The Portal of Geriatrics Online Education

University of Michigan Medical School

Is this a Reynold's grantee: 
Yes

UM Geriatrics Clinical Decision Making Instrument

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

The University of Michigan Geriatrics Center, with support from the Donald W. Reynolds Foundation, developed this 24-item multiple choice instrument for assessing knowledge of clinical geriatrics among health professionals. The instrument emphasizes inpatient care and common geriatric syndromes. It was designed primarily for use among house officers (resident and fellows) in surgical specialties and medical subspecialties, but may also be used among residents in primary care disciplines and medical students. The UM Geriatrics Clinical Decision Making Assessment should prove useful to training programs in surgical specialties and medical subspecialties to gather baseline data, implement curricula, and measure the effects of curricular change on the knowledge of trainees in caring for the complex and interacting needs of older adults. The instrument is also available at http://www.med.umich.edu/geriatrics/edu/gme1.htm

This product consists of the following documents:

  • UM Geriatrics Clinical Decision-Making Assessment
  • Answer Key with Explanations
Educational objectives: 

This instrument was developed to provide program directors a general indicator of geriatrics clinical knowledge among groups of house officers, rather than a comprehensive assessment of individual physicians’ knowledge related to the care of older patients. The instrument was designed to be brief to enhance administration to large groups of house officers with busy schedules.

Specifically, the instrument was designed to include:

  • (a) a focus on clinical management rather than nonclinical issues (e.g., social support, long-term care, health systems organization, and finance; to maintain coherence, relevance, and brevity);
  • (b) a case-based multiple choice format (to enhance clinical relevance and reliability of scoring); and
  • (c) a length of 20 to 25 items (to allow a completion time of 30 minutes or less).
Additional information/Special implementation requirements or guidelines: 

For reliability and validity information, read the article cited below, “Brief Instrument to Assess Geriatrics Knowledge of Surgical and Medical Subspecialty House Officers” (published in the Journal of General Internal Medicine).

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

Williams, B. C., & Fitzgerald, J. T. (2006). Brief report: Brief instrument to assess geriatrics knowledge of surgical and medical subspecialty house officers. Journal of General Internal Medicine, 21(5), 490-493. http://dx.doi.org/10.1111/j.1525-1497.2006.00433.x

Date posted: 
Thu, 04/29/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/29/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . UM Geriatrics Clinical Decision Making Instrument. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/1218

Geriatric Functional Assessment Standardized Patient Instructor: Medical Student Manual

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

The Geriatric Functional Assessment Standardized Patient Instructor: Medical Student Manual is used as a reference for the GFA SPI at the University of Michigan Medical School. The manual provides medical students at all levels with focused instruction and references for assessment tools and communication skills used to assess mobility, cognition, and affective disorders in older patients.

Educational objectives: 

Learners should be able to: 1. List the basic activities of daily living and independent activities of daily living. 2. Identify assessment tools useful in detecting impairment in mobility, cognitive impairment, and affective disorders in geriatric patients. 3. List the steps necessary to perform the Timed Up and Go Test, the Mini-Cog screen for dementia, and the Two Question Depression Screening Tool. 4. Identify communication problems in geriatric patients, and strategies to improve communication.

Date posted: 
Tue, 09/22/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 09/15/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Geriatric Functional Assessment Standardized Patient Instructor: Medical Student Manual. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1218

Rapid Assessment of Older Patients in the Emergency Department: A Resident Manual

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

This is a manual written for Emergency Medicine residents. It contains tools and information that can be used to facilitate the ED evaluation of older adults.

Educational objectives: 

Basic familiarity with assessment tools in geriatric medicine that are applicable in the ED setting. Learners should be able to: 1.) Perform a functional assessment. 2.) Screen for cognitive impairment. 3.) Screen for depression. 4.) Evaluate for gait instability. 5.) Screen for polypharmacy and adverse drug events.

Additional information/Special implementation requirements or guidelines: 

Greater than 50 Emergency Medicine residents at the University of Michigan have done this over the past 3 years. Distributed in hard copy to all incoming residents; accompanies a lecture regarding the ED assessment of older adults that is given once a year.

Date posted: 
Mon, 11/06/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/06/2006
Contact Person/Corresponding Author:



Suggested Citation:
and . Rapid Assessment of Older Patients in the Emergency Department: A Resident Manual. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1218

History Roadmap: Angina

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

70 year-old white male with stable Angina Pectoris.

