
Introduction to the Older Patient
Weill Cornell Medical College
These materials enable replication of a four-hour module introducing the geriatric patient for first-year medical students. This curricular intervention highlights the importance of older-patient physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting. The module incorporates film, the performing arts, and a small group exposure to a community-residing older person.
To introduce first-year medical students to the importance of older patient-physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting.
Knowledge:
- Identify ageist behaviors that might occur within the physician-older patient relationship
- Understand how ageist behaviors might lead to misdiagnosis
- Recognize that disease may present atypically in the elderly
- Identify common key interventions that might enhance physician-older patient communication
- Identify areas that should be included in an enhanced social history of an older patient
- List Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)
Skills:
- Administer the Simple Geriatrics Screen/Functional Assessment tool
- Demonstrate an enhanced social history of an older adult
- Modify interviewing skills to avoid ageist behaviors
- Communicate effectively and empathetically with older adults, with an awareness of the barriers that frequently impede communication
Attitudes:
- Appreciate the distinct culture – as well as the heterogeneity – of the older population
- Reflect on one’s own attitudes toward older adults, including caring for the chronically ill
- Develop appreciation of the courage, stamina, and strength required to “age well” in America
Limitations include difficult administrative logistics:
- Inviting and transporting older patients to small group setting
- Finding available space for small groups
- Rehearsals if doing a live performance
Financial support Note: If using the DVD, the second scene is somewhat lengthy and it is suggested to use pieces of it as a trigger tape rather than a complete viewing. For a copy of the DVD, please contact Carol F. Capello, PhD at [email protected].

Comments
liked this quite a bit!
very good sumary!