The Portal of Geriatrics Online Education

Rowan University School of Osteopathic Medicine

Interprofessional Grand Rounds

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Other Intended Learner Audiences: 
BSN/RN Students
Physical Therapy Students
Respiratory Therapy Students
Product Information
Estimated time to complete: 
2
Abstract: 

The Rowan University School of Osteopathic Medicine, together with the Rutgers University School of Nursing, and Rutgers School of Health Related Professions, piloted an interactive, team-based “Interprofessional Grand Rounds” as an instructional strategy to promote interprofessional care plan development and enhance understanding of roles and responsibilities across disciplines.  A total of 235 nursing, physical therapy, respiratory therapy, and medical students collaborated in small groups to problem-solve a complex, multi-faceted case presented with video elements to facilitate gait analysis.  Students answered case study questions using an innovative scratch-off ticket technique.  A team of interdisciplinary faculty facilitated the case-based group discussions. 

Educational objectives: 
  • Explain the importance of effective team communication in a healthcare setting
  • Stimulate team skills in respectful communication and cooperation by creating collaborative interprofessional groups
  • Report increased knowledge of other health care professions and individual confidence in taking an active role as a member of an interprofessional team
Additional information/Special implementation requirements or guidelines: 

Students were seated in small groups of 5 to 7 students representing different health care professions.  This design created a collaborative atmosphere and allowed open communication among the students from all professions.

  • Chairs in clusters (no tables)
  • Mixture of team members from each health care profession
  • Typical team composition: 3 to 5 Medical Students, 1 Nursing student, 1 to 2  Physical Therapy students, and 1 Respiratory Therapy student
Date posted: 
Mon, 10/12/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/12/2015
Contact Person/Corresponding Author:



Suggested Citation:
Interprofessional Grand Rounds. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/4987

Medical Student Curriculum: Cognitive & Behavioral Disorders Domain

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
999
Abstract: 

The curriculum module was developed for faculty use in teaching medical students the fundamental knowledge and skills required to build competence in the AAMC Cognitive and Behavioral Disorders Domain. The module can be offered as a stand-alone unit or as part of a course. The formal content is taught in the context of clinical scenarios and includes a range of instructional strategies to reinforce learning and skill acquisition.

Standardized patients have also been developed for this domain; they are available on POGOe, as well (Items 21301 and 21302).

Educational objectives: 

The module includes instruction that is designed to build student knowledge and skill in each of the five cognitive and behavior disorders domain competencies. The specific learning objectives are to:

  1. Distinguish normal and abnormal physiologic changes in the aging brain
  2. Utilize a systematic approach to assessing a patient presenting with memory loss
  3. Distinguish between the unique clinical signs and symptoms of dementia, delirium and depression
  4. Describe the etiology, diagnosis and management of dementia, delirium and depression
  5. Administer four common cognitive and affective assessment instruments (MMSE, Clock Draw, Sweet 16, Geriatric Depression Scale) and interpret the results
  6. Recommend appropriate pharmacologic and non-pharmacologic interventions for a patient presenting with dementia, delirium or depression
Publications from, presentations from, and/or citations to this product: 

Overbeck KJ.  “Innovative Competency-based Curricular Models for Undergraduate Osteopathic Medical Education – Competency-based MS II Geriatrics Block Module,” presented at the American Association of Colleges of Osteopathic Medicine (AACOM) 2011 Annual Meeting, Baltimore, MD, April 2011.

Date posted: 
Tue, 07/15/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/15/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Medical Student Curriculum: Cognitive & Behavioral Disorders Domain. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/4987

Standardized Patient: Mike O'Halloran - Falls

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
0
Abstract: 

The case of Mike O'Halloran is a skills-based standardized patient case designed for second year medical students. Mike O'Halloran is a 75-year-old man who presents to the outpatient clinic with a recent history of falls, having fallen three times in the last month. The examinee's task is to demonstrate competence in functional assessment, using the Katz Index of Independence in Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale, and in testing gait with the Timed Get-Up-And-Go Test.

Educational objectives: 

To assess student competence in:

  1. Performing a functional assessment, including use of the Katz Index of Independence in Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale
  2. Assessing gait and balance with the Timed Get-Up-And-Go Test
  3. Documenting results of testing using SOAP note format
Additional information/Special implementation requirements or guidelines: 

Students will need the Katz Index of Independence in Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale checklist documents.

