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 POGOe products showcased at the 2011 Reynolds Meeting (October 24 - 26, 2011). The list is alphabetical and arranged by grant cohort. To view the product on POGOe, click the product name.

Special Guests

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American Medical Association

• Physician's Guide to Assessing and Counseling Older Drivers - by Lela Manning, et al.
  This guide can help physicians address the driving safety of their older patients and better understand the public health issues involved. Topics covered in the guide include screening, assessing functional abilities, handling evaluations and referrals, conditions and medications that may impact driving, addressing safer driving, and counseling those who are no longer able to drive. A section with worksheets and resources for older patients and caregivers is also included.
• Health Literacy and Patient Safety: Help Patients Understand - by Louella Hung, Joanne Schwartzberg, et al.
  The Health Literacy and Patient Safety: Help Patients Understand educational kit is the AMA Foundation's primary tool for informing physicians, health care professionals and patient advocates about health literacy.
• Medical Fitness to Drive: Is Your Patient at Risk?
  Expected availability date: TBA
  This Web-based educational course created by the AMA and the National Highway Traffic Safety Administration was developed to help identify the at-risk patients in your care.
• Geriatric Care by Design - by Chun A; Schwartzberg JG; Irmiter C
  Expected availability date: TBA
  A clinician's handbook to meet the needs of older adults through environmental and practice redesign.

Mercer University School of Medicine

• Opioid conversion quizzes - by Richard Ackermann
  Expected availability date: TBA
  Based on the book Demystifying Opioid Conversion Calculations. A Guide for Effective Dosing by Mary Lynn McPherson, we have developed six quizzes, with a total of 74 questions, that bring learners from simple conversions to complex issues. Learners also get copies of the opioid equi-analgesic table, formulations of pure opioids, and formulations of combination opioid products. Topics include converting among routes and formulations of the same opioid, converting among different opioids, , titrating opioid regimens, fentanyl, methadone, patient-controlled analgesia, and neuraxial analgesia. Learners can either attempt to work out the problems on their own and then work with a mentor, or a larger group can simply do the problems together.

University of Texas Health Science Center at San Antonio

• Discharge Data Sheet Form - by Yanping Ye
  Expected availability date: TBA
  A one page discharge order form which is sent to receiving facility and provider on the same day of discharge

Cohort 4

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Medical University of South Carolina College of Medicine

• Medication Use and Safety and Aging Detailing Sheet - by Amy Thompson
  Expected availability date: Reynolds Meeting 2011
  This handout is used for detailing the residents on medication use and safety and the elderly during precepting in the ambulatory care clinic
• Screening and Prevention Detailing Sheet - by Elisha Brownfield
  Expected availability date: Reynolds Meeting 2011
  This handout is used for detailing the residents on vaccinations and exercise for the elderly during precepting in the ambulatory care clinic
• Aging Q3 Study Poster - by Patty J. Iverson
  Expected availability date: Reynolds Meeting 2011
  A poster describing the research behind Aging Q3
• “A Curriculum with Individualized and Team-based Feedback to Improve Discharge Summary Quality” - by Neal Axon
  Expected availability date: Reynolds Meeting 2011
  In order to improve health care transitions and quality of care 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 discharged from individual inpatient teams.
• Doctor and Patient/Family: End of Life Care Discussions - by Paul Rousseau
  Expected availability date: Reynolds Meeting 2011
  In order to improve end of life care and advanced care planning, we developed a curriculum based on academic detailing and simulation exercises. Residents received feedback after their role playing activities using the learner evaluation tool. In addition, the resident was taught the importance of discussing advanced care planning documents with their patients.

University of Alabama School of Medicine

• Train the Trainer - by Caroline Harada
  Expected availability date: TBA
  A half-day workshop, this guide outlines how faculty can teach students and residents geriatric topics.
• Interdisciplinary Team Training - by A. Rothrock and Christine S. Ritchie
  Expected availability date: TBA
  This experience guide outlines how to successfully develop and implement an interdisciplinary team training experience for medical students, etc.

