The Duke Geriatric Workforce Enhancement Program's overall mission is to strengthen capacity to provide patient-centered coordinated healthcare for a growing population of seniors locally, regionally, and nationally. The GWEP will bring together geriatrics and primary care training programs, primary care practices, community agencies and healthcare organizations to implement a new model of workforce development and practice change that strives to improve outcomes for older adults in a sustainable manner, by implementing innovative interprofessional training models that emphasize accelerated translation of best practices into primary care.   Our objectives are to:

1. Collaborate with community agencies and primary care practices to develop programs to improve the care provided to older adults by the current and future healthcare workforce. 

  • Identify current resources, needs and gaps in community care of seniors in our region.

  • Create a coordinated and sustainable model for linking primary care practices to geriatric assessment expertise and resources through a community-based interagency care team (ICT).

  • Create a compendium of best practices and training resource directory for the care of vulnerable older adults residing in the community.  

  • Convene an Outreach Advisory Committee (OAC) and Senior Advisory Panel (SAP) to work with leadership team to provide guidance on development of program components with respect to feasibility, generalizability and dissemination.

2. Expand expertise in geriatric care management and delivery, interprofessional teamwork and quality improvement in collaboration with community partners through advanced traineeships in geriatric medicine, geriatric psychiatry and advanced practice nursing (n = 9 total, from advanced practice nursing,  medicine,  and psychiatry, over 3 years).   

3. Develop and implement innovative models for training interprofessional teams (to be known as geriatric resource teams, GRTs, within primary care practices) and pre-professional learners in primary care and community-based settings on best practices for care of older adults and their caregivers, in the context of expanded engagement with community-based agencies  (n = 50-70 professionals from 10-15 teams over 3 years). 

4. Engage and empower seniors, family caregivers, and community leaders in teaching -learning about geriatric care management and resources, communication, and advocacy
(n = 15 presentations to groups of 25 for a total of 350 to 400 individuals).

5. Evaluate the impact of workforce development innovations on community capacity to implement and sustain IP teams which deliver evidence-based care in a collaborative manner (see logic model).