Additional information/Special implementation requirements or guidelines: 

To obtain a copy of this product, please contact the author by email at bcwhite@umich.edu or by phone at 734-763-6770.

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:
History Roadmap: Angina. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1218

Preoperative Evaluation of a 70-year-old Man with Colon Cancer

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

70 year-old white male with aortic stenosis and 3-vessel coronary artery disease.

Additional information/Special implementation requirements or guidelines: 

To obtain a copy of this product, please contact the author by email at bcwhite@umich.edu or by phone at 734-763-6770.

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:
Preoperative Evaluation of a 70-year-old Man with Colon Cancer. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1218

Coding 101

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

Coding 101 is an online curriculum designed for residents. The curriculum includes three audio-visual modules and suggested supplementary online resources. While the audiovisual modules can be viewed in any order, they are designed for progressive learning in a suggested viewing order. Each module contains learning objectives for Systems Based Practice, an ACGME general competency. Within each module, learning points are identified for PGY1-3 progressive learning. The first module, Coding Fundamentals, provides an overview of ICD, CPT, HCPCS, and medical necessity rules. The second module, E&M Coding, provides guided examples of outpatient E&M coding using 1995 and 1997 rules. The third module, Beyond the Basics, introduces modifier -25, teaching modifiers -GE/GC, coding for counseling time, preventive care coding, and other miscellaneous topics. Supplementary suggested content allows learners to link to the Medicare 1995/1997 documents, the CMS Evaluation and Management Services Guide, and other coding resources. The overall curriculum is appropriate for any resident, 4th year ambulatory students, fellows, and even faculty. All resources are contained on one webpage. The webpage contains links to the following: Coding 101, Part 1: Coding Fundamentals [original production by Davoren Chick, MD; Coding 101, Part 2: E&M Coding [original production by Davoren Chick, MD]; Coding 101, Part 3: Beyond the Basics [original production by Davoren Chick, MD]; link is provided to the ACP guide to frequently used ICD-9-CM codes; link is provided to a brief overview of HCPCS; link is provided to the Evaluation and Management Services Guide produced by CMS; link is provided to a review of the Medicare IPPE exam by thecodingcenter.org; links are provided to the CMS 1995 and 1997 documentation guidelines for evaluation and management services.

Educational objectives: 

1. Origins and usages of ICD-9-CM codes 2. Origins and usages of CPT codes 3. HCPCS federal codes 4. The medical necessity rule 5. The definition of a "new" patient 6. History E&M key component and its three sub-areas 7. Physical exam E&M key component, with 1995 and 1997 documentation 8. Medical decision making key component and its three sub-areas 9. Documentation rules for new and established outpatients 10. Modifier 25 11. Preventive care coding options, including the IPPE 12. Smoking cessation counseling codes 13. GC and GE teaching modifiers

Additional information/Special implementation requirements or guidelines: 

Because the videos are in Windows Media format, they are best viewed from an Internet Explorer web browser on a PC that has Windows Media Player (WMP). A link is provided to connect learners to the microsoft download center where a free copy of WMP can be accessed for any Windows or Mac system. From standard windows PCs, learners may use the table of contents hotlink bars visible to the left of the video in order to jump to different topics if they desire. Using a Mac or web browsers other than Internet Explorer, learners can view the videos as designed (in a progressive manner) but may not be able to jump between sections using the table of contents bars. In such cases, the forward and backward arrows and sliding bar of WMP still allow learners to repeat or skip sections as desired. For all systems, audio output is required. Audio is best quality using headphones or speakers but is sufficient using only a laptop audio feed. Please note that while the content is not likely to be irrelevant or obsolete in 3-5 years, coding rules do evolve. The material will be updated if necessary but CMS regulations will always be the only legal source for new coding regulations.

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

Internal presentations only. Citation Formats: NLM: Chick D, Coding 101. MedEdPORTAL; 2007. Available from: http://services.aamc.org/jsp/mededportal/retrieveS... APA: Chick, D., (2007). Coding 101. MedEdPORTAL: http://services.aamc.org/jsp/mededportal/retrieveS... MedEd Portal

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 08/25/2009
Contact Person/Corresponding Author:



Suggested Citation:
Coding 101. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1218
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