University of California, Irvine, School of Medicine

• Common Dermatologic Issues in the Geriatric Population - by Kelly, Marchenko
  Expected availability date: December 2011
  This lecture will discuss common dermatologic issues in the geriatric population including skin cancers, venous stasis, seborrheic keratoses, herpes zoster, bullous pemphigoid, pemphigus vulgaris/foliaceous and drug induced rashes. Clues to diagnosis and treatment options will be reviewed.
• Ethics & Spiritual Care at the End of Life - by Kheriaty
  Expected availability date: 2011 Reynolds Meeting
  These two lectures examine key themes in both clinical ethics and spiritual care at the end-of-life.
• Alternative Medicine and Aging - by Najm
  Expected availability date: 2011 Reynolds Meeting
  This will be a set of slides to help healthcare providers, teachers and those interested to learn about the use of Complementary and Alternative medicine by older adults across cultures and to become aware of the major benefits and concerns. The slides will also provide resources for those interested in further exploring this topic.
• Evaluation and disposition of the skilled nursing home patient in the emergency department - by Oman
  Expected availability date: December 2011
  To educate ED personnel about information gathering in patients sent from skilled nursing facilities and in transition back to the SNF
• Emergency Department Evaluation of Falls in the Geriatric Population - by Oman
  Expected availability date: 2011 Reynolds Meeting
  An overview of evaluation of elderly patients who fall in the Emergency Department.
• Transitions of Care: From Hospital to SNF - by Tam
  Expected availability date: 2011 Reynolds Meeting
  This lecture is designed to help understand the problems and potential adverse outcomes involved with discharges to skilled nursing facilities. It is also an introduction to writing proper discharge orders to SNFS.
• Urinary incontinence OSCE - by Toohey
  Expected availability date: December 2011
  An OSCE examination was developed that evaluates assessment and evaluation of a geriatric patient suffering from urinary incontinence. The OSCE allows for evaluation of communication and history taking skills as well as for a focused physical examination. A voiding diary is reviewed with assessment of this diary completed. A differential diagnosis must be given along with a detailed evaluation and treatment plan. In addition, basic knowledge of bladder function and incontinence is assessed.
• Late and End of Life Topics: The Basics - by Capasso
  Expected availability date: 2011 Reynolds Meeting
  This presentation is an overview of topics related to end of life care that are commonly confusing for medical students and residents. It includes several topics that, while important, are frequently omitted in medical teaching and therefore represent a signficant gap in knowledge for physicians.
• Geriatric Emergency Medicine Online Curriculum (GEM-OC) 2 - Transitions of Care - by Akasheh
  Expected availability date: 2011 Reynolds Meeting
  This is Module Two of an online five-module curriculum. This module teaches about transitions of care.
• Geriatric Emergency Medicine Online Curriculum (GEM-OC) 3 - Discharge Planning - by Akasheh
  Expected availability date: 2011 Reynolds Meeting
  This is Module Three of an online five-module curriculum. This module teaches about discharge planning.
• Geriatric Emergency Medicine Online Curriculum (GEM-OC) 4 - Assessing Falls and ADLs - by Akasheh
  Expected availability date: 2011 Reynolds Meeting
  This is Module Four of an online five-module curriculum. This module teaches about asessing falls and ADLs.
• Geriatric Emergency Medicine Online Curriculum (GEM-OC) 5 - by Akasheh
  Expected availability date: TBA
  This is Module Five of an online five-module curriculum. The modules, which are based on national geriatric emergency medicine competencies, cover a broad range of geriatric topics through an interactive teaching format. They require learners to review and analyze patient information, interpersonal interactions, laboratory and imaging results, diagnoses and treatment plans. This module teaches about workflow in the Emergency Department and disposition decision-making.
• What's Geriatrics Got to Do with It? (Geriatric Urology, Geriatric Pediatrology) - by Gibbs
  Expected availability date: December 2011
  These are currently three presentations in a developing series of lectures designed for primary care and specialty audiences that explains the relevance of Geriatric Medicine in the care of older patients within specific specialties. It also highlights cases where communication and decision making are unique in the care of older adults.
• Sexual Function in the Geriatric Population - by Speir
  Expected availability date: 2011 Reynolds Meeting
  Addressing sexuality in the geriatric population is often challenging for the primary care physician, however, it is a very important part of many of these patients' lives. We provide an introduction to some of the obstacles providers face and strategies for improving communication with patients. We also go into some treatments for common causes of female sexual dysfunction.

University of Massachusetts Medical School

• Formative Hybrid OSCE Sub I: Geriatric Simulation - by S McGee and A Fabiny
  Expected availability date: 2011 Reynolds Meeting
  Building on the work of Reynolds Partners at Harvard Medical School, this is a two part pilot of Geriatrics-based end of life case for use with sub-internship students.
• Domestic Violence Interclerkship/Elder Abuse - by Elizabeth Howard
  Expected availability date: 2011 Reynolds Meeting
  This PowerPoint presentation is part of a required full day Interclerkship on Domestic Violence, and addresses Elder Abuse with a focus on neglect and decision making capacity. In addition, an elder abuse case involving a Standardized Patient is used as a practice interview session for students
• Anatomy - Image Atlas on Aging - by PJ Bonavitacola
  Expected availability date: 2011 Reynolds Meeting
  The Image Atlas on Aging is a power point module that uses gross and histological images to model the aging kidney The Image Atlas on Aging for the kidney aims to provide a prototype that can be replicated for other organs to compare those of younger and aging patients. The module also highlights that aging is not the same as disease nor does it signify inevitable disease.

