The Portal of Geriatrics Online Education

Medical Student Pre-Clerkship

SAGE Urinary Incontinence in the Elderly

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

The UT Southwestern SAGE Urinary Incontinence module is a comprehensive core curriculum on UI in the elderly which can be incorporated into existing UME courses at both the pre-clinical and clinical levels. After completion of the program, medical students will have been trained in the basic evaluation and treatment of UI in the elderly. The program and learning platforms are created in sequential modules so that components can be utilized in different courses (anatomy, physiology, pharmacology) and for different levels of learners (clinical cases for 3rd and 4th year students). Modules also lend themselves to be utilized as clinical correlations in basic science courses.

Educational objectives: 

After completion of the UI modules, learners will be able to:

  • Describe the anatomy and physiology of the continence mechanism.
  • Discuss the age-related changes in the anatomy and physiology of the lower urinary tract (LUT) which increase the risk of UI.
  • Evaluate and diagnose the cause of a patient's urinary incontinence.
  • Create a treatment and management plan for a patient with urinary incontinence.
  • Describe how medications can cause UI and also understand complications from medications used to treat UI.
Date posted: 
Tue, 01/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 04/30/2018
Contact Person/Corresponding Author:



Suggested Citation:
, and . SAGE Urinary Incontinence in the Elderly. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Elder Care: A Resource for Interprofessional Providers: Nocturia in Older Adults

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

Nocturia 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: 

After reading this issue of Elder Care, you should be able to…

  1. State how many episodes of voiding per night are considered abnormal (ie, diagnostic of nocturia).
  2. Describe the non-pharmacologic approaches to treatment that are recommended for patients with nocturia.
  3. List medications that can be used for treating nocturia.
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: 
Thu, 11/30/2017
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Nocturia in Older Adults. POGOe - Portal of Geriatrics Online Education; 2017 Available from: https://pogoe.org/taxonomy/term/248

Interprofessional Team Care Symposium for Medical Students

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

The successful medical care of adults with multiple medical, functional and social problems requires the expertise of multiple health disciplines working together effectively. Physicians must be aware of the skills of the interprofessional health disciplines and learn how to work effectively in teams. This product describes a two hour, interactive intensive introduction to the training and roles of the interprofessional health care team members taught by faculty from nursing, physical therapy, occupation therapy, speech therapy, pharmacy, audiology, nutrition, social work and medicine. The format is a fast moving, interactive health team fair based on a case of an older adult recovering from a stroke. 

After a brief introduction and review of the stroke case, medical students in groups of 5-8 move from station to station in 10-15 minute intervals. At each station, faculty from a health care discipline describe their educational background and discuss how they will assist the students to manage the stroke case. At the last station students receive a case summary and a packet of descriptions summarizing each of the health care disciplines. 

 

Educational objectives: 

Participating medical students will be able to:

  1. Describe the training required to enter eight different health professions.
  2. List one or more clinical problems that might benefit from collaboration with eight different health professions.
  3. Apply the knowledge of the clinical skills of other health disciplines to provide care to an older adult recovering from a stroke.
Additional information/Special implementation requirements or guidelines: 

This curriculum requires:

Recruitment of teaching faculty from allied health colleges or hospital departments.

A large, open space, such as might be used for a research poster session (e.g., large entry hall way) or multiple small classrooms that are close to each other as might be used for medical student small gorup learning communities.

Two hours of curriculum time for 50-80 students; for larger class sizes the session will need to be repeated two or three times to accomodate everyone.

Date posted: 
Tue, 07/15/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/15/2014
Contact Person/Corresponding Author:



Suggested Citation:
, and . Interprofessional Team Care Symposium for Medical Students. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/248

Student-Senior Partnership Program: Curriculum and Facilitator's Guide

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
view reviews
Product Information
Estimated time to complete: 
999
Abstract: 

The Student-Senior Partnership Program aims to introduce first year medical students to the concepts of patient/doctor relationship, patient-centered communication, health literacy and shared decision-making. Students participate in 4 small group sessions each facilitated by a faculty leader. During these sessions, students observe and engage in patient/physician interactions, practice relationship building with their senior partner and develop lasting relationships with community seniors who in turn introduce students to broad concepts in aging. The program offers an extended track to those students wishing further experience in geriatric patient care.

Date posted: 
Thu, 08/08/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/08/2013
Contact Person/Corresponding Author:



Suggested Citation:
Student-Senior Partnership Program: Curriculum and Facilitator's Guide. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Caring Across the Continuum: Mrs. Porter Age 74

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Two: Mrs. Porter Age 74 - Introduction to Geriatric Differential Diagnosis. This case, the second in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to the complexities associated with diagnosing a common geriatric condition, and occurs in an outpatient ambulatory setting. Mrs. Porter visits Dr. Pat after missing her last three appointments, but visits mainly to refill a prescription. Concepts included in this case focus on an in-depth geriatric history-taking; conducting a comprehensive medication review; and, screening for depression.  The importance of evaluating differential diagnoses for an older adult patient is also included. The Geriatric Gems in the case provide in-depth information and resources about a variety of geriatric health topics. The Gems in Case Two include Caregiver Stress; Depression; Hypothyroidism; and, Medication Review. The case concludes with a critical thinking activity inviting the learner to use the SOAP (subjective and objective observations, recommendations for further assessment, and a plan for treatment) format to complete their own assessment of Mrs. Porter. 

