The Portal of Geriatrics Online Education

Histology

SAGE Intrinsic Aging: A Histological Perspective: Urinary System Module

:  
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 module demonstrates the normal age-related changes in the urinary system and its clinical implications. A highlight of these modules are side by side comparison of young and aged tissues with interactive slides and summary drawings which reinforce the main points on the histology slides. The curriculum is appealing to clinical learners as it is anchored in showing clinically relevant changes and the implications of these changes in older patients. The main audience is the pre-clinical first or second year medical student, but these could be used by other trainees to teach the basic science of aging.

Educational objectives: 

Learning Objectives for Urinary System module:

Identify the major aging associated changes in each of the following and describe the clinical implications of these changes on the:

  1. Kidney
  2. Ureter
  3. Urethra - female
  4. Nerves
  5. Urethra - male
Additional information/Special implementation requirements or guidelines: 

Southwestern Aging and Geriatrics Education (SAGE) Program

Lead Author: Judith R. Head, PhD

Medical Illustrator: Lindsay Oksenberg, MA

Geriatrician:  Amit Shah, MD

Special thanks to histology technician: Brie Thaden Pirkle and Tasha Buxton

Date posted: 
Thu, 12/18/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 12/18/2014
Contact Person/Corresponding Author:



Suggested Citation:
SAGE Intrinsic Aging: A Histological Perspective: Urinary System Module. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/205

SAGE Intrinsic Aging: A Histological Perspective: Cardiovascular System

:  
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 module demonstrates normal changes of aging and the clinical implications of these aging-related changes via histology. A highlight of these modules are side by side comparison of young and aged tissues with interactive slides and summary drawings which reinforce the main points on the histology slides. The curriculum is appealing to clinical learners as it is anchored in showing clinically relevant changes and the implications of these changes in older patients. The main audience is the pre-clinical first or second year medical student, but these could be used by other trainees. The modules could be used in geriatrics fellowship programs to teach the basic science of aging.

Educational objectives: 

Learning Objectives for Cardiovascular module:

Identify the major aging associated changes in each of the following and describe the clinical implications of these changes:

  1. Endothelial cells
  2. Elastic arteries
  3. Muscular arteries
  4. Arterioles
  5. Capillaries
  6. Small and medium veins
  7. Large veins
  8. Heart
Additional information/Special implementation requirements or guidelines: 

Southwestern Aging and Geriatrics Education (SAGE) Program

Lead Author: Judith R. Head, PhD

Medical Illustrator: Lindsay Oksenberg, MA

Geriatrician: Amit Shah, MD

Special thanks to histology technician: Brie Thaden Pirkle and Tasha Buxton

Date posted: 
Thu, 12/18/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 12/18/2014
Contact Person/Corresponding Author:



Suggested Citation:
SAGE Intrinsic Aging: A Histological Perspective: Cardiovascular System. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/205

SAGE Intrinsic Aging: A Histological Perspective: Blood & Defense System

:  
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 module demonstrates the normal age-related changes in the blood and defense systems and their clinical implications. A highlight of these modules are side by side comparison of young and aged tissues with interactive slides and summary drawings which reinforce the main points on the histology slides. The curriculum is appealing to clinical learners as it is anchored in showing clinically relevant changes and the implications of these changes in older patients. The main audience is the pre-clinical first or second year medical student, but these could be used by other trainees to teach the basic science of aging.

Educational objectives: 

Learning Objectives for Blood & Defense System module:

Identify the major aging associated changes in each of the following and describe the clinical implications of these changes:

  1. Blood and innate immunity
  2. Hematopoiesis
  3. Lymphocytes & adaptive immunity
Additional information/Special implementation requirements or guidelines: 

Southwestern Aging and Geriatrics Education (SAGE) Program

Lead Author: Judith R. Head, PhD

Medical Illustrator: Lindsay Oksenberg, MA

Geriatrician Author/Clinical Correlations: Amit Shah, MD

Special thanks to histology technician: Brie Thaden Pirkle

 

Contact Person/Corresponding Author:



Suggested Citation:
SAGE Intrinsic Aging: A Histological Perspective: Blood & Defense System. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/205

Anatomy Image Atlas of Aging: Liver

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

The Image Atlas of Aging is an original UMMS educational product developed to highlight the normal age-related anatomic and histological changes within the digestive system. The Image Atlas of Aging is a PowerPoint module that features normal gross and histological images to model the aging liver and to serve as an easily replicated prototype to eventually incorporate other organs and organ systems. The module introduces the principle of homeostenosis as a function of aging that emphasizes that aging is neither equivalent to disease nor does it signify inevitable disease. This original geriatrics content has been integrated into the first year medical student “Development, Structure, and Function” (DSF) course curriculum.