University of Medicine and Dentistry of New Jersey

• Geriatric Medical Student Curriuclum: Cognitive and Behavioral Disorders Domain - by Overbeck and Basehore
  Expected availability date: TBA
  A competency-based curriclum module on assessing and managing cognitive problems in the elderly, including dementia, delirium and depression. The module includes PowerPoint slides with instructor notes, standardized patient case and iclicker interactive case-based questions.
• CampER: Case of Mrs. Jane Simons - by unnamed
  Expected availability date: TBA
  A virutal patient case of an older woman presenting to the emergency room with an acute change in mental status. The cases evolves from the rapid assessment through admission to the hospital floor. Users make patient care deicsions which influence the progression and outcome of the case. Responses to questions are used to assess learner performance. The cases addresses EM competencies 9, 26, 16, 17, 18, 19, & 20.

University of North Texas Health Science Center

• Sr. Health Education Literacy Program - by Janice Knebl, David Farmer and the Reynolds GET-IT Program
  Expected availability date: TBA
  Core Geriatrics Clerkship Health Education and Literacy Student Presentation Activity with Seniors at Local Senior Centers.
• (KBIT) Knowledge Based Inference Tool: Dementia, Delirium, Incontinence, Dizziness, and Syncope Modules - by Frank Papa, Jennifer Heffernan and the Reynolds GET-IT Program
  Web-Based Differential Diagnosis Training Program
• Geriatric Osteopathic Structural Exam Training Video - by Stuart Williams and the Reynolds GET-IT Program
  Expected availability date: TBA
  Training Video for the use of the Osteopathic Structural Examination with Older Adults
• Hybrid Simulation: History Taking and Treatment with the Geriatric Patient - by Jerry Friedman and the Reynolds GET-IT Program
  Expected availability date: TBA
  Hybrid Simulation Activity utilizing a geriatric patient interview to guide simulation programming scenarios
• Geriatric Patient Differential Diagnosis Student Worksheet - by Janice Knebl, Frank Papa and the Reynolds GET-IT Program
  Expected availability date: TBA
  Differential Diagnosis Worksheet to aid in Differential Diagnosis Skill Development

University of Pennsylvania School of Medicine

• Older Adult Discharge Instructions - Standarized Patient - Intern Communication Skills Assessment - by Rachel K. Miller
  Expected availability date: TBA
  Standardized Patient (SP) Encounter
• Internal Medicine "Intersdisciplinary Teaching Safe Transitions" Session - by Rachel K. Miller
  Expected availability date: 2011 Reynolds Meeting
  small group cases with members of Interdisciplinary team
• Hospice Experience: part of the aging theme - by Amy M. Corcoran
  As part of the Reynolds Aging Theme Curriculum at the University of Pennsylvania, all medical students participate in a hospice visit during the Family Medicine Clerkship. Hospice and palliative care is an important part of caring for older adults. A growing number of hospice enrollees are older adults and those with non-cancer diagnosis (i.e. dementia, COPD, CHF). During the Hospice Experience, students spend approximately 3 hours with a volunteer member of the hospice interprofessional team which allows for 1-2 hospice patient/family visits.
• Hospitalist Faculty Development in Geriatric Medicine - by Lynsey E. Brandt
  Expected availability date: TBA
  Needs Assessment Tool & Curriculum

University of Texas Medical School at Houston

• Geriatric Gems & Palliative Pearls Lite Mobile App - by UTHealth Medical School TEXAS members
  Expected availability date: TBA
  The Geriatric Gems and Palliative Pearl (Gems & Pearls) mobile app was developed to enhance clinician knowledge and skills in the care of older adults. Gems & Pearls Lite contain brief learning points based on AAMC/ACMGE competencies on geriatric and/or palliative topics. The Apple platform app provides ease of use and the convenience of having geriatric medical information just a few clicks away, regardless of location.

