The Portal of Geriatrics Online Education

5 CBD: Formulate a diagnosis and evaluate the 3D's

5. Formulate a differential diagnosis and implement initial evaluation in a patient who exhibits delirium, dementia, or depression.

Geriatric Depression and Other Mood Disorders

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

This one hour video lecture with accompanying PowerPoint slides describes depression and other mood disorders among older adults. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 

1) Define depression and discuss prevelance in Older Adult population.

2) List treatment options (acute & preventative) including psychotherapy and pharmacotherapy.

Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG)

Date posted: 
Wed, 08/13/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 08/13/2014
Product Viewing Instructions: 
This video may take a few moments to load depending on your connection. Please wait if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Depression and Other Mood Disorders. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/82

Palliative Care Lectures

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

This educational series of lectures was designed with a focus to teach the medical professional training in palliative care medicine and can be used to teach advanced care nurses, medical students, residents and fellows.  The lectures cover a variety of topics in palliative medicine, ranging from the basics to specialty areas, and include case studies to supplement the teaching.

In addition to pain and symptom management, there are specific lectures to discuss common symptoms such as nausea, vomiting, constipation, diarrhea, and shortness of breath. The psychosocial care of the patient is addressed including depression, goals of care, ethics, and spiritual care.  Specialty lectures include palliative chemotherapy and palliative surgery as well as special cases at end of life in dementia patients. There are lectures covering the last hours of life, controlling terminal delirium and anorexia, as well as risk benefits of tube feeding at end of life.  In addition there is a lecture on terminal weaning and ventilator withdrawal.

References include relevant articles that were used to help create the lectures and should be accessed for further study. Topics seen on the palliative medicine board examination are covered and reviewed.

Educational objectives: 
  • To review the general principles of palliative care and hospice
  • To discuss the evaluation and management of pain and non-pain symptoms
  • To review the assessment and treatments of common symptoms in palliative medicine and hospice
  • To review special issues in palliative care including dementia, palliative chemotherapy, & palliative surgery
  • To discuss spirituality and psychosocial aspects of palliative medicine
  • To review ethical principles in medicine and important topics in end of life
  • To discuss patient interactions including goals of care, advance directives and legal issues in palliative care
  • To provide an overview for the palliative medicine and hospice board examination
Date posted: 
Mon, 04/13/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 04/13/2015
Contact Person/Corresponding Author:



Suggested Citation:
Palliative Care Lectures. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/82

Brief Cognitive Screening in Older Adults

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

This module provides an overview of a variety of brief cognitive screening measures that exist in the public domain and can easily be integrated in care settings that serve older adults. The online module is designed to be an interactive didactic experience, which includes short videos, reflection questions, and experiential exercises.

Although this module is best implemented as a group activity with partners (particularly Section 3, which includes role play as both clinician and patient), it can be adapted and completed individually as well.

Educational objectives: 
  1. Discuss the purpose of evidence based brief cognitive screening instruments
  2. Review pros and cons of five brief screens
  3. Practice administration and scoring of brief cognitive screens.
Additional information/Special implementation requirements or guidelines: 

The entire course for Brief Cognitive Screening for Older Adults is hosted on the Oklahoma Geriatric Education Center (Ok-GEC) website through the Donald W. Reynolds Dept of Geriatric Medicine at the University of Oklahoma Health Sciences Center (OUHSC). http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf and consists of three sections:

  1. Intro to Brief Cognitive Screens for Older Adults: Includes link to webinar and two open-ended reflection questions (Survey Monkey link).
  2. Selecting a Brief Cognitive Screen for Older Adults: Includes link to webinar, links to download and review 5 brief cognitive screening tools, and reflective question (Survey Monkey link).
  3. Experience Using a Brief Cognitive Screen for Older Adults: Includes link to webinar, an experiential exercise of provider/patient role play (you will need to find a partner for this exercise) with instrument of choice (from the links provided in Section 2) to practice administration and scoring, reflective question, and final learner and course assessments (Survey Monkey link).
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 05/01/2015
Product Viewing Instructions: 
Please view course at: http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf
Contact Person/Corresponding Author:



Suggested Citation:
Brief Cognitive Screening in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/82

Delirium: Prevention and Management in Hospitalized Elders

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

This course is intended for interdisciplinary members of the healthcare team in the hospital setting to improve knowledge of issues surrounding delirium in the elderly hospitalized patient. This 23-question module focuses on the evidence behind the recognition, prevention, and management of delirium in the geriatric patient.