Educational objectives: 

After completion of this module, the MS1 learner will be expected to:

  • explain that liver disease is not a part of normal aging
  • differentiate normal anatomic, physiologic, and histological differences between the young and aged liver
  • define the principle of homeostenosis, illustrating how the hepatic portal system becomes more susceptible to acute injury with the loss of age-related functional reserve
Additional information/Special implementation requirements or guidelines: 

Formal on-going discussions are held with the UMMS Development, Structure, and Function (DSF) course directors, who review the modules to strategize best integration to the DSF curriulum. Additionally, UMMS geriatricians teach from the Image Atlas modules in the anatomy lab each fall.

Date posted: 
Fri, 10/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 10/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Anatomy Image Atlas of Aging: Liver. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/205

Anatomy Image Atlas on Aging: Heart

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

The Image Atlas of Aging is an original UMMS educational product developed to highlight the normal age-related anatomic and histological changes within the cardiovascular system. The Image Atlas of Aging is a PowerPoint module that features normal gross and histological images to model the aging heart and to serve as an easily replicated prototype to eventually incorporate other organs and organ systems. The module introduces the principle of homeostenosis as a function of aging that emphasizes that aging is neither equivalent to disease nor does it signify inevitable disease. This original geriatrics content has been integrated into the first year medical student “Development, Structure, and Function” (DSF) course curriculum.

Educational objectives: 

After completion of this module, the MS1 learner will be expected to:

  • explain that cardiovascular disease is not inevitable with normal aging
  • differentiate normal anatomic, physiologic, and histological differences between the young and aged heart
  • define the principle of homeostenosis, illustrating how the renal system becomes more susceptible to acute injury with the loss of age-related functional reserve
Date posted: 
Tue, 05/20/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 05/20/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Anatomy Image Atlas on Aging: Heart. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/205

Anatomy Image Atlas on Aging: Kidney

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

The Image Atlas of Aging is an original UMMS educational product developed to highlight the normal age-related anatomic and histological changes within the renal system. The Image Atlas of Aging is a PowerPoint module that features normal gross and histological images to model the aging kidney – and to serve as an easily replicated prototype to eventually incorporate other organs and organ systems. The module introduces the principle of homeostenosis as a function of aging that emphasizes that aging is neither equivalent to disease nor does it signify inevitable disease. This original geriatrics content has been integrated into the first year medical student “Development, Structure, and Function” (DSF) course curriculum. This product contains two versions of the lecture: the complete presentation intended for the educator and the shortened student module. 

 

Educational objectives: 

After completion of their DSF course, the MS1 learner will be expected to:

  1. Explain that renal disease is not inevitable with normal aging
  2. Differentiate normal anatomic, physiologic, and histological differences between the young and aged kidney
  3. Define the principle of homeostenosis, illustrating how the renal system becomes more susceptible to acute injury with the loss of age-related functional reserve
Additional information/Special implementation requirements or guidelines: 

There is a dearth of existing available educational resources that pictorially contrast normal age-related anatomic and histological organ system changes. (Most of the available resources demonstrate normal versus pathologic.)

Pivotal to Image Atlas completion was developing partnerships with the UMMS pathology department and anatomy and cell biology division. UMMS' Advancing Geriatrics Education (AGE)/Reynolds summer student, UMMS MS2 Patrick Bonavitacola, forged new working relationships with the director of surgical pathology and renal pathology, the current chief resident, and the co-director of the MS1 DSF course. Existing images were culled from: 1) the former chief of pathology's legacy slide collection within the UMMS pathology department, 2) dissections in the anatomy lab; and 3) recent autopsies in the pathology lab. Images were also incorporated from local textbooks and an image database taken with permission from the University of Connecticut.

Formal discussions have been held with the DSF course directors, who are currently reviewing the PowerPoint module and strategizing  how to best integrate this model and original content into the DSF curriulum. UMMS geriatricians will teach from this curriculum in the anatomy lab this fall.

