The Portal of Geriatrics Online Education

Care Settings & Models

Chief Resident Workshop in Bad News Communication & Learner Feedback

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

Incoming chief residents from all departments participate in a 90 minutes workshop with the dual objectives of teaching a model for sharing bad news and preparing these physician leaders to give feedback to learners about this important skill.  After reviewing a 6 step model for bad news communication, the chief residents share bad news with standardized patients using two cases of older adults with a new or recurrent cancer diagnosis.  The standardized patients all receive training about the workshop's objectives in a separate session prior to the workshop.  After communicating with the standardized patient, the chief resident receives feedback from the patient, a trained faculty small group facilitator and 1-2 other chief residents.  After both cases are completed, the chief residents gather for a large group discussion about the challenges and opportunities in providing feedback to learners about sensitive topics.  This workshop has been conducted for the past three years, and has received positive evaluations from the participating physicians and the school's Graduate Medical Education Office.

Educational objectives: 
  1. Recognize bad news communication as a core physician skill
  2. Understand the 6 basic steps used to initially deliver bad news
  3. Practice giving feedback to a resident whom delivered bad news
  4. Identify & discuss challenges of providing feedback about a sensitive topic
Date posted: 
Thu, 10/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 10/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Chief Resident Workshop in Bad News Communication & Learner Feedback. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

An Interprofessional Curriculum for Healthcare Providers Promoting Safety in Transitions of Care

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
2
Abstract: 

The transition of patients to other settings of care requires input from multiple members of the healthcare team to ensure safe transitions.  Interprofessional collaborative practice has been described as key to safe, high quality, accessible, patient-centered care. Effective team based care is best obtained when members of the healthcare team understand their roles and how to collaborate and coordinate activities with other team members. We developed an interprofessional curriculum aimed at improving role understanding, communication and collaboration in care delivery while promoting patient safety during transitions of care.  The curriculum addresses the 4 competency domains of interprofessional collaborative practice including Values/Ethics for Interprofessional Practice; Roles/Responsibilities; Interprofessional Communication; Teams and Teamwork.

Using a multimodal approach, the curriculum is delivered through: 

  1. Didactics at the ongoing hospital inter-professional conferences.
  2. Small group sessions with case studies, video play and role play during inpatient unit interdisciplinary meetings. 
  3. A web based CBL module to be completed by hospital staff at the already existent mandatory annual training of hospital staff and orientation of new staff.
  4. A discharge process checklist distributed to the staff and also incorporated into the hospital electronic medical records. 

Educational objectives: 

After this session, you will be able to:

  1. Define the role of each member of the healthcare team in the discharge process,
  2. Describe team based collaboration in discharge care.
  3. Describe the most important elements of patient and provider communication at       discharge.
  4. Define components of comprehensive pre-discharge assessment of patients.
  5. Assess patients for appropriate discharge locations.
  6. Describe the process of efficient and effective care coordination that will ensure seamless transition of patients to other care settings. 
Contact Person/Corresponding Author:



Suggested Citation:
An Interprofessional Curriculum for Healthcare Providers Promoting Safety in Transitions of Care. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Wake GPS Quality Improvement Project Handbook

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Other Learning Resource Type: 
Product Information
Abstract: 

This handbook was developed for the Geriatrics Principles for Specialists (GPS) Program of Wake Forest School of Medicine.  In order to facilitate improvements in clinical care of older adult patients, it provides an overview of key steps for the development, implementation, and evaluation of quality improvement (QI) projects by graduate medical learners (i.e., residents and fellows) and faculty members. For each given step, the handbook reviews the associated purpose, content, and deliverables, and provides links or citations to additional learning resources.  The handbook is available in both PDF and ePub versions.

Educational objectives: 

The educational objectives of the handbook are to inform learners about:

  1. The model for improvement framework for selecting an improvement target to develop into an actionable project.
  2. The audit and feedback and technique for obtaining data and jump starting system change.
  3. Process mapping the steps to a given outcome.
  4. Assembling a care team to review the project plan.
  5. Planning a test of change using the concept of the PDSA cycle.
  6. Measuring outcomes.
Date posted: 
Wed, 10/01/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/01/2014
Product Viewing Instructions: 
To download the eBook version of the Wake GPS Quality Improvement Handbook, please go to the Wake Geriatrics website.
Contact Person/Corresponding Author:



Suggested Citation:
Wake GPS Quality Improvement Project Handbook. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

GeriTeam Communication

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

This app was designed to introduce learners to the outpatient Geriatric health care team, common Geriatric terminology and ways to optimally communicate with team members.

Educational objectives: 
  1. Students will acquire a basic understanding of terminology that is specific to the geriatric practice of medicine.
  2. Students will learn the varieties of multi-disciplinary health care professionals that may be involved in geriatric medicine, the level of education and training they have, and what role they may play in comprehensive geriatric care.
  3. Through case examples, students will learn how a multidisciplinary care team interacts in the dynamic process of care provision for complex geriatric patients.
  4. Students will learn basic communication strategies that minimize conflict and foster collaborative patient-centered care.
Date posted: 
Wed, 10/22/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/22/2014
Contact Person/Corresponding Author:



Suggested Citation:
GeriTeam Communication. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Elder Abuse & The Case of Dorothy Johnson

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

This Elder Abuse Case of Dorothy Johnson was presented on Interprofessional Education Day at the University of New Mexico. Interprofessional Education Day brings students and faculty together from Medicine, Physical Therapy, Occupational Therapy, Nursing, Pharmacy, Social Work, and other related disciplines to promote a team-based approach to communication and problem solving on behalf of the older patient.

