Each year, the grantees of the Donald W. Reynolds Foundation meet to share the work that they have accomplished. This is a list of the Assessment Products showcased at the 2010 Reynolds Meeting (October 24 - 27, 2010). The list is alphabetical and arranged by grant cohort. To view the product on POGOe, click the product name.

Cohort 4

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Medical University of South Carolina College of Medicine  

• Aging Q3 Academic Detailing Poster - year 2 - by Moran
  Expected availability date: TBA
  This poster illustrates the detailing process for the 3rd - 6th ACOVE areas, Dementia, Continuity of Care, and Medication Use and Safety
• Process Logic Model - by Jane Zapka
  Expected availability date: TBA
  Evaluation and Monitoring tool

University of Alabama School of Medicine  

• Web-GEM (Web-based Geriatric Education Modules) - Delirium - by C. Harada
  Expected availability date: TBA
  This is an online educational tool focusing on the issue of Delirium that will be used in the third-year clerkships.

University of California, Irvine, School of Medicine

• Identifying Alzheimer's disease, other forms of dementia and concomitant psychosocial issues including elder abuse and convservatorship issues - by Kheriaty
  Expected availability date: TBA
  A problem-based learning case featuring a 73-year-old female patient with cognitive impairment. The focus of the PBL case is on teaching third-year medical students about assessment and diagnosis of Alzheimer's disease and other forms of dementia, issues of elder abuse, challenges of caring for demented patients, and the prevalence of caregiver burnout.
• Dementia & Caregiver Stress - by Vega
  Expected availability date: TBA
  OSCE case includes a presentation by middle-aged female with caregiver stress as she takes care of parent with dementia.
• Comprehensive Curricula on Transition in Care composed of several (7) components - by Wang
  Expected availability date: TBA
  7) Discharge Assessment Tool (dCEX)

University of Massachusetts Medical School

• Medicine Clerkship Geriatrics Formative OSCE: Older Adult with Fatigue - by Gary Blanchard, et al.
  This is a standardized patients case focused on the presentation and differential diagnosis of depression in an older adult. This was developed as a formative experience for 3rd year medical students during the Medicine Clerkship. Students debrief with a geriatrician after this formative OSCE.

University of Medicine and Dentistry of New Jersey

• Standardized Patient Case: Gina Babkins - Dehydration secondary to Polypharmacy - by Overbeck, Elahi, Chopra, Bhalla, Bennett and Pamela Basehore
  Expected availability date: TBA
  A standardized simulated patient case on dehydration secondary to polypharmacy designed as a summative assessment of third and fourth year medical students.
• Standardized Patient Case: Mary Smith - Diabetes Counseling - by Overbeck, Elahi, Chopra, Bhalla, Bennett and Pamela Basehore
  Expected availability date: TBA
  A standardized simulated patient case on diabetes counseling designed as a summative assessment of third and fourth year medical students.
• Chart Stimulated Recall for Psychiatry Residents
  Expected availability date: TBA
• Geriatric Medicine Fellowship Chart Stimulated Recall
  Expected availability date: TBA

University of North Texas Health Science Center

• (KBIT) Knowledge Based Inference Tool Delirium Module - by Frank Papa, Jennifer Heffernan and Michael Oglesby
  Expected availability date: TBA
  Web-Based Differential Diagnosis Training Program

University of Texas Southwestern Medical Center

• Reynolds-Eisenberg Inpatient Service Pre/Post Knowledge Test - by Kathryn Eubank (editor)
  Expected availability date: TBA
  Knowledge Test given pre/post month long inpatient rotation
• OSCE MS3 IM Clerkship - by Amit Shah and UT Southwestern Clinical Skills Center
  Expected availability date: TBA
  This is an OSCE used during our MS3 clerkship OSCEs
• OSCE MS3 OB-GYN Clerkship - by Vanessa Rogers and UT Southwestern Clinical Skills Center
  Expected availability date: TBA
  This is an OSCE used during our MS3 clerkship OSCEs
• OSCE MS3 FM Clerkship - by Dan Sephdam and UT Southwestern Clinical Skills Center
  Expected availability date: TBA
  This is an OSCE used during our MS3 clerkship OSCEs
• OSCE MS3 Neurolgy Clerkship - by Mike Singer and UT Southwestern Clinical Skills Center
  Expected availability date: TBA
  This is an OSCE used during our MS3 clerkship OSCEs