Date posted: 
Mon, 05/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/13/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , and . Anatomy Image Atlas on Aging: Kidney. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/205

SAGE Intrinsic Aging: A Histological Perspective: Skin Module

:  
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: 

Module#1: Skin - This is the first of a series of highly interactive modules to teach the normal changes of aging and the clinical implications of these aging-related changes via histology.   A highlight of these modules are side by side comparison of young and aged tissues with interactive slides and summary drawings which reinforce the main points on the histology slides.   The curriculum is appealing to clinical learners as it is anchored in showing clinically relevant changes and the implications of these changes in older patients. The main audience is the pre-clinical first or second year medical student, but these could be used by other trainees.  For example, the skin module would be an excellent review for a dermatology residency program and all of the modules could be used in geriatrics fellowship programs to teach the basic science of aging.

Educational objectives: 

Learning Objectives for skin module:

Identify the major aging associated changes in each of the following layers and parts of skin and describe the clinical implications of these changes:

  1. Epidermis
  2. Dermis
  3. Pilo-sebacaous Units (Hair Follicles, Sebaceous Glands)
  4. Sweat Glands
  5. Sensory Compenents (Pacinian and Meissner’s Corpuscles)
  6. Subcuteanous/ (Subdermis/Hypodermis)
Additional information/Special implementation requirements or guidelines: 

Southwestern Aging and Geriatrics Education (SAGE) Program

Intrinsic Aging: A Histological Perspective

Module #1:  Skin

Lead Author: Judith Head, PhD   

Illustrator: Lindsay Oksenberg, MA

Geriatrician Author/Clinical Correlations: Amit Shah, MD

Special thanks to histology technician:  Brie Thaden Pirkle

Date posted: 
Mon, 11/15/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/15/2010
Contact Person/Corresponding Author:



Suggested Citation:
, and . SAGE Intrinsic Aging: A Histological Perspective: Skin Module. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/205

Virtual Patient Case #1: Mr. Karl Andrews - Chief Diagnosis: Atherosclerosis

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

Virtual Patient Case #1 is the first in a five part series. This is a CD-ROM containing short video clips of Mr. Andrews from age 65 to age 80. The clips show progression of patient wellness and disease, highlighting ADL's, CAD, genetics, impotence, obesity, peripheral arterial disease, pharmacology, prevention/screening, stroke and rehabilitation. Also included are screening tests, radiograph images, still pictures and reports providing an array of resources for instructors to use in incorporating geriatrics into their teaching. To facilitate access to these audio/visual resources, the files are indexed by basic science courses, clinical rotations, and an additional 50+ other topics. This individual Virtual Patient case for Mr. Andrews can be downloaded above (click Mr Andrews CD Image). Once you have downloaded the CD image, follow the instructions below. The Virtual Patient Cases can also be purchased individually or as a series. For more information, please visit our website at http://www.mcw.edu/display/docid596/GeriatricsCurr....

Educational objectives: 

To integrate the AGS's Basic Competencies for Care of Older Patients (Attitudes, Knowledge, Skills) as a longitudinal thread throughout the medical student curriculum or in discrete teaching interactions by adding these case-based image resources to existing instruction. Particular emphasis focuses on: 1) Cerebrovascular Disease 2) Diabetes Mellitus 3) Ethical Issues 4) Obesity 5) Peripheral Arterial Disease Geriatric patients are a wonderful resource for illustrating key basic science and clinical concepts. By incorporating these learning objects into your instructional materials, we hope to achieve our ultimate goal: to provide needed exposure to issues commonly encountered with aging patients not only acutely, but life long. We hope that these easily accessible learning objects will enable you to use your creativity as a teacher to make our "virtual patients" come alive, thereby improving the care for geriatric patients.

Additional information/Special implementation requirements or guidelines: 

This CD-ROM allows the instructor to incorporate case-based images for specific teaching needs. This case was created for use with medical students. It could also be used with practicing physicians. Learning environments where this case could be used include the Classroom, a Focus Group, Image Source File, Small Groups, Case Studies INSTRUCTIONS Using a .iso Disk Image file you downloaded from POGOe: A file with the extension '.iso', of which many are available for download with various POGOe products, is a replica of a CD saved on the hard drive. These are often called CD Images or Disk Images. This is a common way to distribute software over the internet that normally comes on a CD. Unfortunately on Windows operating systems, including Windows XP and Windows Vista, you cannot simply click a Disk Image file and open it like a CD. Follow these instructions to access the contents of the .iso file. Mac OsX -------------- Just Click the file and it opens like it was a CD. Windows ------------- 1) Burn the image to a CD using burning software. (To do, insert instructions for how to do that with windows explorer.) Then eject and reinsert the CD. or 2) Install software that treat .iso files as if they were a CD and let you access them from your hard drive. Search on the internet for these tools. Such as this Microsoft Product(http://download.microsoft.com/download/7/b/6/7b6ab...) , or other ones that we have used are Iso Recorder (free) and Power Iso. As of 3-12-2009 you could find a list of Vista compatible free tools with reviews here (http://www.petri.co.il/mount_iso_files_in_windows_...). All Operating Systems ------------------------------ Once you can access the contents in the .iso file, if the program does not start automatically, check the notes in the product page or in the files within the Disk Image for instructions on how to launch the program.