University of Texas Southwestern Medical Center

• SAGE: Gait Disorders in the Elderly - by Dewey, Richard
  Expected availability date: TBA
  Online module with series of videos which show the normal changes of aging and has high quality videos of classic gaits with ability of trainees to match videos to the type of gaits and then learn about that gait
• SAGE: Intrinsic Aging: A Histological Perspective- Cardiovascular System - by Head, Judith
  Expected availability date: TBA
  Second module of the histology of aging which teaches the changes seen in normal aging. This module focuses on the changes seen in the cardiovascular system
• SAGE: Numb and Number Peripheral Neuropathy in the Elderly - by Singer, Mike
  Expected availability date: TBA
  Online self-directed module which teaches about assessment of elderly patients with perpheral neuropathy. Focus is on history taking, review of anatomy, physical exam, and basic treatment pearls. This module includes the interactive "Texas Plexus" game to teach the brachial plexus and lubosacral plexus.

Wake Forest University School of Medicine

• Curriculum for the Hospitalized Aging Medical Patient, for Specialists (CHAMP-S) - by Franklin Watkins and Kevin High
  Expected availability date: October 2011
  This is a year-long program to develop geriatrics education leaders in specialty training. Building on the University of Chicago’s CHAMP program, CHAMP-S utilizes a flexible format to bring applicable geriatrics content and teaching methodologies to faculty in medicine subspecialties or non-medicine departments. Multiple, but brief, retreats and other encounters over the year, tailored to a specialty’s curricular and logistical needs, offer case-based discussions, small-group interaction, and peer- and self-review of videotaped teaching on geriatric topics to increase participants’ confidence and frequency in teaching geriatric principles on the wards. Potential audiences for CHAMP-S include, but are not limited to, Hematology/Oncology, Nephrology, Pulmonary/Critical Care, Emergency Medicine, and Cardiology. CHAMP-S enhances academic productivity and career development for participants through curriculum development and presentation/publication opportunities.

Cohort 3

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Albert Einstein College of Medicine of Yeshiva University

• Geriatrics Educational Tools for the Surgical Resident - by Keerti Sharma, Berlin Arnold, Kim Freeman and Amy Ehrlich
  This is a pocket card designed to be used by surgical residents in the care of older adults in the inpatient and ambulatory setting. The card contains common geriatrics assessment and clinical care tools.
• The Einstein Geriatrics Fellowship Core Curriculum: Communication and Interviewing Skills with the Geriatric Patient - by Debra Greenberg
  This lecture discusses communication and interviewing skills with the geriatric patient. It is part of The Einstein Geriatrics Fellowship Core Curriculum, which is a 20 part lecture series designed for first year geriatrics fellows.
• The Einstein Geriatrics Fellowship Core Curriculum: Introduction to Medicare, Medicaid and Community Services - by Amy Ehrlich and Debra Greenberg
  This lecture provides an introduction to medicare, medicaid and community services. It is part of The Einstein Geriatrics Fellowship Core Curriculum, which is a 20 part lecture series designed for first year geriatrics fellows.
• Standardized Patient Interview (OSCE) for the Surgical Resident - by Arnold Berlin, Keerti Sharma and Debra Greenberg
  Expected availability date: TBA
  Video taped sessions for direct observation of trainee performing pre-op interview to assess function & cognition.
• Communication Skills: Videotaped Interview of a Geriatrics Patient - by Amy Ehrlich and Debra Greenberg
  Expected availability date: TBA
  Faculty guide for a communication module which includes a videotape interview of a geriatric patient and interview assessment tool.

Texas Tech University Health Sciences Center School of Medicine

• Texas Tech Medcast Geriatrics Step2CK Test Prep Series - by Betsy Goebel Jones and Andrew Dentino
  Expected availability date: 4 episodes by 10-20-11
  A series of videos created by fourth-year medical studentsbased on USMLE Sample Exam questions that have geriatrics content and patient vignettes
• Family Medicine Accelerated Track (F-MAT) Geriatrics Curriculum - by Andrew Dentino, Betsy Goebel Jones and Ron Cook
  Expected availability date: 10-20-11
  Curricular content prepared for an innovative 3-year medical school program that addresses the AAMC Geriatrics Competencies for Medical Students

University of Arizona College of Medicine

• Transitions of Care in the Older Adult - by Kathryn Eubank, et al.
  Expected availability date: TBA
  This is a collaborative product between the University of Texas Southwestern Medical Center and the University of Arizona. It is a comprehensive web-based, online interactive module on Transition of Care in the Older Adult. It incorporates multiple modalities including hyperlinked text and resources, videos, mini-quizzes, and examples of transition fo care tools--all held together by an engaging speaker and guide through the module. It takes approximately 30 minutes to complete.
• Elder Care: A Resource for Providers
  Expected availability date: various
  A continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they have become favorites in all training settings.
  