Wake Forest University School of Medicine

• Medical Student Falls Risk Competency Tracking - by Jamehl Demons
  Expected availability date: TBA
  In this experience, the student accompanies an assessor for the Meals on Wheels program to evaluate homebound seniors for their fall risk. The student obtains subjective and objective information including the number of falls, medications, visual acuity, cognition (using the Mini-Cog assessment instrument), and physical function. The student then determines the client's risk of falls as learned through assigned readings and resources on falls prevention guidelines, functional assessment and medication management in the elderly. The information obtained by the student, the risk assessment and the medication assessment are reviewed and turned in at a weekly meeting with an attending geriatrician.
• Medical Student Skills and Daily Resources Checklist - by Mary Lyles and Hal Atkinson
  Expected availability date: TBA
  This is a format for students to track specific clinical and didactic tasks related to the competencies during their week-long geriatrics rotation experience. In addition to the students' experience in palliative care, this form provides tracking for exposure to select geriatrics competency domains encountered during the week.
• Clinical Performance Examination Dementia Case - Developed by educators from several schools in NC, adapted by curriculum committees at each
  Expected availability date: TBA
  Done at the beginning of 4th year of medical school, case used in other schools in NC in the past

Cohort 3

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Albert Einstein College of Medicine of Yeshiva University

• Clinical Evaluation Exercise (Mini-CEX) Mini-Cog - by Amy Ehrlich
  Expected availability date: TBA
  Mini-CEX with faculty guide for direct observation of trainee performing a Mini-Cog
• Clinical Evaluation Exercise (Mini-CEX) Advanced Directives: Obtaining a Health Care Proxy - by Amy Ehrlich and Hannah Lipman
  Expected availability date: TBA
  Mini-CEX with faculty guide for direct observation of trainee obtaining a Health Care Proxy

Florida State University College of Medicine

• OSCE: Dementia - by Lisa Granville
  Expected availability date: Coming soon
  This product provides a detailed checklist for the student with explicit scoring criteria embedded with 4 principles of care and an interpretation of mental status assessment tool. (formative assessment/summative assessment); assesses history taking, physical exam, and clinical reasoning; includes interpretation of mental status assessment tool
• OSCE: Polypharmacy
  Expected availability date: TBA
  Detailed checklist with explicit scoring criteria embedded with 4 principles of care; assesses history taking, physical exam, and clinical reasoning; includes medication reconciliation activity
• OSCE: Fatigue
  Expected availability date: TBA
  Detailed checklist with explicit scoring criteria embedded with 4 principles of care; assesses history taking, physical exam, and clinical reasoning; includes medication reconciliation activity
• OSCE: Urinary Incontinence - by Lisa Granville
  Expected availability date: Coming soon
  This product provides a detailed checklist for the student with explicit scoring criteria embedded with 4 principles of care, a comprehensive overview for the standardized patient including a simulated Voiding Diary, and learner instructions for the exam as well as for the interpretation of the bladder diary. The examination assesses history taking, physical exam, and clinical reasoning. (formative assessment/summative assessment)

Texas Tech University Health Sciences Center School of Medicine

• Online Geriatrics Knowledge & Attitude Instrument
  Expected availability date: TBA
  Used with permission from UCLA
• TTUHSC Podcasting Evaluation - by Betsy Goebel Jones
  Expected availability date: TBA
  On-line assessment tool to measure learners' satisfaction with and content retention for geriatric podcast episodes
• Evaluation of Reynolds lecture series
  Expected availability date: TBA
  This instrument is a useful template for other evaluation activities
• Archie Daniels: Objective Structured Clinical Exam case
  Expected availability date: TBA
  This instrument is used as part of a required OSCE at the end of the MS3 year

