The Portal of Geriatrics Online Education

Study Guide/Lab Guide

A guide created to provide learners with hints, techniques, or management ideas in a particular area. Sometimes employs team learning exercises.

Interprofessional Geriatric Education and Training in Texas: Seniors Assisting in Geriatric Education - Interprofessional Team-Based Training, Assignments & Grading

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

The Seniors Assisting in Geriatric Education (SAGE) program consists of an educational curriculum and community based outreach program aimed at increasing student opportunities for early exposure to older adults and issues of geriatrics. The program strives to create meaningful relationships for the interprofessional teams of students while gaining knowledge about today’s senior population and their needs. The educational component involves health care profession students interacting with each other and their senior mentor through structured assignments delivered in the home environment.

Student teams are paired in groups of 3-4 healthcare profession students. The student teams are then matched with a community-dwelling senior who receives services from Meals on Wheels or a senior volunteer from the local community. The program includes 6 visits over a 2 year period providing students an opportunity to apply their classroom education in the context and care of an older adult. Students practice and demonstrate basic clinical skills; including taking histories, interviewing, conducting examinations and cognitive assessments, and advising clients on nutrition, home safety, community resources and advance care planning.     

Educational objectives: 
  • Health professions students will develop competency with older adults;
  • Strengthen health care students clinical applications of medical education through an Interprofessional team experience in the SAGE Program;
  • Health professions students learn from each other and appreciate each others professions.
Publications from, presentations from, and/or citations to this product: 

SAGE Presentations

Marquez-Hall, S. (2015). Interprofessional practice: Seniors assisting in geriatric education. A round table presentation at the Interprofessional Practice Symposium, University of North Texas Health Science Center in Fort Worth, TX.

Marquez-Hall, S. Lane, Y. (2014) seniors assisting in geriatric education (SAGE): Reynolds program address the lack of training in geriatrics and provides a model for interprofessional education. Jefferson Center for Interprofessional Education Annual Conference, Jefferson Medical College, Philadelphia, PA.

SAGE Poster Presentations:

Marquez-Hall, S., Pitts-Lane, Y. Knebl, J., (2015). Seniors assisting in geriatric education (SAGE): Reynolds program addresses the lack of training in geriatrics and provides a model for interprofessional education. Poster presentation at Research Appreciation Day, University of North Texas Health Science Center, Fort Worth, TX.

Marquez-Hall, S., Lane, Y., Smith, R. (2014) Survey of medical students in a geriatric training program. Poster presentation at the American Geriatric Society Annual Scientific Meeting, Baltimore, MD.

SAGE Awards:

2013 Mae Cora Peterson Senior Spirit Award in recognition of the Seniors Assisting in Geriatrics Education (SAGE) Program, Senior Citizens of Tarrant County, Texas.

2011 AACOM Excellence in Communications Award. Second Place - Best Community Service Program-Serving Fewer Than 1,000. SAGE Program; University of North Texas Health Science Center at Fort Worth, Texas College of Osteopathic Medicine.  

Date posted: 
Thu, 10/13/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 10/13/2016
Contact Person/Corresponding Author:



Suggested Citation:
Interprofessional Geriatric Education and Training in Texas: Seniors Assisting in Geriatric Education - Interprofessional Team-Based Training, Assignments & Grading. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/34

VirginiaGeriatrics.Org

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

The VirginiaGeriatrics.Org website consists of 6 primary resources and a secondary list of resources for further research. These primary resources include a video archive of the geriatric grand round lecture series, interactive pre-clinical basic science geriatric case studies for medical students, more advanced geriatric case studies for clinical residents, a quick consult guide for geriatric consults, an "ask the expert" discussion resource, and various educational materials related to the Virginia Geriatrics Society Conference. Additionally, spread through the website are external educational resources to complement the core material. Finally, there are some resources for patients and families that may be interested in contacting clinics and/or geriatricians.

