The Portal of Geriatrics Online Education

Patient Safety

Geriatric Cross Cover Challenges

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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 is a brief (30 minute) interactive power point presentation that is intended to help 4th year students and new interns approach common geriatric challenges on call nights, focusing on foley catheters, delirium, restraints, and falls.

Educational objectives: 

By the end of this talk, the learner should be able to: -Discuss the basic approach to the evaluation and management of falls, delirium, and incontinence in the cross cover setting -Discuss the indications for restraints and foley catheters -Discuss the evidence base for these approaches -Discuss the prevalence and impact of each of these issues

Date posted: 
Thu, 11/19/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 11/19/2009
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Cross Cover Challenges. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Minimum Geriatric Competencies - Medical Students, Emergency Medicine Residents and IM-FM Residents

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

“Competency-based education prepares trainees to perform tasks occurring within the context of practice. Teaching to competency differs from traditional instruction. It begins by stating the performance we expect of our graduates in the workplace and then designing the medical school curriculum to prepare our learners to achieve that performance through deliberate practice in applying the underlying knowledge, skills, and attitudes.” As the elderly population in America "booms," medical education must address the issue at hand and modify their curriculum and teaching practices to give credence to geriatric principles within medical care. It is imperative for many reasons (socially, financially, etc.) that we ensure competency in the care of older adults for every physician.

To help achieve this lofty goal, the Minimum Geriatric Competencies have been developed for Medical Students and are being developed for multiple residency disciplines. The files within this product showcase the Medical Student Minimum Geriatric Competencies (published in Academic Medicine, May 2009), Internal Medicine – Family Medicine Resident Minimum Geriatric Competencies (published in Journal of Graduate Medical Education, Sept 2010), and Emergency Medicine Resident Minimum Geriatric Competencies (published in Academic Emergency Medicine, 2010).

Additional information/Special implementation requirements or guidelines: 

The "Side-by-Side" document shows the progression from Medical Student Competencies into resident education.

The documents included with this product are:

  • Emergency Medicine Resident Competencies
  • Medical Student Competencies
  • IM-FM Resident Competencies
  • Side-by-Side Competencies Comparison
Publications from, presentations from, and/or citations to this product: 

Leipzig R M, Granville L, Simpson D, Brownell Anderson M, Sauvigne K, and Soriano R P. (2009). Keeping granny safe on July 1: Consensus on minimum geriatric competencies for graduating medical students. Academic Medicine, 84, 604–610. Also available at http://journals.lww.com/academicmedicine/Fulltext/2009/05000/Keeping_Granny_Safe_on_July_1__A_Consensus_on.17.aspx

Hogan T M, Losman E D, Carpenter C R, Sauvigne K, Irmiter C, Emanuel L, and Leipzig R M. (2010). Development of geriatric competencies for emergency medicine residents using an expert consensus process. Academic Emergency Medicine, 17(3), 316-324. Also available at http://dx.doi.org/10.1111/j.1553-2712.2010.00684.x

Williams B, et al. (2010). Medicine in the 21st century: Recommended essential geriatrics competencies for Internal Medicine and Family Medicine residents. Journal of Graduate Medical Education, 2(3), 373-383. Also available at http://www.jgme.org/doi/abs/10.4300/JGME-D-10-00065.1

Date posted: 
Thu, 01/01/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 06/08/2011
Contact Person/Corresponding Author:



Suggested Citation:
Minimum Geriatric Competencies - Medical Students, Emergency Medicine Residents and IM-FM Residents. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Health Literacy and Patient Safety: Help Patients Understand: Reducing the risk by designing a safer, shame-free health care environment

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

Reducing the risk by designing a safer, shame-free health care environment is a 68-page monograph that offers new supporting research, explores how ineffective communication and low health literacy combine to affect patient safety, provides tools to decrease communication-related adverse events at a system wide level, and helps physicians initiate changes toward a safer and shame-free practice environment. For more information, please visit http://www.amafoundation.org/go/healthliteracy.

Educational objectives: 

After completing this activity, learners should be able to: 1) define the scope of patient safety problems caused by low health literacy and the need to manage the risk they present. 2) recognize the ethical and legal foundations for safe medical practices and patient-centered care. 3) explain patient safety concepts and approaches utilized in designing safer practice environments. 4) identify patient safety practices that reduce the risk of miscommunication and optimize the patient’s ability to safely manage their own care. 5) determine steps toward establishing a climate for change. 6) identify tools and resources for creating safer practice environments. 7) demonstrate how to utilize and implement these tools in a practice environment.

