Stanford University Geriatric Education Resource Center  

HP16: Geriatric Curriculum Guide for Residency Training, 2nd Edition

 
Geriatric Curriculum Guide for Residency Training, 2nd Edition

Table of Contents.


Inpatient/Outpatient Rotation  4
Post-acute Care and Rehabilitation Rotation  7
Specialty Women's Clinic Rotation  9
References for Specialty Women’s Clinic Rotation 11
Appendixes
   I. UCLA Geriatrics Knowledge Test 19
II.UCLA Geriatrics Attitudes Scale 24

III. Didactics Notes for Inpatient/Outpatient

25
  · Acute Pain Management 25
· Pressure Ulcers 30
· Hip Fractures and Post-op Rehabilitation 33
· Delerium 36
  · Undernutrition in the Elderly 39
  · Geriatric Psychiatry 42
  · G-tubes 45
  · Suspected Elder Abuse Reporting 47
  · Hospice Eligibility 50

GENERAL INFORMATION

The Division of Geriatrics provides an inpatient/outpatient rotation for the third year medical residents to learn care of acutely ill elderly persons, including post discharge in-home follow-up, and evaluation and management of older persons with chronic diseases in ambulatory settings. The inpatient component includes both primary care and consultation care at the Center for Health Sciences. The service is led by geriatrics faculty and follows an interdisciplinary approach.

SERVICES PROVIDED

  1. Inpatient acute care
  2. Inpatient geriatric assessment (e.g. altered mental status, discharge/ rehabilitation planning, terminal care)
  3. Outpatient geriatric assessment
LEARNING OBJECTIVES
  1. To learn the medical management of hospitalized elderly persons with acute medical or surgical illness
  2. To learn to communicate effectively with surgical and other non-internist colleagues
  3. To acquire skills in pre-operative evaluation and risk assessment
  4. To learn to anticipate and treat peri-operative complications common in hospitalized elderly patients
  5. To learn the physician’s role working as a member of an interdisciplinary team
  6. To learn about the common conditions that require hospitalization
  7. To learn patient management skills of mental status evaluation, leading family conferences, and approaching ethical issues
RESIDENT/FELLOW RESPONSIBILITIES
  1. Evaluate new admissions to geriatric service
  2. See patients daily and write notes daily at the discretion of the geriatrics attending
  3. Communicate verbally with the requesting physician immediately after seeing consultation and as needed thereafter
  4. Present one journal club or at least one clinical topic from the Key Topics list
  5. Evaluate and manage ambulatory older patients at the Internal Medicine Suite (see IMS section)

KEY TOPICS

  • Acute Pain Management
  • Mental Status Evaluation
  • Dental Assessment
  • Evaluation of Swallowing
  • Management and Care of Feeding Tubes
  • Gait Assessment
  • Physical Therapy
  • Hip Fractures
  • Delirium in Hospitalized Patients
  • Skin and Pressure Sore Management
  • Feeding Hospitalized Patients - Diets and Supplements
  • Ethical Issues in the Care of Hospitalized Patients
  • Elder Abuse
  • Community Resources and Levels of Assisted Living
  • Hospice Care
  • Pastoral Care

User Comments

The learning objectives and resident responsibilities are clear and appropriate.

I like the detailed learning objectives and the resident's schedule and didactic sessions schedule for inpatient rotation.

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