Educational objectives: 

Listed through 6 primary education sections (Grand Rounds, Med Student Materials, Resident Materials, Quick Consults, Ask the Expert, etc)

Date posted: 
Thu, 09/22/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 09/22/2016
Contact Person/Corresponding Author:



Suggested Citation:
VirginiaGeriatrics.Org. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/34

Aging Q3 Curriculum on Pain Management of Older Adult Patients

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

Using the Assessing Care of Vulnerable Elders (or ACOVE) paradigm and the principles of Academic Detailing, Aging Q3 is developing curricula on 16 different topics for teaching residents about providing quality care to elderly patients. Aging Q3 uses a sequence of multiple interventions where residents learn and experience the practice of Geriatrics in the clinical setting with limited interruption to the process of patient care. Each ACOVE is featured for 3 months. The curriculum includes a resident lecture during one of the residents' scheduled noon conferences, a handout used by the faculty to detail the resident on the issue during precepting or rounds, a poster which is displayed strategically in resident areas of the hospital and clinic, and observed demonstration and assessment of a defined skill. In the clinic, Residents are "cued" to address the featured issue with their elder patients by a "Blue Sheet" which contains a few brief questions on the ACOVE topic that the Patient Care Technician or Nurse have discussed with the patient during intake.  A "Yellow Sheet" cues the Resident to address the featured issue on the hospital wards.  Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Pain Management "ACOVE" is number 10 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  • Demonstrate proper assessment and management of chronic and persistent pain in patients 65 years and older.
  • Demonstrate assessment of uncontrolled pain, including the proper use of PCA management for pain.
  • Demonstrate an understanding of the opioid conversion chart.
  • Identify side effects of opioid therapy.

 

Date posted: 
Mon, 09/30/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/30/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . Aging Q3 Curriculum on Pain Management of Older Adult Patients. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/34

Teaching Transitions of Care to Residents Using A Post-Hospitalization Patient Visit

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

With the goal of learning key components to a good hospital discharge of an older patient, residents at Boston Medical Center participated in a structured teaching exercise adapted from University of Rochester's Hospital to Home program in which they made a home or nursing home visit to see a patient whom they cared for during the hospital admission. This exercise effectively enhances the medical resident's self reported ability to assess and implement post-discharge care for complex older patients. Specifically residents expressed an increased awareness of the need to tailor post-discharge plans to a patient's health literacy level, functional status and psychosocial factors. This exercise is a promising intervention for teaching transitions of care.

Educational objectives: 
  1. Identify the discharge summary as a vital communication tool in the handoff between hospital and post-hospital care teams.
  2. Explain the role of community agencies and services, such as Community Home Health Agencies (CHHA), in providing post-hospital care.
  3. Perform medication reconciliation in order to lessen medication errors at the time of transition.
  4. Identify the psychosocial factors that impact a patient's implementation of his/her discharge plan.
Additional information/Special implementation requirements or guidelines: 

BU Internal Medicine residents who participate in the Geriatrics Ambulatory Rotation are required to complete a post-hospitalization visit on a patient that they cared for (rounding, admission, or discharge) on the inpatient geriatrics service during their weekend coverage duties. This visit may happen in either the home or the nursing home setting. While accompanied by a geriatrician, residents will conduct a brief interview of the patient and his/her family to assess their perspective of the discharge. They will also perform medication reconciliation while in the patient's home or at the nursing home. After the visit, they will critically review the discharge summary to determine if the discharge plan was appropriate for the patient. They will then reflect on ways the discharge plan could have been altered to better fit the patient's needs. The geriatrics attending will evaluate the resident's performance on the post-hospital visit by evaluating skills that correlate with the core competences.

Date posted: 
Mon, 02/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 02/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
Teaching Transitions of Care to Residents Using A Post-Hospitalization Patient Visit. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/34

Computer Based Learning Workbook, Third Edition

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

The Computer Based Learning (CBL) workbook provides a structured self-study curriculum that is comprised of 10 modules. Each module has Learning Objectives, a Clinical Case, Educational Tasks, and Board-Style Questions. The modules are also crosswalked with our Basics in Geriatrics ("BIG") 10 Principles and designed to be completed with resource material at our publically available Emory website (access the link to the right under the workbook). Some resource material within the workbook is located on the website and some material links to excellent products developed by other programs.

The modules are on Delirium, Dementia, Falls, Incontinence, Medication Use, Pain Management, Hazards of Hospitalization, Adult Failure to Thrive and Malnutrition, Transitions of Care for Older Patients, and Palliative Care. Each module is divided into three parts. The first is a clinical vignette illustrative of the topic. This is followed by a set of tasks that include reading a general overview of the subject, and working with several educational tools. Finally, each module ends with a post-test with at least three “boards-style” multiple choice questions that will test your knowledge of the topic.  Each module takes an estimated 60 minutes of uninterrupted time. The materials are targeted at the training level of an Internal Medicine resident.

