The Portal of Geriatrics Online Education

Lecture

A classroom session (or similar venue) that can be presented in the form of a video or audio recording, slide presentation or a transcript, accompanied by speaker's notes. Should include any materials that would accompany the lecture, such as a handout.

Integration of Elder Abuse and Neglect into a Domestic Violence Curriculum

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

This product can be integrated into an interclerkship for third year medical students, through lecture and a standardized patient (SP) experience. The PowerPoint lecture presentation focuses on screening and identification of elder abuse and discusses decision making capacity. Following the lecture, students practice inteviewing an older SP using a case concerning elder abuse.  After the interview, students receive feedback from the SP, peers and faculty in small groups.

Educational objectives: 

During this course student dyads practice and receive feedback on communication and interviewing skills.

Upon completion of the course, the third year medical student should be able to:

  1. Articulate the types of elder abuse and neglect
  2. Identify elders at risk for abuse
  3. Discuss screening for elder abuse
  4. Briefly describe decision making capacity
Additional information/Special implementation requirements or guidelines: 

This product contains two versions of the lecture: a Powerpoint file and a PDF of the slides. It also contains a profile for the Standardized Patient.

The one day domestic violence interclerkship is required for third year medical students at UMMS. The interclerkship includes topics such as screening for intimate partner violence; lesbian, gay, bisexual and transgender domestic violence; and community resources.  Elder abuse was added to the clerkship with a 30 minute PowerPoint presentation discussing screening and interviewing skills. The lecture presentation also focused on neglect, self-neglect and decision making capacity.

During the interclerkship students practice communication and interviewing skills with elder standardized patients. Student-standardized patient dyads role-play the elder interview in small group. A standardized patient (SP) case, developed for the elder abuse exercise, involves an elder who is undergoing neglect and financial abuse by a family member. Prior to the interclerkship, the SPs undergo a training session about the developed case, and faculty are given a guide that discusses domestic violence and the simulated patient case. The domestic violence interview for the elder case is formative; there is no checklist. Following the SP experience, working in groups of four, the students are given feedback about their communication skills and interaction with the SP from their peers, the SP, and the small group faculty  leader.

Additional materials for the students included a recent JAMA article and patient handout about elder abuse for further infomation on the topic.

Date posted: 
Mon, 08/27/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/27/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Integration of Elder Abuse and Neglect into a Domestic Violence Curriculum. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum to Improve Discharge Summary Quality

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
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. 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. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Hospital Care and Transitions ACOVE is number 7 of 16 different curricula being developed in Aging Q3. In order to improve health care transitions and quality at hospital discharge, we developed a curriculum and grading instrument for hospital discharge summaries. All first year residents were given individualized feedback based on their own discharge summaries. In addition, we provided team-based feedback to intern and senior residents rotating on the General Internal Medicine inpatient service based on patients recently discharge from individual inpatient teams.

Educational objectives: 

1. Demonstrate the inclusion of necessary components of a high quality discharge summary.

2. Write an increased number of high quality discharge summaries.

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

Moran, W.P., Zapka, J., Iverson, P.J., Zhao, Y., Wiley, K., Pride, P., & Davis, K.S. (2012, March 23). Aging Q3: An Initiative to Improve Internal Medicine Residents' Geriatrics Knowledge, Skills, and Clinical Performance. Academic Medicine. doi: 10.1097/ACM.0b013e31824d4a10

Date posted: 
Thu, 04/05/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/05/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . Aging Q3 Curriculum to Improve Discharge Summary Quality. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/36

Introduction to Geriatric Assessments: Geriatrics and Aging through Transitional Environments (GATE) Curriculum for MS2

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

"Introduction to Geriatric Assessments" teaches second year medical students the fundamentals of a geriatric assessment through a 45 min. lecture and 6 simulated patient encounters followed by a 360 degree evaluation by student, preceptor and simulated patient (SP). The SP encounters involve administering common geriatric screening tests and address: depression (GDS), communicating with a caregiver (dementia), assessing physical function (gait assessment), assessing cognition (MMSE), health literacy and initiating an advance directives discussion. Students' clinical skills and discreet interviewing skills are assessed. Materials provided here include: a facilitator's guide, lecture slides with speaker's notes, a pocket reference card, and SP case information and instructions, door charts and evaluation instruments corresponding to each patient case. 

The Case Instructions are available to verified faculty members upon request according to our Restricted Access Policy. If interested, please send an email toEditor@POGOe.org.

Educational objectives: 

Following "Introduction to Geriatric Assessments," second year medical students will be able to:

  1. recognize and utilize screening tools for the assessment of common geriatric syndromes.
  2. demonstrate appropriate communication skills for interviewing a geriatric patient and/or caregiver. 
Additional information/Special implementation requirements or guidelines: 

This curriculum is part of  GATE ("Geriatrics and Aging through Transitional Environments"), a longitudinal, competency-based curriculum for medical students, and was piloted in 2010 at the University of Chicago Pritzker School of Medicine. The M1 curriculum teaches students how to obtain a functional history and understand independent living and assisted living environments. The M3 curriculum addresses geriatric care in the hospital, and M4 training examines care in the nursing home setting. GATE includes a comprehensive and integrated evaluation process measuring knowledge, attitudes and skills. GATE for M3 and M4 incorporates supplemental materials available on POGOe and developed by other Reynolds grantee institutions.

