A council of elders: creating a multi-voiced dialogue in a community of care.

摘要: Abstract In an era of ‘medical care delivery systems’, there is increasing need for the patient's voice to be heard, it invited, listened to, and taken seriously. This challenge particularly evident in geriatrics education, a domain clinical training which educators clinicians alike must struggle overcome adverse attitudes towards elderly (‘ageism’). this paper we introduce ‘Council Elders’ as educational innovation invited community elders function our ‘Senior Faculty’, whom medical residents present their challenging heartfelt dilemmas caring elder patients. conversations that ensue, come not simply teachers, but collaborators process doctors, researchers, together create resources, capable identifying novel ways health-related difficulties might have been apparent either group separately. Using first meeting Council exemplar, describe discuss special nature such meetings also preparations required build dialogic relationship between participants from very different worlds — generations, cultures (including professional culture world lived experience). Meetings with council become part primary residency program kind ‘challenging case conference’ moral can presented, discussed reflected upon. It so much give good advice responses although they often do provide life value orientation young gain better sense elder's experience what matters most them. project has worthwhile addressing problem ageism way render visible stereotypes physician values, implications decision-making patient, patient.