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Netherlands, 4. Medisch Centrum Slotervaart, Amsterdam, process with the end-users a training for geriatricians and a Netherlands, 5. Vilans, Utrecht, Netherlands, 6. ACHIEVE, preparatory tool for older patients with MCC and informal Centre of Applied Research, Faculty of Health, Amsterdam caregivers. After assessing feasibility the intervention was im- University of Applied Sciences, Amsterdam, Netherlands, plemented at two outpatient geriatric clinics in a pilot study 7. Amsterdam School of Communication Research/ASCoR, (N=108). Key elements of the training for geriatricians in- University of Amsterdam, Amsterdam, Netherlands clude: developing skills how to involve older adults with Shared decision making (SDM) in older patients is more MCC and informal caregivers in SDM and learning how to complex when multiple chronic conditions (MCC) have to explore personal goals related to quality of life. Key elements be taken into account. The aim of this research is to explore of the preparatory tool for patients include: an explicit invi- the effect of the evidence based implementation intervention tation to participate in SDM, nomination that the patient’s SDMMCC on (1) the preferred and perceived participation own knowledge is valuable, invitation to form a partnership (2) decisional conflict and (3) actual SDM during consult- with the geriatrician, encouragement to share information ations. 216 outpatients participated in a video observational about daily and social functioning and exploration of pos- study. The intervention existed of a SDM training for geriatri- sible goals. Furthermore, invitation of informal caregivers to cians and a preparatory tool for patients. Consultations were share their concerns. Through a process of co-creation both videotaped and coded with the OPTIONMCC. Pre- and post- a training for geriatricians and a preparatory tool for older consultation questionnaires were completed. Participation adults and their informal caregivers were developed, tailored was measured by the Patients’ perceived Involvement in to the needs of the end-users and based on the ‘Dynamic Care Scale (PICS). Decisional conflict was measured by the model of SDM with frail older adults’. Decisional Conflict Scale (DCS). The patients mean age was 77 years, 56% was female. The preparatory tool was com- BELIEFS REGARDING GERIATRICS PRIMARY pleted by 56 older adults (52%), of which 64% rated the CARE TOPICS AMONG MEDICAL STUDENTS AND tool as positive. The preparatory tool was used in 12% of INTERNAL MEDICINE RESIDENTS the consultations. The mean overall OPTIONMCC score Dylan J. Jester,1 Kathryn Hyer,2 and Ross Andel2, 1. School showed no significant changes on the level of SDM(39.3 vs of Aging Studies, University of South Florida, Tampa, 39.3 P0.98), however there were significant improvements on Florida, United States, 2. University of South Florida, discussing goals and options on sub-items of the scale. There Tampa, Florida, United States were no significant differences found in the match on pre- Our study evaluated and contrasted responses to 25 content ferred and perceived participation (86.5% vs 85.0% P 0.595) areas essential to the primary care of older adults by medical or in decisional conflict (22.7 vs 22.9 P0.630). The limited students and residents, and identified attitudes toward aging use of the preparatory tool could have biased the effect of the amongst students and residents. One hundred and thirty-six intervention. In future research more attention must be paid medical students and 61 Internal Medicine residents completed towards the implementation of preparatory tools, not only a survey including the 25-item Geriatrics Clinician-Educator among patients but also among geriatricians. Survey and 18-item Images of Aging Scale. Students and resi- dents rated importance and knowledge for content areas from 1 THE DEVELOPMENT OF AN INTERVENTION (low) to 10 (high). Gap scores reflecting the difference in ratings TO IMPROVE SHARED DECISION MAKING IN between importance and knowledge were calculated. The GERIATRIC OUTPATIENTS Images of Aging scale ranges between 0 (furthest from what Ruth E. Pel-Littel,1 Julia van Weert,2 Mirella Minkman,3 you think) and 6 (closest to what you think). Results indicated Wilma Scholte op Reimer,4 Marjolein van de Pol,5 and that students and residents reflected similar beliefs about the im- Bianca Buurman6, 1. Vilans, Utrecht, Utrecht, Netherlands, portance of content areas, but students provided lower ratings 2. Amsterdam School of Communication Research/ASCoR, in knowledge. Students revealed larger gap scores in areas that University of Amsterdam, Amsterdam, Netherlands, reflected general primary care (e.g., assess chronic conditions, 3. Vilans, Utrecht, Netherlands, 4. ACHIEVE, Centre medications), whereas residents revealed larger gap scores in of Applied Research, Faculty of Health, Amsterdam areas that reflected specialists’ expertise (e.g., driving risk, cog- University of Applied Sciences, Amsterdam, Netherlands, nition, psychiatric symptoms). Attitudes toward older adults 5. Department of Primary and Community Care, Radboud did not differ appreciably between students and residents. In University Medical Center, Nijmegen, Netherlands, 6. sum, primary care topics applicable for any age demographic Department of Internal Medicine, Section of Geriatric were rated as most important by first-year medical students and Medicine, Academic Medical Centre, University of Internal Medicine residents. Topics relevant to older popula- Amsterdam, Amsterdam, Netherlands tions – particularly those requiring specialists’ knowledge of or Shared decision making (SDM) contributes to personal- requiring sensitive discussion with older adults – were rated as ised decisions that fit the personal preferences of patients. less important and were less well mastered. However, older adults frequently face multiple chronic condi- tions (MCC). Therefore, implementing SDM requires special EFFECTIVENESS OF A SIMULATION-BASED features. The aim of this paper is to describe the develop- EMPATHY ENHANCEMENT PROGRAM WITH ment of an intervention to improve SDM in older adults with MINDFULNESS ON SOCIAL WORKERS MCC. Following the Medical Research Council framework Areum Han,1 and Taehee Kim2, 1. Yonsei University, Wonju, for developing complex interventions, the SDMMCC inter- Gangwon, Korea, Republic of, 2. Yonsei University Wonju vention was developed step-wise. Based on a literature re- Severance Christian Hospital, Wonju, Gangwon, Korea, view and empirical research we developed in a co-creation Republic of GSA 2019 Annual Scientific Meeting