Date posted: 
Mon, 08/10/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/10/2009
Contact Person/Corresponding Author:



Suggested Citation:
and . Health Literacy and Patient Safety: Help Patients Understand: Reducing the risk by designing a safer, shame-free health care environment. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Recommendations for best practices in the management of elderly disaster victims

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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: 

Recommendations for best practices in the management of elderly disaster victims can be used by federal, state, and local government disaster planning teams to help them understand the unique problems faced by frail elder and vulnerable adult populations during a disaster. Recommendations are offered for consideration by these federal, state, and local teams regarding consultation with gerontologists, as well as use of tracking systems, a method for screening and triage, and ways to avoid potential harm to frail elders or vulnerable adults. Specifically, the SWiFT screening tool is recommended as a pre- and post-disaster triage tool that can be used to assess and address the needs of this special population. Although the SWiFT tool was initially developed for community elders, its screening capabilities also extend to other vulnerable adults with disabilities and those living in nursing homes or assisted living facilities.

Educational objectives: 

This document is meant to empower geriatric physicians and nurses to participate in policy decisions, planning, direct care, and training of front-line disaster workers such as rescue workers, volunteers, and American Red Cross employees.

Date posted: 
Mon, 08/10/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/10/2009
Contact Person/Corresponding Author:



Suggested Citation:
and . Recommendations for best practices in the management of elderly disaster victims. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Physician's Guide to Assessing and Counseling Older Drivers

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

This Physician’s Guide to Assessing and Counseling Older Drivers was created by the American Medical Association (AMA) with support from the National Highway Traffic Safety Administration (NHTSA). The information in this guide helps physicians address preventable injuries—in particular, those injuries incurred in motor vehicle crashes—and evaluate the ability of their older patients to operate a motor vehicle safely as part of their everyday, personal activities. This guide reflects the scientific literature and views of experts, and is provided for informational and educational purposes only. For more information, please visit http://www.ama-assn.org/go/olderdrivers.

Educational objectives: 

Learners should be able to identify drivers at increased risk for crashes, help them enhance their driving safety, and ease the transition to driving retirement if and when it becomes necessary

Publications from, presentations from, and/or citations to this product: 

Irmiter, C.A.; Schwartzberg, J.G. Meuser, T.M. Carr, D.B. Wagner E. (2008). Outcomes for Training Interdisciplinary Professionals Regarding Associated Risks and Reporting Unsafe Driving for Our Aging Population. GSA, Washington, DC November.

Date posted: 
Fri, 01/01/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/20/2010
Contact Person/Corresponding Author:



Suggested Citation:
and . Physician's Guide to Assessing and Counseling Older Drivers. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/1089

House Calls Video Game: Riskdom-Geriatrics

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Other Learning Resource Type: 
Web module
Product Information
Abstract: 

This is an interactive video game which teaches the general principles of home safety for older persons. This video game could be used as a learning tool for medical students, allied health professionals and patients.

Educational objectives: 

1- Increasing awareness on the importance of home safety for older persons 2- Explaining the principles of a home visit 3- Learning while having fun

Publications from, presentations from, and/or citations to this product: 

Learning while having fun: the use of video gaming to teach geriatric house calls to medical students. Duque G, Fung S, Mallet L, Posel N, Fleiszer D. J Am Geriatr Soc. 2008 Jul;56(7):1328-32.

Date posted: 
Fri, 05/08/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
House Calls Video Game: Riskdom-Geriatrics. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

The "BIG 10" -- Computer-Based Geriatrics Workbooks for Resident Teaching

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

This resource has been developed as a self-learning tool for Internal Medicine residents at Emory University on their Geriatric Medicine rotation. Each of the workbooks is centered on an important geriatrics topic. The topics include: delirium, dementia, urinary incontinence, medication use, falls, pain management, hazards of hospitalization, failure to thrive, and transitions of care. Each workbook is divided into three parts. It starts with a case vignette, followed by a set of learning tasks related to it. These tasks usually start with a required reading which gives an outline of the topic and then go on to questions about the case. Finally, the resident is provided with at least three "boards-style" multiple-choice questions that will require integration of knowledge acquired in reading the workbook. These workbooks are meant as a companion for the learning modules that are in the website for the Emory Reynolds program, which exists to strengthen physician training in geriatrics.

Educational objectives: 

Embedded

Additional information/Special implementation requirements or guidelines: 

The workbooks have been recently prepared and are starting to be used by Emory Internal Medicine residents during their Geriatrics rotation. We have not started obtaining evaluations yet.