Follow the attached Agenda and Facilitator Guide to incorporate the Case in your teaching.

 

Educational objectives: 

At the conclusion of this learning experience, students will be able to:

  • Define Elder Abuse, with an understanding of its different forms (physical, mental, sexual, financial, neglect, self-neglect)
  • Recognize the signs of Elder Abuse
  • Assess patients for Elder Abuse
  • Communicate with patients suspected of experiencing Elder Abuse
  • Work as part of an interprofessional team to care for patients suspected of experiencing Elder Abuse
  • Identify community resources that are available to assist victims of Elder Abuse and their families

Interprofessional Competencies:

  • Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services, legal counseling, and advocacy services.
  • Engage a diverse group of progessionals who complement one's own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs.
  • Listen actively and encourage ideas and opinions of other team members.
  • Engage other professionals in shared patient-centered problem solving.
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 09/23/2014
Contact Person/Corresponding Author:



Suggested Citation:
Elder Abuse & The Case of Dorothy Johnson. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Elder Care A Resource for Interprofessional Providers: Lung Cancer Screening in Older Adults

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

Lung Cancer Screening in Older Adults  is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 
  1. State the key findings of the National Lung Screening Trial
  2. State the US Preventive Services Task Force recommendations for lung cancer screening
  3. Explain why some professional organizations do not support annual lung cancer screening with low-dose computed tomography
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as:

  1. Content is not changed,
  2. No one is charged a fee to use or read the publication,
  3. Authors and their affiliated institutions are noted without change, and
  4. The reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
Publications from, presentations from, and/or citations to this product: 

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.      

Date posted: 
Wed, 04/16/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 03/31/2017
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Lung Cancer Screening in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Elder Care A Resource for Interprofessional Providers: Substance Abuse in Older Adults

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

Substance Abuse in Older Adults  is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 
  1. Identify signs and symptoms that might indicate that a patient has a substance abuse disorder.
  2. Name a questionnaire that can be used to screen for alcohol abuse in older adults.
  3. Name a drug used for treatment of alcohol abuse that requires dose adjustment in patients who have renal failure
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as:

  1. Content is not changed,
  2. No one is charged a fee to use or read the publication,
  3. Authors and their affiliated institutions are noted without change, and
  4. The reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
Publications from, presentations from, and/or citations to this product: 

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.         

Date posted: 
Mon, 04/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 04/30/2017
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Substance Abuse in Older Adults. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1093

Evaluating the Older Adult's Ability to Live Independently or Drive: An Occupational Therapist's Role in Assessment

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

This resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  In this module, the learner will focus on how Occupational Therapists (or "OTs") approach the assessment and treatment of people with potential functional problems.

Educational objectives: 

1. Outline the global approach occupational therapists use to evaluate and treat their clients.

2. Explain assessment process used by occupational therapists to determine ability of cognitively impaired individuals to lilve safely and independently.

3. Explain assessment process used by occupational therapists to determine ability of individuals to drive safely.

Additional information/Special implementation requirements or guidelines: 

For evaluation purposes, there is a pre/post test available from the corresponding author.

Contact Person/Corresponding Author:



Suggested Citation:
Evaluating the Older Adult's Ability to Live Independently or Drive: An Occupational Therapist's Role in Assessment. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

The Audiologist's Role in Care of Hearing Loss and Vestibular Disease

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

This resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  The focus of this module is to identify the audiologist's role in evaluating and treating hearing or vestibular concerns and to determine appropriate referral for other professionals in the care of hearing and vestibular problems.

Educational objectives: 


    1. Identify signs and symptoms of potential hearing or vestibular/balance problems.

    2. Identify the audiologist's role in evaluating and treating hearing or vestibular concerns.

    3. Determine appropriate referral for other professionals in the care of hearing and vestibular problems.

Additional information/Special implementation requirements or guidelines: 

For evaluation purposes, there are pre/post test questions available from the author.

Date posted: 
Thu, 01/22/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/21/2015
Contact Person/Corresponding Author:



Suggested Citation:
The Audiologist's Role in Care of Hearing Loss and Vestibular Disease. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1093

Self-Directed Learning Assignment on Cancer Screening in Older Patients

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

This self-directed learning assignment was created to complement the required 2-week ambulatory geriatrics curriculum for PGY1’s at the University of Chicago.  Learners are first asked to reflect on a previous patient encounter during which they struggled whether to recommend routine cancer screening.  Then they complete a required reading assignment.  Next, they are asked to choose a patient from their own continuity clinic panel and a type of cancer screening, and assess whether this would be appropriate for the particular patient based on their age, life expectancy, preferences, and goals of care.  They are also asked to elaborate on the benefits and risks of screening.

Educational objectives: 
  1. Learn what the cancer screening guideline recommendations are for colon, breast, and cervical cancer
  2. Learn how to estimate an older patient’s life expectancy
  3. Appreciate the benefits and risks of routine cancer screening
  4. Incorporate patient’s preference and goals of care into whether or not to recommend cancer screening in older patients
  5. Appreciate the challenges of recommending cancer screening in older patients
Publications from, presentations from, and/or citations to this product: 

Walter LC and Covinsky KE. JAMA 2001;285(21):2750-6.

Date posted: 
Tue, 02/24/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/24/2015
Contact Person/Corresponding Author:



Suggested Citation:
Self-Directed Learning Assignment on Cancer Screening in Older Patients. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1093

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