University of California, San Francisco, School of Medicine

• MMSE CEX - by Bree Johnston
  This is a structured clinical evaluation exercise (mini-CEX) that is designed to be used with any level of learner. The purpose is to observe how well the learner administers and scores the Mini Mental State Exam.
• Standardized patient performance exam (CPX) - Geriatrics patient case (Doris Walker) - by Murphy, Bree Johnston and Aronson
  Expected availability date: TBA
  Skills regarding medication reconciliation, hazards of hospitalization, gait assessment, ADLs/IADLs
• Robin Young Standardized Patient Case - by Anna Chang, et al.
  Expected availability date: TBA
  This standardized patient can be used for formative evaluation or summative evaluation of third year students.
• Resident Performance: Goals of Care Discussions: Communication Skills Preceptors Log (mini CEX) - by Kao
  Expected availability date: TBA
  This clinical evaluation exercise (CEX) is to be used by preceptors to observe and assess resident communication skills during a goals of care/end of life discussion with a patient/family

University of Kansas School of Medicine

• Geriatric Clinical Skills Card & Clinical Skills Packet
  Expected availability date: TBA
  Ensures developing an initial competency for 10 geriatric clinical skills during the clerkship.
• Geriatric Skills Fair - by Shelley Bhattacharya and Sally Rigler
  Expected availability date: TBA
  Expose students to selected screening tools and clinical assessments that are necessary to care for older adults.

University of Utah School of Medicine

• MS3 Inpatient Pearl Cards and Exam - by Nathan Wanner and Andrew Freeman
  Expected availability date: TBA
  7 laminated pocket cards addressing 7 of the AAMC core competency domains. Also, a 35-question exam assessing the students knowledge of these 7 topics
• Ambulatory Modules - by Natalie Sanders
  Expected availability date: TBA
  Student assessment of self-care capacity and falls, cognition and affect, and medication management in older adults
• Attitudes Toward a Career in Geriatrics - by Charlene Weir
  Expected availability date: TBA
  Measurement of intention to pursue a career in geriatrics

Vanderbilt University School of Medicine 

• Commitment-to-Change Questionnaire Series for Continuing Medical Education - Donna Rosenstiel, Renee Porier, Marie Brault, James Powers and Donald Moore
  Expected availability date: TBA
  This tool consists of three surveys (the first survey is paper-based; the second and third surveys are electronic). The first survey is administered at the end of a specific Continuing Medical Education (CME) activity. Each participating learner is asked to outline one or more specific changes in clinical practice he or she intends to make in the following 3-4 months based on learning at the CME activity. Follow-up questionnaires at 2 months and 4 months after the activity assess progress toward commitments and query participants about obstacles to, and facilitators of, practice change.
• Standardized Patient Exercise -- Medications Review - James Powers, Donna Rosenstiel, Lisa Rawn, and Deborah Harrell
  Expected availability date: TBA
  Standardized patient exercise and details regarding faux bottles of medications; team of 2-3 students reviews medications with older adult patient

