY CONVENTION 2015
Li CYW
Social Welfare Department, The Government of the Hong Kong Special Administrative Region

As our population is ageing fast, elderly care tops the policy agenda of the Government. The resources committed by the
Government to elderly care services has continued to increase in the past years. The recurrent government expenditure on
elderly services in 2015-16 is estimated to reach $6.8 billion, representing an increase of 73.6% over the actual expenditure
of around $3.9 billion five years ago (2010-11), and 11.2% over the revised estimate of $6.1 billion last year (2014-15). The
challenge ahead is how best we could provide a full range of reliable, affordable and accessible elderly care services to meet
the growing demand in the coming years.

In line with the policy of promoting “ageing in place as the core, institutional care as back-up”, the Government has been
making strenuous effort in strengthening the provision of subsidised community care and support services through a range
of flexible modes of subsidy and service delivery. Supporting carers is essential as they play an important role in enabling the
elderly persons to stay in the community.

For elderly persons who are not suitable for ageing at home owing to their health conditions or other reasons, the
Government will continue to increase the provision of residential care places through a multi-pronged approach. We have
launched the Special Scheme on Privately Owned Sites for Welfare Uses in 2013, with a view to increasing, among other
welfare services, the provision of residential and day care places for the elderly. In addition, the Government has tasked the
Elderly Commission (EC) to conduct a feasibility study of the Voucher Scheme on Residential Care Services for the Elderly. To
provide a firm basis for long-term care services planning, the EC has been tasked to prepare an Elderly Services Programme
Plan.

In embracing a fast ageing community, healthcare and medical services are of equal importance. A cross-sectoral and
multidisciplinary approach is a must.

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