The Portal of Geriatrics Online Education

Family Medicine

Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies (MCC GEMS) App

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
0
Abstract: 

With a grant from the Agency for Healthcare Research and Quality (AHRQ), The American Geriatrics Society (AGS) has developed the Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies App (MCC GEMS) to address one of the greatest challenges in clinical care of older adults: providing optimal care for frail elders with multiple chronic conditions, or multimorbidity. 

Educational objectives: 

The MCC GEMS App will help guide the clinician through an approach to managing patients with multimorbidity, one that is built on a firm understanding of the principles of evidence-based medicine, patient preferences and goals of care, clinically feasible methods for understanding prognosis, and the multi-factorial geriatric issues and syndromes that may be consequences of the combinations of diseases and conditions (e.g., polypharmacy). This Approach is based on the AGS’s Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians.

Additional information/Special implementation requirements or guidelines: 

Login to www.GeriatricsCareOnline.org to view the accompanying online educational toolkit http://geriatricscareonline.org/toc/multimorbidity-toolkit/TK011.

Date posted: 
Thu, 06/11/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/11/2015
Product Viewing Instructions: 
Contact Person/Corresponding Author:



Suggested Citation:
Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies (MCC GEMS) App. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/201

2015 Quick Reference App: Internal Medicine and Family Medicine Resident Geriatric Competencies

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Abstract: 

In 2010, the essential geriatric competencies for Internal Medicine (IM) and Family Medicine (FM) residents were published. To reinforce and disseminate these critical skills, we created a quick reference mobile application for IM and FM residents that addresses competencies in each of the seven key competency domains: Medication Management; Cognitive, Affective and Behavioral Health; Complex or Chronic Illness; Palliative and End-of-Life Care; Hospital Patient Safety; Transitions of Care; and Ambulatory Care.

This application can be used as a comprehensive reference by learners of multiple levels and disciplines while caring for patients in a variety of settings, including inpatient wards, outpatient clinic, nursing homes and home visits. Various screening tools, criteria, mnemonics and guidelines supporting each competency are included in this concise guide to caring for aging adults.

To access the free app:

  1. Go to Geriatrics Quick Reference App on AgileMD
  2. Create a free AgileMD account  
  3. Download the free AgileMD application using your smartphone app store 
  4. Open the AgileMD app and login with the username and password you created
Educational objectives: 
After using this quick reference tool, learners will be able to:
1.) Select and apply evidence-based tools to screen for or assess geriatric syndromes.
2.) Asses for and manage issues affecting older adult health across seven key competency domains: Medication Management; Cognitive, Affective and Behavioral Health; Complex or Chronic Illness; Palliative and End-of-Life Care; Hospital Patient Safety; Transitions of Care; and Ambulatory Care.
Publications from, presentations from, and/or citations to this product: 

AGS 2015 Educational Showcase Product Swap

Date posted: 
Mon, 09/28/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 04/03/2018
Contact Person/Corresponding Author:



Suggested Citation:
2015 Quick Reference App: Internal Medicine and Family Medicine Resident Geriatric Competencies. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/201

Ethnogeriatrics: Language Translation Podcast

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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 is a podcast discussion on language translation that took place at the 2014 American Geriatric Society Annual Scientific Meeting in the Ethnogeriatrics Special Interest Group meeting.

Educational objectives: 

To provide instruction on the following two competencies:

1.  Demonstrate interviewing skills which promote culturally appropriate decision-making and mutual respect between health care providers and ethnic clients and their families in patient centered care through out the continuum of their lives, including end of life care.

2.  Communicate effectively and elicit information from elders of any ethnic background and their families, particularly those who speak little or no English, with appropriate use of interpreter services and information technology.

Date posted: 
Wed, 09/09/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/09/2015
Contact Person/Corresponding Author:



Suggested Citation:
Ethnogeriatrics: Language Translation Podcast. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/201

Diabetes Management in Long Term Care

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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: 

Guidelines for managing diabetes in older adults and particularly the long-term care population have changed significantly over recent years.  Changes have included redefining HbA1c goals based on patient comorbidities and function.  Additional emphasis has been placed on discontinuing the use of sliding scale insulin in the long-term care population.  The current guidelines are reviewed, and a practical approach to the day-to-day management of diabetes in long-term care is outlined.

Educational objectives: 

1. To review recommended HbA1c goals determined by patient comorbidities.

2. To review recommendations regarding the use of sliding scale insulin in LTC patients.

3. To outline a practical approach to the day-to-day management of diabetes in the long-term care setting.

Date posted: 
Tue, 05/26/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 04/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
Diabetes Management in Long Term Care. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/201

Patient Complexity and Interprofessional Team Care

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

Patient Complexity and Interprofessional Team Care is a geriatrics block rotation mini-course designed to improve medicine trainee’s understanding of health care teams.  It was developed in the setting of a new model of care collaboration for vulnerable seniors, Geriatric Resources for Assessment and Care of Elders.  The course is a blended curriculum offered during a 4-week residency block rotation in geriatrics. It is composed of a web-based, audio, PowerPoint lecture to introduce the Minnesota Complexity Assessment Method (MCAM) tool and application of the tool using paper cases.  The tool is then applied to actual patients discussed at an interprofessional team meeting of the GRACE care management program.

Educational objectives: 

Given a screening of the patient medical record, attendance at the patient’s GRACE interprofessional team meeting and completion of the Minnesota Complexity Assessment Method (MCAM) tool, the health professional trainee will identify patient situation complexity and describe ways that interprofessional team care members address patient care.

Given a printed Likert scale questionnaire, the resident will indicate positive change in degree of agreement with beliefs about interprofessional teams.