There is also a Facilitator’s Guide and Answer Key included.

Educational objectives: 

The general objectives for this workbook are:

  1. Identify key topics in geriatric medicine and increase your knowledge through a case-based format.
  2. Describe the extent to which iatrogenic issues are part of the management of geriatric syndromes.
  3. Describe the multifactorial nature of most geriatric problems.

Delirium Objectives:

  1. Discuss the diagnosis, etiology, management and prognosis for delirium.
  2. Identify the 4 features of the CAM diagnostic algorithm and the criteria for diagnosing delirium.
  3. Identify the risk factors for delirium.
  4. List interventions to treat and prevent delirium.

Dementia Objectives:

  1. Identify subtypes of dementia.
  2. Discuss effective assessment of dementia.
  3. Utilize the most common dementia assessment tools.
  4. Develop management plans for dementia that include pharmacologic and psychosocial modalities.

Falls Objectives:

  1. Identify risk factors for falls in the elderly.
  2. Describe the key components of a gait assessment.
  3. Develop management strategies for a patient with falls.

Incontinence Objectives:

  1. Identify potentially reversible conditions that can cause or contribute to urinary incontinence.
  2. Utilize appropriate diagnostic tools for the different subtypes of incontinence.
  3. Apply non-pharmacologic and drug treatments for incontinence.

Medication Use Objectives:

  1. Identify which medications are considered inappropriate for use in elderly patients.
  2. Recognize the risks of polypharmacy in the elderly and learn the principals of evaluating and reducing these risks.

Pain Management Objectives:

  1. Recognize the spectrum of severity of pain, and understand the appropriate setting for different types of pain medication.
  2. Demonstrate knowledge of dosing conversions between different types of opioids.
  3. Differentiate between various categories of pain.
  4. Learn to recognize and treat the side effects of various types of pain medication.

Hazards of Hospitalization Objectives:

  1. Identify the predispositions of the older patient for injury or adverse event during hospitalization.
  2. Identify common complications of hospitalization in the elderly.
  3. Develop preventative strategies for the hazards of hospitalization of the elderly.
  4. Recognize early warning signs of complications.
  5. Develop treatment for those complications

Adult Failure to Thrive and Manutrition Objectives:

  1. Identify the disease processes that present as the historical diagnosis “Adult Failure To Thrive” (AFTT).
  2. Develop an approach to the systematic evaluation of social, physical and functional processes that lead to AFTT.
  3. Identify the role of the interdisciplinary team in the treatment of the AFTT syndrome.
  4. Identify the special nutritional needs of the older patient and the risk factors for malnutrition.
  5. Be able to perform nutrition screening using the Mini Nutritional Assessment (MNA).

Transitions of Care for Older Patients Objectives:

  1. Recognize that older patients are more likely to require multiple settings of care in the recovery from serious illness.
  2. Identify several settings of care and the skilled services provided in each setting.
  3. Identify a patient’s skilled needs and match them to an alternate setting of care.
  4. Incorporate transitions of care into discharge planning of the older patient.

Palliative Care Objectives

  1. Identify and describe key components of a Family Meeting.
  2. Describe management strategies for common symptoms at the End-Of-Life.
  3. Understand and explain basics of Medicare Hospice Benefit.
Date posted: 
Fri, 01/13/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/29/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Computer Based Learning Workbook, Third Edition. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/34

Geriatric Health Literacy Workshop for Medical Students and Residents

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
3
Abstract: 

This 2.5 Hour Health Literacy Workshop provides a hands-on opportunity for learners to improve communication skills and teaches problem based learning and improvement skills.  Designed for internal medicine residents and medical students, it has been piloted at the University of Chicago for all PGY-1 Internal Medicine residents rotating on the Geriatrics Rotation. This workshop is suitable to physicians-in-training at any level and across medicine subspecialties and interdisciplinary health care professions. 

During the health literacy workshop, learners view a brief lecture, role-play using “teach-back” cases, and critique patient education materials utilizing the Suitability of Assessment of Materials (SAM) (Doak and Doak) available at http://www.guidesforbeginnings.com/pdfs/SAM-for-Beginnings.pdf

Educational objectives: 

After completing this workshop, learners should be able to:

  1. Describe the anticipated demographic changes in the US over the next 50 years.
  2. Recognize the impact of low health literacy on geriatric patients.
  3. Explain the relationship between health literacy and health care disparities.
  4. Demonstrate the “teach-back” method.
  5. Edit patient handout materials for low health literacy patients.
Additional information/Special implementation requirements or guidelines: 

Course director or learners need to bring patient handout materials from their clinic or the web to analyze and revise.