  Aids for Patients with Low Vision - by Barry D. Weiss
  Macular Degeneration - by Barry D. Weiss
  Communicating with People who have Hearing Loss - by Frances P. Harris
  LGBT Older Adults in Long-Term Care Facilities - by Linda A. Travis
  LGBT Older Adults: What you should know - by Linda A. Travis
  Hearing Aids - by Tom Muller and Frances P. Harris

• miniChief Resident Interprofessional Immersion Training (miniCRIT) in the Care of Older Adults - by adapted from Dr. Sharon Levine's program by Mindy Fain
  Expected availability date: TBA
  This program is an adaptation of the highly successful BUMC CRIT program to imcorporate geriatrics into CR teaching and administrative roles to improve the care of complex older patients. The shortened interprofessional miniCRIT takes place over 1 1/2 days, including 1 overnight stay for the CR and family at a local resort (vs. 2 nights) making it more affordable for some institutions.

University of California, San Francisco, School of Medicine

• Care of the Aging Patient: From Evidence to Action Folio of Articles - by C. Seth Landefeld, et al.
  Expected availability date: TBA
  Care of the Aging Patient is produced by a University of California, San Francisco editorial team and appears bi-monthly in JAMA. The case-based series is designed to inform clinical practice and influence policy in care of older individuals. Excerpts from patient, family, and clinician interviews, along with the Patient's Story case history, drive the narrative of an evidence-based, peer-reviewed article that is authored by an invited expert in the field. Cases illustrate the approach and management of the entire spectrum of geriatric syndromes and disease, including the psycho-social-spiritual aspects of aging. We seek to provide pragmatic, evidence-based content by recognized experts, and pair these with invited commentaries that discuss policy and social issues raised by the cases.
• Care at the Close of Life: Evidence and Experience Textbook - by Stephen J. McPhee, et al.
  Expected availability date: TBA
  From 2000-2008, the JAMA Series Perspectives on Care at the Close of Life published 42 case-based articles providing a palliative care evidence base for the management of patients at or near the end of life. The articles gave voice not only to the experiences of patients, family, loved ones, and caregivers, but also to palliative care physicians, oncologists, nurses, psychologists, social workers, and many other healthcare professionals, all of whom are deeply affected by such illness. The articles and their “codas,” the follow-up stories describing the end of the featured patient’s life, have been compiled in the new textbook, Care at the Close of Life: Evidence and Experience. Each chapter has been updated with recent evidence from the literature. New features have been added to provide this richly textured, illustrated print and online book in the JAMAevidence series.

University of Kansas School of Medicine

• Barney Smith - Palliative Care Simulated Patient - by Daniel Swagerty, et al.
  Expected availability date: Reynolds Meeting 2011
  Medical students follow Barney Smith from their second year into their fourth year as a five part simulated patient. The medical students first meet Mr Smith as a two-part standardized patient (SP) in Year 2 when they break the bad news of a life-limiting disease (multiple melanoma). Students meet Mr Smith again when they have an advance directives and goals of care discussion with he and his wife as part of a Year 3 Geriatric Medicine Clerkship SP. Mr Smith is again encountered when the students provide telephone management of his end-of-life care symptoms in conjunction with a hospice nurse as part of their Clinical Skills Summative Assessment at the end of Year 3. The fifth exposure to Mr Smith occurs as a hybrid simulation using both standardized patients and a simulator in which Mr. Smith and his wife present to the Emergency Department. Mr. Smith is actively dying and an interprofessional set of learners care for him and his wife as he expires. This five part patient simulation is supported by lecture content in Year 2; Palliative Care, Advance Directive, and Medical Ethics web modules, as well as Palliative Care and Medical Ethics workshops in the Year 3 clerkship. Student feedback has been very positive for all five of the patient simulations, the three web modules and two workshops.

University of Utah School of Medicine

• Medicare Hospice Benefit card game - by Shaida Brandon
  Expected availability date: TBA
  A card game to assess and reinforce residents understanding of the Medicare Hospice Benefit coverage and regulations
• Education Commons - by Katherine Anderson and Denise Brooks
  Expected availability date: TBA
  A program equipping faculty to become confident and successful educators, thriving in the academic setting.

Vanderbilt University School of Medicine

• POGOe Evaluation Template for the Evaluator’s Toolkit - by Donna Rosenstiel
  Expected availability date: TBA
  Template to categorize evaluation tools
• KnowledgeMap Searches for Geriatrics Competencies - by Josh Denny
  Index of competencies covered in curriculum. Used in POGOe search.
• Potentially Inappropriate Medication Screening (PIMS) Tool - by Josh Peterson
  Expected availability date: TBA
  EMR Medication Order Screening Algorithm

The Warren Alpert Medical School of Brown University

• Geriatrics for the Practicing Physician
  Geriatrics for the Practicing Physician is a monthly 2-3 page column on geriatrics principles, syndromes, cases and other frequently encountered medical issues in the older patient. Written for the general and specialty practitioner who is not certified in geriatrics, the column is designed to present typical care issues in the older adult, outline optimal standards of care and differential diagnoses, and to raise issues and questions that may not be obvious to the non-geriatrician provider. Each column usually begins with a short case on a common particular illness, medical problem or situation, then summarizes the background and principles for treatment, including evaluation, work-up and treatment.
  