Educational objectives: 

Upon completion the learner will be able to:

1. Use the Confusion Assessment Method to screen for delirium.

2. Understand features that differentiate delirium from dementia.

3. Name at least  five risk factors for delirium and techniques that target each risk factor to prevent the development of delirium.

4. Name at least three drugs that should be avoided in the geriatric patient.

5. Understand basic principles to the management of delirium, including work-up, behavioral management, and pharmacologic management.

6. Understand the importance of documentation of delirium and ways to improve transitions of care.

Additional information/Special implementation requirements or guidelines: 

This program will consist of 23 multiple choice questions on delirium in the geriatric patient in the hospital setting. The module will begin with two questions every other day in a single email from the website, www.qstream.com. This website will facilitate the delivery of questions and answers to the participant. You must log in to the website from the link posted above.

  •  If a question is answered incorrectly, the participant will receive the same question 5 days later.
  •  If a question is answered correctly, the participant will receive the same question 14 days later.
  •  If the participant answers the question correctly two times in a row, the question is then retired from the program and  is no longer repeated.
  •  The participant will complete the program when all 23 questions are retired (each question is answered correctly twice in  a row).  However, CE credit may be given when the program is 80% completed.

Given these parameters, it is estimated that the participant will complete the program in less than three months.

Participants may receive credit or contact hours ONLY by completing 80% of the questions in a module AND completing the end of module survey in LESS than four months time of enrollment.

Date posted: 
Wed, 11/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 11/13/2013
Product Viewing Instructions: 
You must register for the class and create a username
Contact Person/Corresponding Author:



Suggested Citation:
and . Delirium: Prevention and Management in Hospitalized Elders. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/82

Pathophysiology and Treatment of Dementia

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

This one hour video lecture with accompanying PowerPoint slides describes pathology and symptoms of dementia in the elderly. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 
  1. Define pathology and symptoms of dementia in the elderly.
  2. Explain diagnosis of dementia and loss of memory in the elderly.
  3. List the behavioral and pharmacological treatments that are available for the elderly.
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

The video may take a few moments to load based on your connection. Pleae wait if it does not appear right away.

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



Suggested Citation:
Pathophysiology and Treatment of Dementia. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/82

Caring Across the Continuum: Mrs. Porter Age 81

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Three: Mrs. Porter Age 81- Introduction to Common Geriatric Syndromes. This case, the third in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to in-patient care, delirium and the interprofessional team (IPT) roles. The case is set in an Acute Care of the Elderly (ACE) Unit. Mrs. Porter is admitted to the ACE Unit with Dr. Pat and members of the IPT because she has had an unwitnessed fall and is delirious. Concepts included in this case are common etiologies and risk factors for falls; benefits of an IPT assessment in the ACE Unit; the effect of medication on falling; fall-induced delirium; types of delirium; the Confusion Assessment Method (CAM); obtaining a complete History of Present Illness; pain assessment; abnormal review of symptoms; and pre-operative testing.  After thorough evaluation, it is determined that Mrs. Porter has a fractured hip and will undergo surgery. The case concludes with a request of the learner to provide a complete pre-operative review of Mrs. Porter's assessment and exam.

Educational objectives: 

On completion of Case Three: Mrs. Porter Age 81, students will be able to:

  1. Define and describe select components of diagnosing an unwitnessed fall
  2. Describe multiple risk factors of falls
  3. Assess delirium using the Confusion Assessment Method (CAM) tool
  4. Provide a comprehensive abnormal review of symptoms for patient diagnosis
  5. Prepare a comprehensive pre-operative patient review
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 81. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/82

Clinical Teaching Vignette (Preceptor Version)

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

This clinical vignette is designed to evaluate medical student skills in specific areas of geriatric and palliative medicine. It is separated into four days. Student complete one day of the vignette each day, beginning with Monday and finishing Thursday. Discussion of responses to vignette questions with preceptors is encouraged, and preceptors are asked to review students' answers, provide feedback and sign off on each day's questions. Topics covered include risk factors and prevention of falls in older adults; BEERS Criteria application to a patient case; pain management for an older adult; and, health communication and delivery of bad news to a patient.