Date posted: 
Thu, 08/08/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/08/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Standardized Patient: Mike O'Halloran - Falls. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/4987

CampER Teaching Trigger Card: Pain Management

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Abstract: 

This teaching trigger card is one in a series of eight cards developed to cue emergency medicine faculty on teaching appropriate assessment and care of the geriatric patient at bedside to emergency medicine residents. Each card touches upon identified geriatric competencies and includes references.

Educational objectives: 

By utilizing this teaching trigger card, which addresses Geriatric Emergency Medicine competencies related to palliative care, particularly pain assessment and treatment, the Emergency Medicine faculty member will prepare the resident to:

  1. Summarize key information regarding pain types, understanding barriers to pain reporting, and assessing and treating pain in the older adult presenting to the emergency room.
  2. Use the key information to assess and treat pain in elderly patients in the emergency room.
Date posted: 
Tue, 01/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . CampER Teaching Trigger Card: Pain Management. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/4987

CampER: Recognizing Delirium in the Emergency Department and the Case of Mrs. Jane Simon

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
1
Abstract: 

Elderly patients frequently present in the Emergency Department with altered mental status. However, ED physicians fail to recognize delirium 70% of the time, which leads to poor patient outcomes. The case of Mrs. Jane Simon was developed to address this deficiency. Designed for upper level residents and attending faculty, the case assesses recognition of delirium, understanding of its multifactorial etiology, and appropriate nonpharmacologic and pharmacologic management in an elderly woman with hypoactive delirium.

Educational objectives: 

At the conclusion of this virtual patient experience, the learner will be able to:

  1. Distinguish hypoactive delirium in an older adult presenting to the emergency department with multiple co-morbidities.
  2. Assess hypoactive delirium in the older adult by using the Confusion Assessment Method (CAM), including correctly delivering the CAM and scoring it.
  3. Describe pharmacologic and non-pharmacologic tactics for managing an elderly patient with hypoactive delirium and multiple co-morbidities.
Date posted: 
Tue, 01/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/29/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . CampER: Recognizing Delirium in the Emergency Department and the Case of Mrs. Jane Simon. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/4987

CampER Teaching Trigger Card: Iatrogenesis

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Abstract: 

This teaching trigger card is one in a series of eight cards developed to cue emergency medicine faculty on teaching appropriate assessment and care of the geriatric patient at bedside to emergency medicine residents. Each card touches upon identified geriatric competencies and includes references.

Educational objectives: 

By utilizing this teaching trigger card, which addresses Geriatric Emergency Medicine competencies related to iatrogenesis, the Emergency Medicine faculty member will prepare the resident to:

  1. Describe key information regarding iatrogenesis, including the dangers of common interventions performed in the emergency room, in the older adult.
  2. Use the key information to avoid iatrogenesis in elderly patients presenting to the emergency room.
Date posted: 
Fri, 01/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 01/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . CampER Teaching Trigger Card: Iatrogenesis. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/4987

Objective Structured Clinical Examination Case: Gina Babkins

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
1
Abstract: 

The case of Gina Babkins is a standardized patient case designed for third and fourth year medical students. Gina Babkins is a 75-year-old woman who presents to the outpatient office with a complaint of lightheadedness. She asked to be seen prior to her scheduled appointment because she is concerned. The examinee's task is to obtain a focused history, perform a focused physical examination, and counsel the patient regarding her situation. Following the encounter, the examinee documents the encounter in a SOAP-style patient note.

Educational objectives: 

On completion, the educator will be able to assess the learner's ability to:

  • Perform a focused history & physical exam on a patient presenting with lightheadedness
  • Recognize dehydration secondary to medications
  • Create an appropriate plan for treatment of dehydration
Additional information/Special implementation requirements or guidelines: 

This product was reviewed by the University of Hawaii John A. Burns School of Medicine.

Date posted: 
Thu, 10/18/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 01/14/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . Objective Structured Clinical Examination Case: Gina Babkins. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/4987

Case-Based Approach to Common Mental Health Disorders in the Elderly: Assessing the Geriatric Psychiatric Patient in the Subacute Setting

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
1
Abstract: 

This case-based lecture-capture recording outlines for general psychiatry residents the key points of assessing and treating delirium in elderly patients in the subacute setting.  It is one of three lectures in the series.  It is presented by Stephen M. Scheinthal, DO, FACN, Chief of Geriatric Behavioral Health, Associate Director of NJISA, UMDNJ-SOM.