  - A systematic review of curricular interventions teaching transitional care to physicians-in-training and physicians. Acad Med. 2011 May;86(5):628-39. - by Buchanan IM and Besdine RW
  - Teaching communication and compassionate care skills: An innovative curriculum for pre-clerkship medical students. 2011. Med Teach 33(8): e408-416. - by Renee Shield, Iris Tong, Mia Tomas and Richard Besdine
  - Integrating and Evaluating Geriatrics in Medical School Education: A Novel Approach. J of Gerontology & Geriatrics Education. In press. - by Besdine RW, et al.
  - Integrating geriatrics content into medical school curricula: An innovative evaluation strategy,The Gerontologist. In press. - by Shield RR, et al.
  - Cataract surgery complications in nonagenarians. Ophthalmology. 2011 Jul;118(7):1229-35. Epub 2011 Mar 9. - by Tseng VL, et al.
  - Prevalence and predictors of ocular complications associated with cataract surgery in United States veterans. Ophthalmology. 2011 Mar;118(3):507-14. Epub 2010 Oct 29. - by Greenberg PB, et al.

Cohort 2

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Emory University School of Medicine

• The "BIG 10" -- Computer-Based Geriatrics Workbooks for Resident Teaching - by Manuel Eskildsen, Thomas Price and Joyce Tenover
  This resource has been developed as a self-learning tool for Internal Medicine residents at Emory University on their Geriatric Medicine rotation. Each of the workbooks is centered on an important geriatrics topic. The topics include: delirium, dementia, urinary incontinence, medication use, falls, pain management, hazards of hospitalization, failure to thrive, and transitions of care. Each workbook is divided into three parts. It starts with a case vignette, followed by a set of learning tasks related to it. These tasks usually start with a required reading which gives an outline of the topic and then go on to questions about the case. Finally, the resident is provided with at least three "boards-style" multiple-choice questions that will require integration of knowledge acquired in reading the workbook. These workbooks are meant as a companion for the learning modules that are in the website for the Emory Reynolds program, which exists to strengthen physician training in geriatrics.
• Care Transition Training For Residents - by Ugochi Ohuabunwa
  Expected availability date: TBA
  Small group workshop training of effective care transtitions including self assesment of discharge summary and "transitions board game".
• "IATRO" - by Jonathan Flacker
  Expected availability date: TBA
  Small group workshop which allows medical students in their clinical years to identfy hazards of hospitalization along with relevant prevention strategies.

Indiana University School of Medicine

• Patient Complexity and Interprofessional Health Care Teams - by Todd James
  Expected availability date: TBA
  This is a blended curriculum to teach medicine residents to evaluate patient complexity with the Minnesota Complexity Assessment Method (MCAM) and to describe how interprofessional teams address patient complexity. This curriculum occurs during a required geriatrics block rotation for medicine residents.

University of Chicago, The Pritzker School of Medicine

• GATE (Geriatrics and Aging through Transitional Environments): Obtaining a Functional History and Understanding Independent Living vs. Assisted Living Environments - by Seema Limaye and Shellie Williams
  Expected availability date: Reynolds Meeting 2011
  This component of the GATE Curriculum, piloted with M1, consists of a 1.5 hr teaching session on geriatric history-taking and includes a presentation by an older adult community member on her life story. In pairs, students conduct in-home geriatric functional history and home safety assessments with "trained patients" residing in an independent living community. In advance, trained patients attended a training session preparing them to complete a structured evaluation of students' clinical interviewing skills. Students also complete a knowledge test and attitudes assessment pre and post.
• 360 Evaluation Tool for OSCE Training: Piloted in GATE (Geriatrics and Aging through Transitional Environments) - by Shellie Williams
  Expected availability date: Reynolds Meeting 2011
  A learner asssessment instrument designed to evaluate communication, interviewing and geriatric clinical skills performed during OSCE training. Assessment is completed by learner, preceptor and SP, providing a 360 degree perspective.

