Stanford University Geriatric Education Resource Center  

Packaged Methods for Teaching Geriatric Skills

The four products below provide materials that will allow other sites to successfully implement labor-intensive and learner performance-based educational methods.

Advance Directives and End-of-Life Discussions

A video and syllabus provide both teachers and learners with a structure for exploring personal and patient values as they relate to medical decision making and advance care directives. Actual demonstrations of decision-making methods in the video are highlighted in the manual. Patient physician dialogues based on real-life experiences provide a template for initiating and conducting similar discussions with patients. These materials are designed for very flexible use. An instructor's guide permits teachers to review methods of teaching these concepts to learners with a wide variety of backgrounds. Helpful hints on teaching strategies are presented. For the learner, the tape and accompanying workbook can be utilized independently, and may be assigned prior to a directed teaching session. Finally, the video material lends itself to direct learner-teacher interaction both in a one-on-one or group situation.

Developer: University of Rochester School of Medicine, Division of Geriatrics


11-page manual, 8 1/2" x 11" with binder and accompanying 30-minute DVD
Price: $60, Product ID: HBV18

Geriatric Assessment and the Twenty-Minute Visit

A video and instructional materials outline how to conduct an efficient, yet comprehensive evaluation of an older patient. These materials can be used by both teachers and learners in any setting. They describe an initial patient encounter and some of the more commonly used instruments of geriatric assessment in the areas of daily activities, hearing, vision, gait, and emotional and cognitive states. Methods of integration are demonstrated through patient-physician encounters with an emphasis on aspects of communication around real life situations. This module is very well sui ted to self-instruction. Learners may utilize the video and workup to initially learn techniques of interviewing and examining older patients, or they may review discrete portions of the video for remedial purposes. The video is very well suited to a structured group teaching exercise.

Developer: University of Rochester School of Medicine, Division of Geriatrics


24-page manual, 8 1/2" x 11" with binder and accompanying 29-minute DVD
Price: $80, Product ID: HBV19

Memory Loss and Depression in the Elderly: Assessment and Treatment Objective Structured Clinical Examination (OSCE)

This training manual is designed for teaching primary care geriatrics and providing constructive feedback to medical residents on clinical and communication skills. A series of four interactive stations follows a patient and her spouse through the diagnosis and progression of a debilitating illness. Each station has an accompanying manual that contains scripts and instructions for simulated patients, patient chart information, evaluation forms for patients to rate the resident's skills, evaluation forms for residents to rate the OSCE process, teaching notes and guiding principles in the orientation and debriefing process of residents.

Developer: Baylor College of Medicine, Huffington Center on Aging


51-page manual, 8 1/2" x 11" with binder
Price: $45, Product ID: HB25

Geriatrics Objective Structured Clinical Exercises (GOSCEs)

A video and written materials instruct the user how to both teach primary care geriatrics and provide a setting for feelback and evaluation of interviewing, diagnostic and management skills for residents. The GOSCE stations may also be used as a geriatrics faculty development tool. Stations cover four key topics: Falls, Urinary Incontinence, Dementia and Delirium, and Advance Directives. Materials for each station include scripts and instructions for the simulated patient, a core-content outline, detailed teaching notes, instructions and a list of goals and topics to be covered, and an introduction to the station for residents as they enter the station. The stations are currently written to assess the skills and knowledge of family medicine and internal medicine residents, but they could be adapted by the user to instruct and/or assess medical students or residents from other disciplines.

Developer: Harvard Medical School, Division on Aging


77-page manual, 8 1/2" x 11" with binder
Price: $60, Product ID: HBV30

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