Emory University School of Medicine
The Computer Based Learning (CBL) workbook provides a structured self-study curriculum that is comprised of 10 modules. Each module has Learning Objectives, a Clinical Case, Educational Tasks, and Board-Style Questions. The modules are also crosswalked with our Basics in Geriatrics ("BIG") 10 Principles and designed to be completed with resource material at our publically available Emory website (access the link to the right under the workbook). Some resource material within the workbook is located on the website and some material links to excellent products developed by other programs.
The modules are on Delirium, Dementia, Falls, Incontinence, Medication Use, Pain Management, Hazards of Hospitalization, Adult Failure to Thrive and Malnutrition, Transitions of Care for Older Patients, and Palliative Care. Each module is divided into three parts. The first is a clinical vignette illustrative of the topic. This is followed by a set of tasks that include reading a general overview of the subject, and working with several educational tools. Finally, each module ends with a post-test with at least three “boards-style” multiple choice questions that will test your knowledge of the topic. Each module takes an estimated 60 minutes of uninterrupted time. The materials are targeted at the training level of an Internal Medicine resident.
There is also a Facilitator’s Guide and Answer Key included.
The general objectives for this workbook are:
- Identify key topics in geriatric medicine and increase your knowledge through a case-based format.
- Describe the extent to which iatrogenic issues are part of the management of geriatric syndromes.
- Describe the multifactorial nature of most geriatric problems.
- Discuss the diagnosis, etiology, management and prognosis for delirium.
- Identify the 4 features of the CAM diagnostic algorithm and the criteria for diagnosing delirium.
- Identify the risk factors for delirium.
- List interventions to treat and prevent delirium.
- Identify subtypes of dementia.
- Discuss effective assessment of dementia.
- Utilize the most common dementia assessment tools.
- Develop management plans for dementia that include pharmacologic and psychosocial modalities.
- Identify risk factors for falls in the elderly.
- Describe the key components of a gait assessment.
- Develop management strategies for a patient with falls.
- Identify potentially reversible conditions that can cause or contribute to urinary incontinence.
- Utilize appropriate diagnostic tools for the different subtypes of incontinence.
- Apply non-pharmacologic and drug treatments for incontinence.
Medication Use Objectives:
- Identify which medications are considered inappropriate for use in elderly patients.
- Recognize the risks of polypharmacy in the elderly and learn the principals of evaluating and reducing these risks.
Pain Management Objectives:
- Recognize the spectrum of severity of pain, and understand the appropriate setting for different types of pain medication.
- Demonstrate knowledge of dosing conversions between different types of opioids.
- Differentiate between various categories of pain.
- Learn to recognize and treat the side effects of various types of pain medication.
Hazards of Hospitalization Objectives:
- Identify the predispositions of the older patient for injury or adverse event during hospitalization.
- Identify common complications of hospitalization in the elderly.
- Develop preventative strategies for the hazards of hospitalization of the elderly.
- Recognize early warning signs of complications.
- Develop treatment for those complications
Adult Failure to Thrive and Manutrition Objectives:
- Identify the disease processes that present as the historical diagnosis “Adult Failure To Thrive” (AFTT).
- Develop an approach to the systematic evaluation of social, physical and functional processes that lead to AFTT.
- Identify the role of the interdisciplinary team in the treatment of the AFTT syndrome.
- Identify the special nutritional needs of the older patient and the risk factors for malnutrition.
- Be able to perform nutrition screening using the Mini Nutritional Assessment (MNA).
Transitions of Care for Older Patients Objectives:
- Recognize that older patients are more likely to require multiple settings of care in the recovery from serious illness.
- Identify several settings of care and the skilled services provided in each setting.
- Identify a patient’s skilled needs and match them to an alternate setting of care.
- Incorporate transitions of care into discharge planning of the older patient.
Palliative Care Objectives
- Identify and describe key components of a Family Meeting.
- Describe management strategies for common symptoms at the End-Of-Life.
- Understand and explain basics of Medicare Hospice Benefit.