University of Cincinnati College of Medicine

• Family Centered Rounding on a hospitalist service for medical students and residents - by unnamed
  Expected availability date: TBA
  No summary
• Team Care Symposium for medical students - by unnamed
  Expected availability date: TBA
  No summary
• Interprofessional Training (medical, nursing, pharmacy, and social work students) in the Care of Alzheimer’s disease Utilizing Standardized Patients - by unnamed
  Expected availability date: TBA
  No summary
• New, required 3rd medical student team care training in chronic illness (Alzheimer’s disease) - by unnamed
  Expected availability date: TBA
  No summary

University of Miami Leonard M. Miller School of Medicine

• Avatar Health Coaches for Positive Lifestyle Change: Cyberceuticals for Reducing Cardiovascular Risk- by Allen Andrade and Jorge Ruiz
  Expected availability date: TBA
  Desktop-based interactive digital human avatar patient education modules. The modules are embedded in a serious game that leverages the effect of Game thinking (Fun) and Game Mechanics (Points, Levels, Leaderboards) to motivate patients to adopt healthy behaviors

University of New Mexico School of Medicine

• Expansion of Project Extension for Community Healthcare Outcomes - by Devon Neale and Carla Herman
  Expected availability date: TBA
  The Dementia Care TeleECHO clinic, currently in the planning stage. Objective of this workshop would be to share innovative models of delivering geriatric & palliative care to areas without trained specialist care
• Assessing Hospitalized Fallers - by Rush Peirce and David Hemphill
  Expected availability date: TBA
  This presentation is designed to provide nurses and physicians with an approach to the evaluation of hospitalized patients who fall.

University of Missouri School of Medicine

• Medical Mystery Writers Guide for Developing Clinical Teaching Cases for Geriatric Education - by Hosokawa, Michael
  Expected availability date: TBA
  Case-writing guide
• Geriatrics Scholars Program - by Hosokawa, Michael
  Expected availability date: TBA
  A new program for M1s that provides intense geriatrics experiences for a select group of med students over and above what is currently offered in the curriculum

University of North Carolina at Chapel Hill School of Medicine

• Caring for Elderly Patients in the Emergency Department: An interactive lecture series - by Kevin Biese, et al.
  Expected availability date: TBA
  Caring for Elderly Patients in the Emergency Department: An interactive lecture series is a series of six lectures with multiple choice questions designed to introduce Emergency Medicine (EM) care givers to key concepts in caring for elderly patients. The lectures address key concepts in elderly trauma, acute abdominal pain, iatrogenic injuries, altered mental status, medication management, and transitions of care and were designed by physicians in The Department of Emergency Medicine and the Division of Geriatric Medicine at the University of North Carolina at Chapel Hill (UNC). The multiple choice questions can be used to asses the learners retention after the lecture series, or to test their knowledge base prior to delivering the lectures. This curriculum was successfully delivered to the EM residents at UNC with resulting improvements in care delivery to elderly Emergency Department patients at our institution.
• High fidelity simulations to teach key concepts in emergency department care of the elderly - by Kevin Biese, et al.
  "High fidelity simulations to teach key concepts in emergency department (ED) care of the elderly" is a series of seven high fidelity simulations designed to instruct ED medical residents as well as other providers who care for the elderly in the ED key concepts of geriatric care. The cases include gastrointestinal bleeding, myocardial infarction, altered mental status, toxicology, sepsis, abdominal aortic aneurysm, and mesenteric ischemia. Core concepts taught include medication interactions, transitions of care, delirium, suicide risks and depression in the elderly, atypical presentations of disease in the elderly, and iatrogenic injuries. The cases have been successfully deployed in an ED resident training program with resulting care improvements for the elderly.

Cohort 1

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Medical College of Wisconsin

• Geriatric Jeopardy for Surgeons - by Travis Webb
  Expected availability date: TBA
  Follow the Jeopardy game show format, five question categories (e.g., I've fallen and I can't get up; surgical approaches; picture this; blowin' air). Cateogires have mutiple questions in each specific to surgery residents linked to ACGME Competencies (e.g,. medical knowledge topics includes Breast disease, diiverticular disease, vascular disease, trauma, critical care, GI oncology). Buzzer system used following quiz bowl format.
• Unnamed - by Edmund Duthie
  Expected availability date: TBA
  Mutltipe choice test designed to assess knowledge associated with key principles of geriatrics and the underlying science that allows clinicians to problem solve/reason. There are a total of 26 items presented in pairs: (1) a clinical vignette to assess clinical knowledge and (2) a follow-up item that assesses knowledge of the underlying science that best explains the clinical condition.

