POGOe - Portal of Geriatrics Online Education - Histology

Advanced Practice Nursing Student

Intended learner audience:

APRN

Pharmacists

Physician Assistant

ATYPICAL PRESENTATION OF DISEASE

Geriatric Competencies:

MEDICATION MANAGEMENT

17 ATYP: Identify 3 physiologic changes for each organ system

Learning resource types:

Other Learning Resource Type:

Discipline/specialty:

Physical Medicine and Rehabilitation

Physiology

Urology

Estimated time to complete:

30 minutes

POGOe Id:

21803

Date posted:

Thu, 12/18/2014

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Thu, 12/18/2014

No CME credits available

Not peer reviewed

Urinary System Module

Assigned Editor:

chowe

Posting status:

Posted

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Author(s):

Judith R. Head, PhD

Amit Shah, MD

Contact Person/Corresponding Author:

Raina Smith, MS

Contact Person Email:

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SAGE Intrinsic Aging: A Histological Perspective: Cardiovascular System

Thu, 13 Nov 2014 15:54:40 +0000

University of Texas Southwestern Medical Center

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:

Endothelial cells
Elastic arteries
Muscular arteries
Arterioles
Capillaries
Small and medium veins
Large veins
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

Content Categories:

Advanced Practice Nursing Student

Intended learner audience:

APRN

Nurse Educator

Physician Assistant

Practicing Physician/CME

ATYPICAL PRESENTATION OF DISEASE

Geriatric Competencies:

17 ATYP: Identify 3 physiologic changes for each organ system

Learning resource types:

Other Learning Resource Type:

Discipline/specialty:

Cardiovascular System Module

Estimated time to complete:

30 minutes

POGOe Id:

21802

Date posted:

Thu, 12/18/2014

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Thu, 12/18/2014

No CME credits available

Not peer reviewed

Assigned Editor:

chowe

Posting status:

Posted

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Author(s):

Judith R. Head, PhD

Amit Shah, MD

Contact Person/Corresponding Author:

Raina Smith, MS

Contact Person Email:

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

Thu, 13 Nov 2014 15:05:27 +0000

University of Texas Southwestern Medical Center

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:

Blood and innate immunity
Hematopoiesis
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

Content Categories:

Intended learner audience:

ATYPICAL PRESENTATION OF DISEASE

Geriatric Competencies:

17 ATYP: Identify 3 physiologic changes for each organ system

Learning resource types:

Other Learning Resource Type:

Discipline/specialty:

Blood & Defense System Module

Estimated time to complete:

30 minutes

POGOe Id:

21801

No CME credits available

Not peer reviewed

Assigned Editor:

chowe

Posting status:

Posted

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Author(s):

Judith R. Head, PhD

Amit Shah, MD

Contact Person/Corresponding Author:

Raina Smith, MS

Contact Person Email:

Anatomy Image Atlas of Aging: Liver

colleen.burnham — Thu, 29 Aug 2013 17:55:01 +0000

University of Massachusetts Medical School

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.

Content Categories:

Intended learner audience:

17 ATYP: Identify 3 physiologic changes for each organ system

Geriatric Competencies:

Learning resource types:

Lecture

Discipline/specialty:

Gross Anatomy

The Aging Liver presentation.pptx
- 48.7 MB

Estimated time to complete:

45 minutes

POGOe Id:

21679

Date posted:

Fri, 10/11/2013

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Fri, 10/11/2013

No CME credits available

Not peer reviewed

The Aging Liver NOTES PAGES.pdf
- 19.41 MB

The Aging Liver HANDOUT.pdf
- 712.12 KB

Posting status:

Posted

Previous Taxonomy Authors: Miriam O'Neil, Krista Johansen, Sarah McGee, Erika Oleson, Colleen Burnham, Mark Dershwitz

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Author(s):

Miriam O'Neil

Colleen Burnham

Krista Johansen

Sarah McGee

Mark Dershwitz

Contact Person/Corresponding Author:

Miriam O'Neil

Contact Person Email:

[email protected]">Miriam.O'[email protected]

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Anatomy Image Atlas on Aging: Heart

colleen.burnham — Thu, 23 Aug 2012 19:11:40 +0000

University of Massachusetts Medical School

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

Content Categories:

Intended learner audience:

17 ATYP: Identify 3 physiologic changes for each organ system

Geriatric Competencies:

Learning resource types:

Lecture

Discipline/specialty:

Gross Anatomy

The Aging Heart BIBLIOGRAPHY.pdf
- 48.83 KB

Estimated time to complete:

1 hour

POGOe Id:

21222

Date posted:

Tue, 05/20/2014

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Tue, 05/20/2014

No CME credits available

Not peer reviewed

The Aging Heart
- 5.9 MB

Assigned Editor:

rramaswamy

Posting status:

Posted

Previous Taxonomy Authors: Emily Kaditz, Krista Johansen, Henri Cuenoud, Colleen Burnham, Sarah McGee

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Editor's notes:

12/5/12 needs revision - cz
- PDF slideshow files are now prohibited due to firewall problems
- Major copyright issues. Must be resolved.

Author(s):

Emily Kaditz, MD

Krista Johansen, MD

Henri Cuenoud, MD

Colleen Burnham, MD

Sarah McGee, MD

Contact Person/Corresponding Author:

Emily Kaditz

Contact Person Email:

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Anatomy Image Atlas on Aging: Kidney

colleen.burnham — Wed, 07 Sep 2011 16:12:04 +0000

University of Massachusetts Medical School

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:

Explain that renal disease is not inevitable with normal aging
Differentiate normal anatomic, physiologic, and histological differences between the young and aged kidney
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.

