Document Type

Capstone Experience

Graduation Date


Degree Name

Master of Public Health


Health Services Research & Administration

First Committee Member

Dr. David Palm, Ph.D., Chair

Second Committee Member

Dr. Jungyoon Kim, Ph.D.

Third Committee Member

Stephen Peters, M.A.


In 2015, the Health Resources and Services Administration (HRSA) created the Geriatrics Workforce Enhancement Program (GWEP) to address geriatric workforce challenges and improve the health outcomes of older adults. The GWEP redefines care delivery through a movement for age-friendly healthcare guided by evidence-based practices that align with the 4Ms: What Matters, Medication, Mentation, and Mobility. The 4Ms identify the key issues that should drive the decision-making and care for every older adult. 4Ms training sessions were conducted at the Nebraska Medicine Midtown Clinic and evaluated through a cross-sectional survey administered to both residents (trainees) and attendings (trainers). Data was collected and analyzed using REDCap and SPSS to explore the relationship between training satisfaction and comfortability to improve future training sessions. Results indicated that overall satisfaction (OS) with the training sessions significantly affected feeling comfortable (FC) managing the 4Ms geriatric concepts. Recommendations for training modifications and future research include focusing more on Mentation, applying the information learned to educate caregivers and staff, modifying the 4Ms teaching model, and implementing pocket cards for concept reinforcement.