Icahn School of Medicine at Mount Sinai
This is a Geriatrics game modeled on Jeopardy. It updates contestants on 35 important articles in the geriatric literature published between January 2006 and April 2007. Articles are grouped in 7 categories, and each question and answer is followed by the citation and a summary of the main academic points. The level is appropriate for residents, fellows and attendings. CME credit is available for this product. For more information, please contact the author.
Learners will update their knowledge about recent geriatric literature in a variety of content areas including cognition, drugs, prevention/screening, palliative care, falls/fractures and function and nutrition. They will reinforce their commitment to continued learning and recognize that geriatrics is becoming increasingly evidence-based.
Upon completiion of the game, learners will be able to:
- Report new information about the benefits, limitations and risks of folate supplementation, use of atypical antipsychotics, SSRIs, ranibizumab, beta-blockers, alendronate and proton pump inhibitors.
- Identify risk factors for delirium, falls and agitation in demented nursing home patients.
- Recognize the importance of exercise, diet, collaborative care models, PT/OT and nutritional support in improving outcomes for older patients.
- Name a new, rapid incontinence screening tool which can be easily used in offices and report the data favoring condom catheters for some hospitalized men Recognize the limitations/challenges in cancer screening for geriatric patients and report two ways to decrease risk of influenza for elders.
- Know which pain scale can be used most easily by dementia patients and list at least two factors which improve satisfaction with care for families of nursing home patients with advanced dementia.
This game board was presented at the concluding plenary session for the annual AGS meeting in May 2007. There were 20 house officers on stage (with faculty advisors) answering questions. In addition, there were over 100 attendees in the audience. A shorter version of the game was used at medical grand rounds at Baystate Medical Center in July 2007 with mixed teams of medical residents, fellows and medical attendings competing (about 100 attending in all). Earlier versions of the game with older articles were also used at medical grand rounds at Baystate Medical Center in 2006 and at a regional CME/CEU course given in Springfield in 2006 attended by about 120 nurses and physicians.
The game runs smoothly but care must be taken not to allow faculty running the program to speak too long about any single article or the flow may bog down. There also needs to be a time limit for answers--usually 1-2 minutes is sufficient. It is often helpful to have one or several assistants in the audience handing out "chits" for correct answers (I usually use candies). If the budget permits, a small prize for the winning team members (I often have used Geriatrics at Your Fingertips) is appreciated although a certificate could work as well. Allowing people to confer as teams limits self-consciousness about not knowing answers. If less sophisticated learners are on the teams it may be desirable to have at least one "faculty advisor" to help. Alternatively, "expert lifelines" in the audience could be utilized as well. It is helpful to review ground rules for answering before launching into the game; this can be done in a variety of ways--simply rotating clockwise around the room, letting teams "ring in" with noisemakers, pulling team names out of a hat, etc. Attendees appreciate receiving a handout of the slides for later review; at a minimum I would have a bibliography of all the articles cited available so that participants can read further on any topic of interest.