Content Categories:

Intended learner audience:

17 ATYP: Identify 3 physiologic changes for each organ system

Geriatric Competencies:

Learning resource types:

Lecture

Discipline/specialty:

Gross Anatomy

UMMS Image Atlas Full Presentation
- 37.49 MB

Nephrology

POGOe Id:

21017

Date posted:

Mon, 05/13/2013

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Mon, 05/13/2013

No CME credits available

Not peer reviewed

UMMS Image Atlas Student Presentation
- 33.04 MB

UMMS Image Atlas of Aging Bibliography
- 14.72 KB

Posting status:

Posted

Previous Taxonomy Authors: Patrick Bonavitacola, Dr. Gary Blanchard, Sarah McGee, Krista Johansen, Vijay Vanguri, Kristine Cornejo, Ashraf Khan, Dr. Jerry Gurwitz, Dr. Michele Pugnaire

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Editor's notes:

2011 Reynolds Marketplace Product

note from author: Have replaced accessmedicine.com VM slides with UMMS iSlide equivalents, which we have permission to use. Also received permission from Nicholas Oldnall (xray2000.co.uk) for use of all gross anatomy slides, which were provided to him with the proviso that they be considered open access.

Author(s):

Gary Blanchard, MS

Sarah McGee, MS

Michele Pugnaire, MS

Patrick Bonavitacola, MS

Krista Johansen, MS

Vijay Vanguri, MS

Kristine Cornejo, MS

Ashraf Khan, MS

Jerry Gurwitz, MS

Contact Person/Corresponding Author:

Patrick Bonavitacola

Contact Person Email:

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SAGE Intrinsic Aging: A Histological Perspective: Skin Module

amitkermit — Wed, 13 Oct 2010 16:37:31 +0000

University of Texas Southwestern Medical Center

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:

Epidermis
Dermis
Pilo-sebacaous Units (Hair Follicles, Sebaceous Glands)
Sweat Glands
Sensory Compenents (Pacinian and Meissner’s Corpuscles)
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

Content Categories:

Intended learner audience:

17 ATYP: Identify 3 physiologic changes for each organ system

Geriatric Competencies:

22 HOSP: Identify hazards of hospitalizations

26 HOSP: Exam areas at risk for pressure ulcers

Learning resource types:

Other Learning Resource Type:

Discipline/specialty:

Dermatology

SAGE Intrinsic Aging: A Histological Perspective: Skin Module

Plastic Surgery

Estimated time to complete:

30 minutes

POGOe Id:

20818

Date posted:

Mon, 11/15/2010

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Mon, 11/15/2010

No CME credits available

Not peer reviewed

Posting status:

Posted

Previous Taxonomy Authors: Dr. Judith Head, Miss Lindsay Oksenberg, Dr. Amit Shah

Editor's notes:

11/3/10 Winner of the 2010 Reynolds Product of the Year - cg

Author(s):

Lindsay Oksenberg, MPH

Judith Head, MPH

Amit Shah, MPH

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

eduthie — Sat, 10 Oct 2009 09:59:50 +0000

Medical College of Wisconsin

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.

Content Categories:

Intended learner audience:

Practicing Physician/CME

Mr Andrews CD Image
- 300.69 MB

Discipline/specialty:

POGOe Id:

18398

Date posted:

Tue, 08/25/2009

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Wed, 06/06/2012

No CME credits available

Peer reviewed

None Selected

introduction.doc
- 26.5 KB

Mr. Andrews VP Video 1
- 6.31 MB

Mr. Andrews VP Video 2
- 741.2 KB

Mr. Andrews VP Video 3
- 4.19 MB

Mr. Andrews VP Video 4
- 25.75 MB

Mr. Andrews VP Video 5
- 3.48 MB

Mr. Andrews VP Video 6
- 19.4 MB

Mr. Andrews VP Video 7
- 12.78 MB

Mr. Andrews VP Video 8
- 16.76 MB

Mr. Andrews VP Video 9
- 1.37 MB

Mr. Andrews VP Video 10
- 9.83 MB

Mr. Andrews VP Video 11
- 11.79 MB

Mr. Andrews VP Video 12
- 11.52 MB

Mr. Andrews VP Video 13
- 5.17 MB

Posting status:

Posted

Editor's notes:

6/29/12 Author indicated product is up to date. Expiration waived for another three years. - cz

Contact Person/Corresponding Author:

Edmund Duthie

Contact Person Email:

Already Expired Email Date:

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The Healthcare Matrix: Improving Care by Linking Outcomes to Competencies

POGOe Moderator — Sat, 10 Oct 2009 09:57:38 +0000

Vanderbilt University School of Medicine

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.

Content Categories:

Patient Safety

Care Settings & Models

Intended learner audience:

Practicing Physician/CME

adolescent_pid.doc
- 38.5 KB

POGOe Id:

20179

Date posted:

Fri, 02/22/2008

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Fri, 02/22/2008

No CME credits available

Peer reviewed

None Selected

adolescent_pid_handout.doc
- 35.5 KB

adolescent_pid_master.doc
- 53 KB

Blank Matrix
- 39 KB

Citations and Web addresses
- 44 KB

Article on use of matrix and competencies
- 2.47 MB

matrix_tutorial.ppt
- 708 KB

Presentations and misc.
- 28.5 KB

Posting status:

Posted

Previous Taxonomy Authors: Doris Quinn

Editor's notes:

7/6/12 orphaned product - cz

Author(s):

Doris Quinn, MD

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Educational Resources on Aging

renee_shield — Sat, 10 Oct 2009 09:57:15 +0000

Alpert Medical School of Brown University

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.

Content Categories:

Geriatric Syndromes

Geriatric Palliative Care

Patient Safety

Care Settings & Models

Intended learner audience:

Nurse Educator

Pharmacy Students