University of Nebraska College of Medicine

• Interprofessional End of Life Care Senior Seminar - by Catherine Eberle and Linda Sobeski
  Expected availability date: 2011 Reynolds Meeting
  Formulate and write orders for management of key non-pain and pain symptoms based on goals of care; describe hospice and know services provided by hospice; be able to identify appropriate patients, and indications for referral; demonstrate communication skills including breaking bad news, assisting patients and/or surrogates in discerning goals of care, advance care planning; M4s and P2s work together to manage patient's symptoms.
• Medical Office Survey (MOS-T) on Patient Safety with Team Skills Addendum - by Katherine Jones
  Expected availability date: 2011 Reynolds Meeting
  The Medical Office Survey on Patient Safety was developed by the Agency for Healthcare Research and Quality to measure patient safety culture in an individual medical office by eliciting perception of all staff and providers. The survey has been available since 2008, and consists of 51 items organized in 12 dimensions plus two overall rating questions. Because an interprofessional team is required to meet the complex needs of patients with chronic conditions, we added a section to the MOS that assesses teamwork knowledge and skills. The specific knowledge and skills assessed by our addendum to the MOS are associated with an evidence-based team training program. This program, TeamSTEPPS, is being implemented in hospitals and academic medical centers nationally to address the need for a team training program appropriate for health professions students and practitioners.
• Team Based Geriatrics - by Katherine Jones, Jane Potter, and Linda Sobeski
  The End of Rotation Evaluation Instrument assesses knowledge of teamwork skills, ability to apply knowledge of geriatric syndromes to problem-based scenarios, and attitudes toward interdisciplinary education. Attitudes toward interdisciplinary education are measured using a retrospective pre-test form of the Interdisciplinary Education Perception Scale (IEPS).

University of Rochester School of Medicine and Dentistry

• Ger-E-News - by Medina-Walpole, Gillespie and Caprio
  Expected availability date: TBA
  Bi-monthly email blasts on geriatric syndromes sent to hospitalists and subspeicalists

University of South Carolina School of Medicine

• Geriatric Resident Immersion Training (GRIT) program - unnamed
  Expected availability date: TBA

Virginia Commonwealth University School of Medicine

• Interprofessional teaming interactive case - by Peter Boling
  Expected availability date: Summer 2012
  Complex unfolding interactive case on the web, designed for teams from mulitple disciplines (medicine, nursing, pharmacy, social work, allied health) to solve. Website generates point scores for individuals and groups, 360 evaluation data, measures of interactivity. In Oct. 2011 we will demo an advanced beta product, not live version
• Interprofessional teaming didactic module - by Peter Boling
  Expected availability date: November 2011
  Intermixed recorded interviews and team meeting with power point didactic elements, this 45 minute module addresses effective interprofessional teaming for geriatric care; features a PACE team; followed by a short test

Yale University School of Medicine

• Geriatric evaluation for medical residents - by Chandrika Kumar
  Expected availability date: TBA
  At the completion of the rotation, residents complete a commitment to change where they identify up to 5 concrete, measurable changes that they will make in clinical practice. Residents also rate their level of competence in geriatric skills before the geriatrics rotation and after completion of the geriatrics rotation.
• SICU daily goal sheet - geriatric version - by Lisa Walke
  Expected availability date: TBA
  A one page communication tool that is used daily by surgical subspecialty residents to formulate the daily care plan. The goal sheet was revised to incorporate triggers that may be pertinent to older SICU patients
• Geriatric Assessment for medical residents - by Chandrika Kumar
  Expected availability date: TBA
  A presurvey which residents complete prior to the beginning of their geriatric rotation

FD~AGE Consortium Members & Reynolds Endowed Schools

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University of Arkansas for Medical Sciences, College of Medicine

• Interactive Geriatric Palliative Care Curriculum - by Curseen, Harrington and Kutagula
  Expected availability date: December 2011
  Palliative Care Course Curriculum for 4th year medical students and other health professionals. The curriculum uses self directed learning, role-play, and clinical patient interaction to cover topics pertient to Geriatric palliative. The topics include: 1. Introduction to palliative and hospice; 2. Prognosis: demenita, congestive heart failure, cancer, and chronic obstructive pulmonary disease; 3. Identifying symptoms and signs of actively dying patients; 4. Understanding chronic vs acute pain; 5. Symptom Management: dyspnea, nausea, constipation; 6.. Breaking bad news; 7. Advance directives; 6. Concepts in Bereavement

University of Calforinia, Los Angeles, David Geffen School of Medicine

• Precepting Challenging Students - by unknown
  Expected availability date: January 2012
  Interactive faculty development video module to teach faculty about precepting challenging students. This module is accompanied by tutor notes and an introduction to precepting. Video clips may be used as triggers for group discussion on giving feedback to student oral presentations.