The Warren Alpert Medical School of Brown University

• Exam Questions relevant to Aging per system - by Richard Besdine, Robert Crausman and Ana Tuya, Editors
  Expected availability date: TBA
  Aging exam questions compiled for the following preclinical courses: cardiovascular, endocrine, gastroenterology, renal, supporting structures, neuroscience, immunology, microbiology, pharmacology, and hematology.
• Virtual Wilson Family - Small Group Discussion Cases - by Julie Taylor and David Anthony
  Expected availability date: TBA
  Cases for the Family Medicine clerkship exploring health care issues spanning 5 generations of one family
• "Mrs. Veneris" Case - by Mark Fagan
  Expected availability date: TBA
  Case for the Internal Medicine clerkship based on 82 yo female presenting with fever and changes in mental status
• "Naomi Nighthawk" Case - by Ana Tuya and Steve Smith
  Expected availability date: TBA
  Case for the Internal Medicine clerkship based on 93 yo female presenting with weight loss.
• "Anabel Faria" Case - by Richard Besdine and Steve Smith
  Expected availability date: TBA
  Case for the Internal Medicine clerkship based on 80 yo female presenting with falls, headache.
• Reynolds Project Year 1 Assessment - by Renée Shield and Susan Campbell
  Expected availability date: TBA
  7 question survey assessing the success and limitations of the Reynolds Project year 1 - completed by committee members involved in the fulfillment of the Reynolds tasks.
• Anabela Faria - by Stephen Smith
  Expected availability date: TBA
  80-yo woman who falls, suffers a subdural hematoma, later develops Alzheimer's disease
• Design, Implementation, and Evaluation of a Pre-Clinical Elective on Aging and the Human Eye: Cataracts and Cataract Surgery - by Carly Seidman
  Expected availability date: TBA
  Pre-clinical elective
• Delirium OSCE - by Tim Farrell and Paul George
  Expected availability date: TBA
  OSCE of an older woman with delirium for students to learn the signs of delirium and how to differentiate from dementia and depression
• Domestic Violence OSCE - by Stephen Smith
  Expected availability date: TBA
  OSCE of an older woman suspected of being a victim of domestic violence
• Atrial fibrillation OSCE
  Expected availability date: TBA
  OSCE of a 79 year old woman with atrial fibrillation
• Chest Pain - Costochondritis OSCE - by AnnGene Giustozzi
  Expected availability date: TBA
  OSCE of middle aged/older man/woman with chest pain with history of arthritis and high blood pressure
• Standardized patient case of 85 year old woman who fell
  Expected availability date: TBA
  Standardized patient case of 85 year old woman who has fallen

Cohort 2

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Emory University School of Medicine

• Discharge Summary Quality Assessment - by Manuel Eskildsen
  Expected availability date: TBA
  Evaluates quality of discharge summaries; used as part of Intern care transitions curriculum

Indiana University School of Medicine

• Delirium OSCE Case - by Robert Vu and Glenda R. Westmoreland
  A case for the Senior OSCE is used to assess students' communication, professsionalism, and basic clinical skills around altered mental status.

University of Chicago, The Pritzker School of Medicine

• PATCH (Palliative Access Through Care at Home) Match - by Deon Cox-Hayley, Aliza Baron and Lisa Mailliard
  Expected availability date: Coming soon
  PATCH Match is a competency-based, virtual training experience in geriatric palliative home care, accessible online and suitable for a wide range of health care professionals such as medical and nursing students, residents, fellows, and others. Through simulated home visits, PATCH Match aims to teach learners to recognize that visiting frail older adults in their homes provides a more comprehensive understanding of patients, and that palliative care can be delivered effectively on home visits.
• Palliative Care/End of Life Boot Camp for Incoming Interns - by Shellie Williams
  Expected availability date: TBA
  Standardized patient and family meeting encounters on notification and pronouncement of death. Materials and methods include: slides, pocket card and tools for student self-preparation, in-person refresher lecture, SP materials, and learner assessment instruments.

University of Cincinnati College of Medicine

• Longitudinal Encounters with Alzheimers Disease Standardized Patients (LEADS) - by Timothy Lewis, E. Gordon Margolin, Irene Moore and Gregg Warshaw
  Through the use of standardized patients (SP), residents meet Tess Clermont, a 78 year old woman with memory problems and her daughter, Linda Stevens. During their first encounter with Mrs. Clermont they review her prior assessments and determine her primary diagnosis, explain the cause of her cognitive and functional impairments and make treatment recommendations. During 2 subsequent encounters they assist Mrs. Clermont and her daughter understand and cope with her progressive illness. Residents' standardized patient stations are videotaped for educational review.