Publications from, presentations from, and/or citations to this product: 

MedEd Portal

Date posted: 
Mon, 08/31/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/31/2009
Contact Person/Corresponding Author:



Suggested Citation:
and . The "BIG 10" -- Computer-Based Geriatrics Workbooks for Resident Teaching. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Geriatric Health Care Systems Test

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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 is a multiple choice test used as a pre- and post-geriatrics rotation to assess knowledge and skill in planning health systems use for patient care, such as home care, long term care, hospice, etc.

Educational objectives: 

One of the goals of the one month geriatrics residency rotation is to have residents develop competency in providing care and referring patients across systems of care and understand systems-based geriatrics practice. The rotation provides clinical experience in care of older adults in acute, subacute, long term care, ambulatory, and home care settings with exposure to a multidisciplinary team model of care. Seminars include a session on health care systems and transitions of care. At the end of the one-month rotation residents are expected to attain competency in the following areas: 1. Medical evaluation of the older adult in the emergency room setting When is it appropriate not to admit to the hospital? What can be done to insure a safe discharge from the emergency room? 2. Insurance considerations when planning for hospital discharge What does insurance cover? What are the limitations of the available programs? 3. End of life care What are the goals of care? What services are available for patients and families? 4. Caregiver stress How do we help families plan for the long care of their loved ones? What support is available for families and physicians in making these plans? 5. Community care What kinds of support services are offered in the community after hospital discharge? Who pays for long- term care and how is it arranged?

Additional information/Special implementation requirements or guidelines: 

pre- and post-test

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 01/23/2013
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Health Care Systems Test. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

CHAMP Pocket Teaching Cards

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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: 

CHAMP Pocket Teaching Cards are designed for faculty learners to assist them in teaching geriatric topics at bedside in the inpatient setting. These 1-2 page teaching tools summarize key teaching points and provide reference materials on the following topics: Advance directives and the DNR Discussion, Delirium, Dementia, Foley Catheter Use, Ideal Hospital Discharge, Pain Control, and Wound Care.

CHAMP Pocket Teaching Cards were created as part of the CHAMP faculty development program, which aims to improve inpatient, geriatric medical care through a "teach the teacher" approach. These materials complement primary teaching resources such as slide presentations with speaker's notes; bedside teaching triggers; and references. Resources on all CHAMP topics and a course overview/program user's guide and evaluation instruments are also available on this website.

CHAMP is a multi-tiered educational project with a faculty development program at its core. Hospitalists, general internists, and family practitioners who teach residents and medical students are the targeted audience. The course is organized around four themes in geriatric inpatient care: identifying and assessing vulnerable elders, preventing hazards of hospitalization, improving palliative and end of life care, and managing transitions of care. CHAMP addresses 15 geriatric topics and includes a mini-course entitled, "Teaching on Today's Wards," on advanced clinical teaching skills and teaching across the ACGME Core Competencies in the inpatient setting.

Educational objectives: 

CHAMP Pocket Teaching Cards enable faculty learners to:

  1. Identify key teaching points on select topics in the care of hospitalized older adult patients.
  2. Discuss guidelines for assessment, evaluation, and treatment around a variety of common geriatric issues facing hospitalized older adult patients.
Date posted: 
Mon, 08/31/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 01/18/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . CHAMP Pocket Teaching Cards. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

'Assistive Devices' Learning Object

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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 assistive devices learning object is an interactive multimedia tutorial that teaches learners the basic characteristics, rationale, indications, and contraindications of the use of assistive devices for ambulation. The learning object introduces the learner to these basic concepts through the use of textual content enhanced by multimedia animations and graphics.

Educational objectives: 

The learner will be able select an appropriate assistive device for a given problem or medical condition.

Additional information/Special implementation requirements or guidelines: 

These computer-based tutorials were created as "reusable learning objects", and are available in CD-ROM and web-based versions. The tutorial takes approximately 20 minutes to complete. 

An internet browser with Flash Player 6 or later.
Supported browsers:

  • Windows: Microsoft Internet Explorer 6.0, Firefox 1.x, Mozilla 1.x, Netscape 7.x and above CompuServe 7, AOL 9, Opera 7.11 and above
  • Mac: Microsoft Internet Explorer 5.2, Firefox 1.x, Mozilla 1.x, Netscape 7.x and above, AOL for OS X, Opera 6, or Safari 1.x and above
Publications from, presentations from, and/or citations to this product: 

Rodriguez O, Phancao F, Ruiz JG, Motta-Valencia K, Ribera V. Assistive Devices for Ambulation in the Elderly (web-based program). GeriU, the Online Geriatrics University, Stein Gerontological Institute, 2006.

MedEd Portal

Date posted: 
Fri, 08/07/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 06/06/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . 'Assistive Devices' Learning Object. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

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