The University of Arizona's Health Literacy online module (POGOe product #20029) is recommended for pre-workshop study.  The author would like to acknowledge and thank the University of Arizona for creating and publicly distributing this excellent work. 

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

Farrell, T. W. (2011), Review of a Geriatric Health Literacy Workshop for Medical Students and Residents. Journal of the American Geriatrics Society, 59: 2347–2349. doi: 10.1111/j.1532-5415.2011.03720.x

Date posted: 
Fri, 04/22/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Health Literacy Workshop for Medical Students and Residents. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/34

Exercise in Elders: PowerPoint and Small Group Exercise

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

This product contains two segments. The first is a power point presentation that provides basic information on exercise in elders (please contact Dr. Johnson at Bree.Johnston@ucsf.edu for updates). The second segment provides a small group exercise for writing exercise prescriptions.

Educational objectives: 

The goals of this product are: 1. To provide learners an overview of the benefits of exercise in elders, and 2. To provide learners with practical strategies for encouraging exercise among their patients. The learner will be able to: 1. Describe exercises that have been associated with improved outcomes for specific medical conditions. 2. Assess your patient’s interest and willingness to exercise, using the “stages of change?” model. 3. Describe approaches to increase your patient's self efficacy in exercising. 4. Develop an approach to writing an exercise prescription using the FITTS method (frequency, intensity, type, time, and specific modifications). 5. Use the 5 step method to write an exercise prescription.

Additional information/Special implementation requirements or guidelines: 

This was used in an SGIM workshop and among fellows and residents at UCSF, for a total of about 100 people. It was used as a lecture and small-group session (faculty development, primarily).

Date posted: 
Fri, 12/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/23/2009
Contact Person/Corresponding Author:



Suggested Citation:
Exercise in Elders: PowerPoint and Small Group Exercise. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/34

Depression

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

A web module for self-study that investigates the epidemiology of depression in the elderly, its diagnosis, treatment and sequelae.

Educational objectives: 

Students should be able to: 1) describe the epidemiology of depression in the elderly and treatment options for depression. 2) administer the geriatric depression scale. 3) describe how the clinical presentation of depression may be different among older adults. 4) list risk factors for suicide.

Additional information/Special implementation requirements or guidelines: 

Approximately 1,400 third year medical students at University of Kansas School of Medicine have completed this module.

Date posted: 
Mon, 08/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/24/2009
Contact Person/Corresponding Author:



Suggested Citation:
Depression. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/34

Functional Assessment WebCt Module for Medical Students

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

The Functional Assessment module is intended to provide basic geriatric medicine information for medical students in the community (throughout the State of New Mexico) completing their PIE (Practical Immersion Experience). The information will assist students in completing their geriatric PIE requirements.

Educational objectives: 
  1. To understand the aging demographic trends nationally and in New Mexico, particularly their relevance to care for the elderly, including economic impact and impact on the health care system.
  2. To understand the effect of the "baby boomer" generation on future health care needs.
  3. To be able to find United States and New Mexico aging population statistics on the Internet in order to understand the relationship of population cohorts to health issues and planning for future health care services.
  4. To determine who should have a functional assessment.
  5. To describe the type of screening used in evaluating frail and cognitively impaired older adults, including the function and use of the following screening instruments: Katz ADL Scale Lawton-Brody IADL Scale Get Up and Go Test and Timed Get Up and Go Test Clock Drawing Test Mini-Mental Exam Geriatric Depression Scale.
  6. To understand how functional assessment benefits the patient and family.
Additional information/Special implementation requirements or guidelines: 

This WebCt module has been made into a PDF and there are some formatting difficulties due to this conversion. While the Webct information is complete, page breaks are not ideal in the PDF version. This is due to the difficulty of using the Webct as the parent software. At a later date we will use other software to create a more attractive format. Used with 1st, 2nd year and 3rd year medical students in a community-based experience, 9 week summer community-based, clinical experience and Geriatric Ambulatory Clerkship, respectively.

Date posted: 
Sun, 01/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/02/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . Functional Assessment WebCt Module for Medical Students. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/34

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/34

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