Educational objectives: 
  •  To describe the risk factors for acute confusion in older patients
  •  To distinguish between appropriate and inappropriate use of psychoactive medications in a patient with acute confusion
  •  To utilize effective management strategies in the treatment of hypoactive delirium
  • To recognize the value of the interdisciplinary team in caring for patients in the subacute setting
Additional information/Special implementation requirements or guidelines: 

Through the New Jersey Institute for Successful Aging (NJISA), the University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine (UMDNJ-SOM) presents A Case-Based Approach to Common Mental Health Disorders in the Elderly: A Curriculum for Psychiatry Residents. This series of 3 lectures is designed to educate general psychiatry residents in how to recognize, assess, and treat common problems seen by geriatric psychiatrists in the ambulatory, subacute, and long-term care settings. Development of this lecture series was funded by an educational grant from the Donald W. Reynolds Foundation.

This material was reviewed by Academic Faculty at University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine.

Note from POGOe: POGOe does not promote the use of brand name medication over generic.

Date posted: 
Wed, 12/14/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 12/14/2011
Contact Person/Corresponding Author:



Suggested Citation:
Case-Based Approach to Common Mental Health Disorders in the Elderly: Assessing the Geriatric Psychiatric Patient in the Subacute Setting. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/4987

Case-Based Approach to Common Mental Health Disorders in the Elderly: Assessing the Geriatric Psychiatric Patient in the Ambulatory Setting

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
1
Abstract: 

This case-based lecture-capture recording outlines for general psychiatry residents the key points of assessing and treating dementia in elderly patients in the ambulatory setting. It is one of three lectures in the series. It is presented by Stephen M. Scheinthal, DO, FACN, Chief of Geriatric Behavioral Health, Associate Director of NJISA, UMDNJ-SOM.

Educational objectives: 
  • To identify the major components of a dementia assessment and their role in determining an appropriate diagnosis and treatment strategy.
  • To distinguish and diagnose four major types of dementia including Alzheimer’s, Vascular, Frontal Temporal and Lewy Body.
  • To appropriately recognize and diagnose dementia and depression in older patients.
Additional information/Special implementation requirements or guidelines: 

Through the New Jersey Institute for Successful Aging (NJISA), the University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine (UMDNJ-SOM) presents A Case-Based Approach to Common Mental Health Disorders in the Elderly: A Curriculum for Psychiatry Residents. This series of 3 lectures is designed to educate general psychiatry residents in how to recognize, assess, and treat common problems seen by geriatric psychiatrists in the ambulatory, subacute, and long-term care settings.  Development of this lecture series was funded by an educational grant from the Donald W. Reynolds Foundation.

This material was reviewed by Academic Faculty at University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine.

Date posted: 
Fri, 12/02/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 12/02/2011
Contact Person/Corresponding Author:



Suggested Citation:
Case-Based Approach to Common Mental Health Disorders in the Elderly: Assessing the Geriatric Psychiatric Patient in the Ambulatory Setting. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/4987

Medical Decision Making in Assessing Capacity

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Product Information
Estimated time to complete: 
1
Abstract: 

This GeriPod broadcast is the fifth episode in a six-part series on Mental Health and Aging. This podcast focuses on assessing medical decision making capacity in older adults. The terms capacity versus competence are discussed as well as some key elements to consider when assessing an older adult’s medical decision making capability.

Educational objectives: 
  1. Describe the meaning of capacity assessment and its key elements in medical decision making.
  2. Describe approaches to capacity assessment and risk identification.
  3. Explain the implications for a diagnosis of dementia on assessing capacity.
  4. Apply knowledge of capacity assessment using practical patient case examples.  
Additional information/Special implementation requirements or guidelines: 

This podcast can also be accessed at http:/njisa.umdnj.edu/. Click on the listen to podcast link on the NJISA homepage, complete the survey and choose number 5 podcast in the series of 6.

This product has been reviewed by an education workgroup committee of 6 UMDNJ faculty-Geriatricians and Geriatric Psychiatrists.

Date posted: 
Mon, 09/12/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/12/2011
Contact Person/Corresponding Author:



Suggested Citation:
, and . Medical Decision Making in Assessing Capacity. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/4987

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