Date posted: 
Mon, 10/24/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/24/2011
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Introduction to Geriatric Assessments: Geriatrics and Aging through Transitional Environments (GATE) Curriculum for MS2. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Communicating About End of Life Care with Older Adult Patients and Their Families

:  
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. 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. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The End-of-Life Care "ACOVE" is number 8 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  1. Estimate a patient's life expectancy (prognosis) based on the Covinsky, et al "Four-Year Mortality Index for Older Adults".
  2. Identify and discuss with patients the components of different end-of-life care documents, including advanced care directives, living will and health care power of attorney.
  3. Identify and demonstrate using the 10 steps for leading an effective family conference of giving bad news.
Date posted: 
Mon, 06/11/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . Aging Q3 Curriculum on Communicating About End of Life Care with Older Adult Patients and Their Families. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/36

PSA Screening for Prostate Cancer

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

This presentation provides an overview of prostate cancer, principles of screening and associated advantages/disadvantages, as well as recommendations for individuals. Two problem-case learning cases are also included.

Date posted: 
Tue, 04/23/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 04/23/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . PSA Screening for Prostate Cancer. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Screening and Prevention 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. 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. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Screening and Prevention "ACOVE" is number 6 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  1. Identify disease prevention strategies for the elderly.
  2. Document vaccination history in electronic medical records health maintenance tables.
  3. Assess exercise readiness and prescribe exercise for the elderly.
Date posted: 
Fri, 03/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 03/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
Aging Q3 Curriculum on Screening and Prevention of Older Adult Patients. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Medication Use and Safety and the Older Adult

:  
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. 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. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Medication Use and Safety "ACOVE" is number 5 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  1. Define and decrease the use of potentially unsafe medications for the elderly
  2. Define challenges in prescribing for the elderly
  3. Recognize the common causes of adverse medication events in the elderly that result in emergency department visits.
Date posted: 
Mon, 03/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Aging Q3 Curriculum on Medication Use and Safety and the Older Adult. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Obtaining a Functional History: Geriatrics and Aging through Transitional Environments (GATE) Curriculum for MS 1

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

"Obtaining a Functional History" is a curriculum for first year medical students consisting of a 1.5 hr didactic session on geriatric history-taking and includes a visit by an older adult community member who fields questions about his/her life story. Following the lecture, pairs of students visit an assigned "trained patient" living in an independent senior building that is part of a retirement community. The students conduct a geriatric functional history and home safety assessment (1.5 hrs.). (Volunteer "trained patients" were recruited for this project and participated in a 2 hr. training session to prepare them for this role. Sample training packet, training video and user's guide are included.) Students' interviewing skills are rated by "trained patients" and oral feedback is given to them as well. Students also complete a knowledge test and attitudes assessment pre and post-course, and write a 250 word reflective essay about their interviewing experience. Materials provided here include:  the lecture with speaker's notes, pre and post-tests, geriatric history-taking form, "trained patient" evaluation, and a sample "trained patient" training materials. An answer key is available upon request from Editor@POGOe.org.

Educational objectives: 

"Obtaining a Functional History"  addresses the AAMC Competencies below and teaches first year medical students how to:

1.  Assess and describe baseline and current functinal abilities (instumental activities of daily living, activities of daily living, and special senses) in an older paitent by collecting historical data from multiple sources and performing a confirmatory physical examination. (AAMC Competency #9)

2. Identify and assess safety risks in the home environment, and make recommendations to mitigate these. (AAMC Competency #11)

Additional information/Special implementation requirements or guidelines: 

To provide students the opportunity to interview geriatric trained patients, arrangements were made with a local retirement community granting permission for independent senior to be recruited for this voluntary, medical student education training program. Residents participated in an on-site, 2-hour training session, led by the authors/geriatricians, on how to evaluate students' interviewing skills. A sample training packet is provided.

Piloted in Spring 2011 at the University of Chicago Pritzker School of Medicine, GATE ("Geriatrics and Aging through Transitional Environments") is a longitudinal, competency-based curriculum for medical students. The M2 curriculum is an introduction to geriatric assessments; the M3 curriculum addresses geriatric care in the hospital; and M4 training examines care in the nursing home setting.  GATE includes a comprehensive and integrated evaluation process measuring knowledge, attitudes and skills. Supplemental materials developed by other Reynolds grantee institutions and available on POGOe are incorporated in the GATE M3 and M4 curricula.

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Obtaining a Functional History: Geriatrics and Aging through Transitional Environments (GATE) Curriculum for MS 1. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/36

Electronic References and other Information Resources for Clinicians

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

This one hour video lecture with accompanying PowerPoint slides describes resources for clinicians and caregivers, including new on-line information sources. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 
  1. List Evidence-based resources for clinicians.
  2. List free electronic resources for patients.
  3. Explain the functions of Eskind Biomedical library: Geriatrics Digital Library
Additional information/Special implementation requirements or guidelines: 

You will need to install the Microsoft Silverlight plugin to view this video. The video may take a while to load based on your connection. Please wait a few minutes if it doesn't appear right away.

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
Electronic References and other Information Resources for Clinicians. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/36

Cultural Aspect of Health Care for Vietnamese American Seniors in the Nursing Home

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

This presentation, including a discussion with a geriatrician and a Vietnamese community expert, outlines healthcare issues faced by Vietnamese American seniors living in skilled nursing homes.

Educational objectives: 
  • Review data pertaining to Vietnamese American seniors, particularly those living in skilled nursing facilities (SNFs)
  • Discuss some cultural aspects of healthcare for Vietnamese American seniors living in SNFs
Additional information/Special implementation requirements or guidelines: 

When presenting this lecture, make sure the lecture file is in the same folder on your computer as the video file. If you have difficulty playing the video in the PowerPoint, you may need to edit it within Microsoft Office. 

Date posted: 
Tue, 04/23/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 04/23/2013
Contact Person/Corresponding Author:



Suggested Citation:
Cultural Aspect of Health Care for Vietnamese American Seniors in the Nursing Home. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

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