University of Miami Leonard M. Miller School of Medicine

• Dementia and Delirium OSCE - by Rose van Zuilen
  Expected availability date: TBA
  The objectives of this 12-15 minute OSCE are for the learner to perform an assessment of a confused elderly patient accompanied by a concerned caregiver and to advise the family of appropriate management regarding the causes and treatment of the confusion. Materials include a patient and caregiver script, student instructions, and a performance checklist.

University of Missouri School of Medicine

• Breaking Bad News OSCE: Joann Borgman - by Fleming, David Avery
  Expected availability date: TBA
  This OSCE Scenario will evaluate ability to review the basic principles of patient-centered disease dialogue including communication elements setting, empathy, compassion, listening skills, use of physical touch, and importance of the physician-patient relationship It will also evaluate the student's understanding and ability to respond to the coping strategies used when patients and families are dealing with stages of life-changing illness.

University of North Carolina at Chapel Hill School of Medicine

• Carolina Opinions on the Care of Older Adults (COCOA) - by Hollar and Roberts
  Expected availability date: TBA
  Measures beliefs and attitudes regarding caring for older adult patients
• Carolina Opinions on the Care of Older Adults (COCOA) instrument - by Hollar and Roberts
  Expected availability date: TBA
  Attitude and Belief instrument for assessing attitudes on caring for Geriatric patients.

Cohort 1

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Medical College of Wisconsin

• Objective Structured Video Exams (OSVEs)
  Each tool was explicitly designed to address at least 2 ACGME competencies beyond medical knowledge and patient care and includes an Instructor's Guide, a Q & A sheet, a Scoring Key, and a video trigger. For example, one trigger presents a phone conversation between a patient's son and the physician regarding the mental status of his father who has a history of memory loss and depression.
  

  Objective Structured Video Exams (OSVEs)-- Case #1: Mr. Andrews
  Objective Structured Video Exams (OSVEs)-- Case #2: Mr. Malone
  Objective Structured Video Exams (OSVEs)-- Case #3: Mrs. Violetta Mitsuko Tang
  Objective Structured Video Exams (OSVEs)-- Case #4: Mr. Clifford

University of Michigan Medical School

• UM Geriatrics Clinical Decision Making Instrument - by James T. Fitzgerald and Brent Williams
  24-item multiple choice instrument for assessing knowledge of clinical geriatrics among health professionals. The instrument emphasizes inpatient care and common geriatric syndromes.

University of Rochester School of Medicine and Dentistry

• Skills in Complete Patient Exam Guidebook
  Expected availability date: Coming soon

Yale University School of Medicine

• IMAGE CASES: Computer Assisted Simulated Encounters - by Margaret Drickamer
  This product consists of 6 interactive cases in a format similar to those used in Board Examinations. As you work through these cases, you will be given information about the correct answers and short didactics on topics relevant to the case. Cases include 2 geropsychiatry, 2 gynecology, one neurology and one outpatient geriatric cases.
• Geriatric Interview Observation Tool - by Margaret Drickamer
  Expected availability date: TBA
  A two-page observation tool that can be used for formative or summative evaluation of a trainee interviewing a geriatric patient

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University of Arkansas for Medical Sciences

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• Evaluation of a Teaching Module on Hospice and Palliative Care - by Kutagula
  Expected availability date: TBA
  CD based module given to 3rd yr medical students during Geriatrics Clerkship. This module supplements 6 hr palliative care training during clerkship. The module was evaluated using the OSCE.

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University of Oklahoma College of Medicine

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• OSCE on Dementia and on E..O.L. - by Germaine Odenheimer
  Expected availability date: TBA
  Paperwork associated with an OSCE regarding End of Life. Inpatient visit with 75 yo female with recurrent lung cancer. Focus is on giving bad news, DNR discussion, wishes, etc. Includes instructions for SP and MS-4, plus grading forms, etc.

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