 
Educational objectives: 

On completion, the learner will be able to:

  1. Identify risk factors of falls and describe approaches to reduce falls.
  2. Identify signs and symptoms of delirium and recognize common causes of delirium.
  3. Outline a pain management plan including an initial opioid drug regimen.
  4. Generate a 6-step approach based on SPIKES to use when discussing the bad news.  
Additional information/Special implementation requirements or guidelines: 

This vignette can be used alone or in combination with the TEXAS Medical Clerkship Program. The estimated completion time is per day of vignette activity.

The vignette was developed by Amy L Holthouser, MD and adapted with premission by Shannon Pearce, DNP, Grace Varas, OD, and Jennifer Larson, MSE

This product was reviewed by UT Health.

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

Larson, J.A., Young, K., Pearce, S., Varas, G., Ostwald, S., Murphy, K., Holthouser, A., & Dyer, C. (2012, November). Use of a Clinical Vignette to Bridge Experiential Differences on a Geriatric and Palliative Clinical Rotation.  Poster session presented at   The Gerontological Society of America's 65th Annual Scientific Meeting, San Diego, CA.

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 . Clinical Teaching Vignette (Preceptor Version). POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/82

Improving Antipsychotic Appropriateness in Dementia Patients

:  
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: 

This website includes information and resources to help clinicians, providers, and consumers better understand how to manage problem behaviors and psychosis in people with dementia using evidence-based approaches. This includes brief lectures, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia (a.k.a. Alzheimer’s disease and others). You can also request laminated quick reference guides to use in your practice, which can help you put the strategies you learn about into action.

Educational objectives: 
On completion, the learner will be able to:
  1. List appropriate initial assessments to help determine the causes of problem behaviors or psychosis in dementia.
  2. Apply non-drug strategies to manage problem behaviors or psychosis in dementia.
  3. Assess delirium signs and symptoms using a delirium screening tool.
  4. Determine when an antipsychotic might be appropriate or inappropriate in a person with dementia, depending on symptoms and the type of dementia.
  5. Select an optimal antipsychotic for a patient with dementia based on efficacy, side effects, and patient comorbidities.
  6. Recognize antipsychotic side effects in a person with dementia.
  7. Discuss the risks and benefits of antipsychotics with patients and families using a shared decision making information sheet as a guide.
Additional information/Special implementation requirements or guidelines: 

This program is supported by the Agency for Healthcare Research and Quality (R18 HS19355-01).

The quick reference guides were reviewed by healthcare practitioners and direct care providers during development. The family guide was reviewed by the New Readers of Iowa and Alzheimer's Association support group participants.

Viewing the videos requires a broadband Internet connection, sound capability, and one of the following supported browsers, with JavaScript enabled:

  • Internet Explorer 7 or later on Windows with Flash version 11.1 or later
  • Chrome 15 or later, Firefox 8 or later, or Opera 10.5 or later on Windows
  • Firefox 8 or later, or Safari 5 or later on Mac OS X
  • iPad 1 or later

Viewing and printing the products and the evidence-based reviews requires Adobe Reader.

Publications from, presentations from, and/or citations to this product: 
  1. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the College of Psychiatric and Neurologic Pharmacists Annual Meeting, Tampa, FL; April 29-May 2, 2012. 
  2. Carnahan R, Abrams MA, Weckmann M, Savage B, Daly J, Kelly M, Levy B, Mulhausen P, Reist J, Seydel L, Smith M, Raether R, Abrams E, Holland R, Schultz S. Development of a reader-friendly patient and family guide to facilitate shared decision making on antipsychotic use in dementia. Presented at the Health Literacy Iowa and New Readers of Iowa Conference, Des Moines, IA; April 13-14, 2012.
  3. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Uhlenkamp L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the American Health Care Association/National Center for Assisted Living Quality Symposium, Houston, TX; Feb 23-24, 2012.
  4. Weckmann M, Daly J, Gryzlak B, Kelly M, Lenoch S, Levy B, Reist J, Schultz S, Seydel L, Smith M, Carnahan R. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the Academy of Psychosomatic Medicine Annual Meeting. Phoenix, AZ; November 16-20, 2011.