Educational objectives: 

On completion of Case Two: Mrs. Porter Age 74, students will be able to:

  1. Complete components of a comprehensive geriatric assessment
  2. Address the following Association of American Medical Colleges (AAMC) geriatric competencies:
    1. Identify and document a geriatric patient's medication review
    2. Assess falls, balance, and gait of the virtual patient
    3. Assess functional abilities
    4. Generate a differential diagnosis of a unique presentation of a common older adult condition
    5. Develop a SOAP note based on Mrs. Porter's Outpatient visit
  3. Generate a medical management plan for the virtual geriatric patient
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 74. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Caring Across the Continuum: Mrs. Porter Age 67

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

Caring Across the Continuum: An Aging Virtual Patient Series.  Case One: Mrs. Porter Age 67 - Introduction to Comprehensive Geriatric Assessment. This case, the first in a four-part series about the virtual patient, Mrs. Porter, highlights the main components of a comprehensive geriatric assessment (CGA), set in an outpatient ambulatory setting. Mrs. Porter, age 67 in this case, is visiting Dr. Pat for the first time. Dr. Pat conducts a thorough social, physical and mental evaluation of Mrs. Porter. The skill of active listening is illustrated to emphasize the importance of taking a thorough patient history during the CGA. The Geriatric Gems in the case provide in-depth information and resources about a variety of geriatric health topics. The Gems in Case One include Smoking and Older Adults; Geriatric Functional Assessment; Immunization Guidelines for Older Adults; Elder Abuse and Mistreatment; Falls; and, Incontinence. The case concludes with a critical thinking activity inviting the learner to discuss the major differences between a CGA and standard adult medical exam. 

Educational objectives: 

On completion of Case One: Mrs. Porter Age 67, students will be able to:

  1. Define and describe select components of a comprehensive geriatric assessment
  2. Describe the differences between a routine medical evaluation and an evaluation of an older adult
  3. Summarize concepts presented within the case through descriptive patient study
  4. Address the following Association of American Medical Colleges (AAMC) geriatric competencies:
    1. Assess falls, balance, and gait of the virtual patient
    2. Assess functional abilities.
  5. Generate a problem list and recommendations for Mrs. Porter
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 67. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Anatomy Image Atlas on Aging: Heart

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
view reviews
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/248

Aging Tsunami

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

The Aging Tsunami lecture details the reasoning behind the importance of geriatric and palliative education to the future of health care. It describes the statistics on the aging population in the United States and globally, and identifies changes that the older adult population presents to health care systems and health care professionals. It also explains why geriatric and palliative medicine is a growing medical career path.

Educational objectives: 

On completion, the learner will be able to:

  • Identify trends that will challenge geriatric health care professionals now and in the future
  • List some important areas of focus for future geriatric health care professionals 
Additional information/Special implementation requirements or guidelines: 

Speaker notes are provided as a separate document.

This product was reviewed by UT Health.

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

Ostwald, S.K. (2009, September), Preparing for the Aging Tsunami. International Geriatric and Gerontological Nursing Conference, Huadong Hospital, Fudan University, Shanghai, China. (invited keynote presentation) 

Date posted: 
Mon, 06/03/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/03/2013
Contact Person/Corresponding Author:



Suggested Citation:
Aging Tsunami. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Elder Care: A Resource for Interprofessional Providers: Geriatric Evaluation

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

Geriatric Evaluation 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: 

After reading this issue of Elder Care, you should be able to…

  1. Explain the difference between activities of daily living and instrumental activities of daily living
  2. Describe the components of a comprehensive geriatric evaluation
  3. List conditions and syndromes in older adults for which routine screening is recommended by the US Preventive Services Task Force
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."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

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.

Date posted: 
Tue, 08/14/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/16/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Geriatric Evaluation. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/248

An Interactive Curriculum on Pressure Ulcers in the Elderly

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
view reviews
Product Information
Estimated time to complete: 
3
Abstract: 

This is a 2.5 hour curriculum for medical students in their clerkships on pressure ulcers. The medical students completed an online module to gain basic understanding of pressure ulcers - descriptive techniques and classification. This online module included a knowledge based pre-test. The faculty identified SNF patients with a variety of pressure ulcers - different stages and sites. The faculty conducted clinical rounds on these patients with medical students to practice pressure ulcer description, risk factors, staging and prevention. Subsequently medical students completed a post test to measure their progress towards the objectives. They also completed a program evalution survey.

Educational objectives: 

On completion, the learner will be able to:

  1. Identify risk factors for pressure ulcer development
  2. Name the sites at risk for pressure ulcer development
  3. Describe pressure ulcers
  4. Stage pressure ulcers
  5. Enlist pressure ulcer prevention methods
Additional information/Special implementation requirements or guidelines: 

20 minutes to complete online module.

Limit bedside rounds to 4 students at a time with faculty members to promote better learning and clear viewing of the pressure ulcers.

This curriculum has been reviewed by geriatrics fellows and faculty at DUMC and visiting faculty participating in the Reynolds Faculty Development program.

Date posted: 
Mon, 08/19/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/19/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . An Interactive Curriculum on Pressure Ulcers in the Elderly. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/248

Pages

Subscribe to RSS - Medical Student Pre-Clerkship