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

The development and implementation of the virtual patient CD-ROMS has been described in: Duthie E, Simpson D, Marcdante K, Kerwin D, Denson K, Cohan M. A Collaborative Strategy for Reciprocal Integration of Basic and Clinical Sciences. The Journal of the International Association of Medical Science Educators, 2004; 14(1):34-38. They were also presented at the annual meetings of the Society of Teachers of Family Medicine, The Society of General Medicine, and the American Geriatrics Society. The CD-ROMS have also been accepted by the STFM Bookstore following peer review. MedEd Portal

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 06/06/2012
Contact Person/Corresponding Author:



Suggested Citation:
Virtual Patient Case #1: Mr. Karl Andrews - Chief Diagnosis: Atherosclerosis. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/205

The Healthcare Matrix: Improving Care by Linking Outcomes to Competencies

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

The Healthcare Matrix is currently a Word document, but will soon have a web-based interface attached to a database. The 36-cell Matrix has one cell to represent each intersection of an IOM Aim for Improvement (identified in the IOM report, crossing the Quality Chasm) with an ACGME Core Competency. This tool provides learners with a structured framework to analyze complex episodes of patient care in terms of the Aims and Competencies. The individual cells of the Matrix allow the care analysis to be segmented into more manageable parts. By associating the Aims for Improvement with the Core Competencies, The Matrix encourages learners to reflect on the care they provide and determine the improvements needed, while helping them learn and apply the Aims and Competencies. If learners cannot identify issues in the bottom line of the Matrix-practice-based learning and improvement--then they have not sufficiently analyzed the care. Learners may then use this information to develop action plans that improve care from an individual -- and systems-perspective so that they experience first-hand the 'Practice-Based Learning & Improvement' Core competency.

Educational objectives: 

1. To offer schools a way to meet Phase III of the ACGME Outcomes Project by presenting an educational tool that links the outcomes of care to the ACGME Core competencies. 2. To encourage learners to associate their education (beyond medical knowledge with the care of their patients.) 3. To guide learners in analyzing the care of their own patients by using the Core competencies to identification of opportunities for improvement. 4. To change the environment of case presentations and M&M conferences from one of blame to one of system analysis and quality improvement.

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

Bingham, John et. al. "Using a Healthcare Matrix to Assess Patient Care in Terms of Aims for Improvement and Core Competencies." Joint Commission Journal on Quality and Patient Safety. Joint Commission. February 2005. 31 (2). MedEd Portal

Date posted: 
Fri, 02/22/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/22/2008
Contact Person/Corresponding Author:



Suggested Citation:
The Healthcare Matrix: Improving Care by Linking Outcomes to Competencies. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/205

Educational Resources on Aging

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

The Educational Resources on Aging (ERA) is a Brown University website developed by the Reynolds project team at Brown University. The site contains all our aging-related curriculum products for medical students, residents, and faculty. These include organ system syllabi, problem-based learning cases for students in clerkships, SIM center cases, aging-related lecture slide sets, aging-related exam questions, Doctoring course guidelines, and much more. The site also contains relevant website tools, research articles, and presentations relevant to education in aging, organized by topic. To access the products on the ERA website, click on the "Table of Contents" link located on the left-hand side menu at this website: https://www.brown.edu/research/projects/educational-resources-on-aging/home.

Educational objectives: 

The ERA repository is designed to provide access to comprehensive information on major geriatrics topics by educators and clinicians.

Additional information/Special implementation requirements or guidelines: 

Brown University operates under the "fair use" exemption to the U.S. copyright law. If you plan to use copyrighted materials in ways that go beyond fair use or applicable copyright law, you will need to get written permission from the copyright holder.

Product Viewing Instructions: 
Use the url to access the ERA website: https://www.brown.edu/research/projects/educational-resources-on-aging/home
Contact Person/Corresponding Author:



Suggested Citation:
and . Educational Resources on Aging. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/205

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