This product has also been the subject of oral presentations at the American Association for Geriatric Psychiatry 2012 annual meeting, the American Society of Consultant Pharmacists 2011 annual meeting, and a number of regional, state, and local conferences.

 

Date posted: 
Mon, 08/27/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Improving Antipsychotic Appropriateness in Dementia Patients. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/82

Geriatrics: A Resource Guide for Primary Care (iBook available on iTunes)

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

This FREE interactive iBook is intended to cover the most common geriatric topics seen in primary care. The first edition covers: Geriatric Assessment, Polypharmacy, Falls, Dementia, Delirium, and Frailty. The iBook includes presentations, podcasts, videos, links to evidence-based resources and board review questions. The target audience includes physicians, residents, medical students, nurse practitioners, and physician assistants.

Educational objectives: 

Overview of common topics seen in primary care including: Geriatric Assessment, Polypharmacy, Falls, Dementia, Delirium, and Frailty.

Additional information/Special implementation requirements or guidelines: 

Download from iTunes FREE. This iBook can only be viewed using iBooks2 on an iPad. iOS5 is required.

Date posted: 
Tue, 01/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/29/2013
Contact Person/Corresponding Author:



Suggested Citation:
Geriatrics: A Resource Guide for Primary Care (iBook available on iTunes). POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/82

ElderQuest

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

ElderQuest is an interactive 3-D videogame aimed at helping medical students learn the AAMC geriatric competencies. The first 5-mission playpack of a single-player game has been completed, during which the player starts a journey to save the Grey Sage and the Kingdom from various hazards. Game content reinforces medication management, cognitive disorders, falls, self-care capacity and atypical presentation of disease. Key members of the geriatrics team are integrated into the game and storyline in order to illustrate the interprofessional team-based model for geriatric care. Educational metrics measuring geriatrics content and learner performance are mapped to specific AAMC competency areas and programmed to generate in-game feedback to the player as they accomplish each mission. An example screenshot of a player debriefing screen is provided. A survey to evaluate student acceptance of video gaming as a learning tool has been developed and is also provided.

Educational objectives: 
  1. Use first-person interactive game play,  competition  and immediate player feedback to acquire competition geriatrics content knowledge and guide self-improvement.
  2. Apply AAMC geriatric competencies related to medication management, cognitive disorders, falls, self-care capacity and atypical presentation of disease to game challenges
  3. Improve retention of geriatrics content knowledge acquired about AAMC geriatric competencies. Improve retention of geriatrics content knowledge acquired about AAMC geriatric competenImprove retention of and proficiency in AAMC geriatric competencies linked to game play success. 
Additional information/Special implementation requirements or guidelines: 

Live internet access by a computer with traditional keys and a mouse is required to 1) access the website which hosts the game and 2) execute game commands. You must download and install the free Unity game engine in order to play.

Measurement of specific student performance data other than general in-game debriefing screens for the player, such as item performance and time spent in game,  requires contracting with the game developer, Brainstorm Rising, LLC, for a site-specific database. Game progress may be saved at the end of any mission by the player. The game may be played multiple times in multiple sessions for as long as desired. In-game help is available for geriatrics content knowledge related to the game. 

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

Pomidor A, Pomidor B, Granville L, Brummel-Smith K, Baker S. ElderQuest: Video Game Fun with the AAMC Competencies. Poster presented at the 2011 American Geriatrics Society Annual Scientific Meeting, May 12, 2011, National Harbor, MD. 

2011 American Geriatrics Society Annual Scientific Meeting, National Harbor, MD.  Model Geriatric Programs: Geriatric Education Materials and Methods Swap. “ElderQuest: Video Game Fun with the AAMC Competencies” May 12, 2011. 

Harris S. Video Games as Medical Education Tools.  AAMC Reporter. June 2011. https://www.aamc.org/newsroom/reporter/june2011/250894/games.html Acc

Accessed , accessed  

 

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



Suggested Citation:
ElderQuest. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/82

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