Publications from, presentations from, and/or citations to this product: 
Educational Strategies for Addressing Complex Patient Care Symposium
Aida Wen, MD, Todd James, MD, Miho Bautista, MD
October 21, 2013, 2013 Reynolds Grantee 11th Annual Meeting  in Coronado, CA

 

“Beliefs of Medicine Residents Regarding Interdisciplinary Teams,”  Poster presentation American Geriatrics Society Scientific Meeting, Grapevine, TX, May 2-5, 2013

Citation:  James, TC, Westmoreland, GR, Counsell SR. Beliefs of Medicine Residents Regarding Interdisciplinary Teams. J Am Geriatr Soc 2013; 61: Suppl s1; s157 (abstr C87).  http://onlinelibrary.wiley.com/doi/10.1111/jgs.122...

 

The poster described the 12-item physician survey to assess post-graduate medicine resident beliefs regarding interdisciplinary teams.  Resident responses demonstrated that interdisciplinary team participation is perceived as worthwhile. Yet, residents were uncertain about when their patient needed a team. There was significant agreement for having physicians as leaders of teams, and yet there was not clear agreement on team goals. Survey results support development of curricula for medicine residents geared toward teaching when a team approach is indicated and clarifying roles of various team members.

 

“Complexity and Interdisciplinary Team Care” Curriculum Presentation at Reynolds Grantee 9th Annual Meeting, St. Louis, MO, October 23 – 26, 2012

 

“Using a Complexity Tool with Geriatric Patients Teaches Residents Roles of Interprofessional Teams,” Buzz Session Presentation, InterProfessional Care for the 21st Century: Redefining Education and Care conference, Jefferson InterProfessional Education Center, Philadelphia, PA, May 18 – 19, 2012

 

“A New Strategy for Teaching Residents Roles of Interprofessional Teams” Poster Presentation at American Geriatrics Society Scientific Meeting, Seattle, WA, May 3 – 5, 2012.

Citation: James TC, Westmoreland GR, Arenson S, Counsell SR. A New Strategy for Teaching Residents Roles of Interprofessional Teams. .  J Am Geriatr Soc 2012; 60: Suppl s4;  s45 (abstr A84). http://www.americangeriatrics.org/files/documents/...

 

 “Academic Roles and Scholarly Activities” presentation, Faculty Forum, Indiana University Geriatrics, Indianapolis, IN, January 23, 2012

 

“Pilot Testing of a New Curriculum on Patient Complexity and Interdisciplinary Team Care” Poster Presentation at Collaborating Across Borders III, Tuscon, AZ, November 19 – 21, 2011.

 

 

 

Date posted: 
Wed, 04/03/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 04/03/2019
Contact Person/Corresponding Author:



Suggested Citation:
Patient Complexity and Interprofessional Team Care. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/201

"The Psychologist's Role in Assessment and Therapy"

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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 resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  This focus of this module is to explain the psychologist's role in assessment and therapy.

Educational objectives: 
1.Contrast skills/approaches of psychologists from those of other mental health professionals
2.Describe psychologist’s role in evaluating persons with cognitive, emotional, functional problems
3.List mental health problems and adjustment difficulties for which psychologists can be therapeutically helpful
Publications from, presentations from, and/or citations to this product: 

This module was showcased at the 2014 Reynolds Grantee Meeting marketplace.

Contact Person/Corresponding Author:



Suggested Citation:
"The Psychologist's Role in Assessment and Therapy". POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/201

SAGE Intrinsic Aging: A Histological Perspective: Urinary System Module

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

This module demonstrates the normal age-related changes in the urinary system and its clinical implications. A highlight of these modules are side by side comparison of young and aged tissues with interactive slides and summary drawings which reinforce the main points on the histology slides. The curriculum is appealing to clinical learners as it is anchored in showing clinically relevant changes and the implications of these changes in older patients. The main audience is the pre-clinical first or second year medical student, but these could be used by other trainees to teach the basic science of aging.

Educational objectives: 

Learning Objectives for Urinary System module:

Identify the major aging associated changes in each of the following and describe the clinical implications of these changes on the:

  1. Kidney
  2. Ureter
  3. Urethra - female
  4. Nerves
  5. Urethra - male
Additional information/Special implementation requirements or guidelines: 

Southwestern Aging and Geriatrics Education (SAGE) Program

Lead Author: Judith R. Head, PhD

Medical Illustrator: Lindsay Oksenberg, MA

Geriatrician:  Amit Shah, MD

Special thanks to histology technician: Brie Thaden Pirkle and Tasha Buxton

Date posted: 
Thu, 12/18/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 12/18/2014
Contact Person/Corresponding Author:



Suggested Citation:
SAGE Intrinsic Aging: A Histological Perspective: Urinary System Module. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/201

Gait Disorders in the Elderly

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

This educational modules teaches learners how to recognize normal patterns of gait in the elderly and discuss various geriatric gait disorders.  There is a quiz at the end of the module.

Educational objectives: 

After reviewing the module, learners should be able to:

1) observe and assess gait disorders in the elderly.

2) classify and describe gait disorders in the elderly.

3) know when to refer for more specialized care.

Additional information/Special implementation requirements or guidelines: 

Authors:  Richard B. Dewey, Jr., MD; Shilpa Chitnis, MD; Cherian Abraham Karunapuzha, MD

Geriatrician: Amit Shah, MD

Medical Illustrator: Lindsay Oksenberg, MA

Date posted: 
Wed, 12/10/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 12/10/2014
Product Viewing Instructions: 
Quicktime is needed
Contact Person/Corresponding Author:



Suggested Citation:
Gait Disorders in the Elderly. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/201

Evaluation and Management of Late Life Psychosis

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

This self-directed, web-based, interactive educational module addresses the evaluation and management of psychosis in older adults.

Educational objectives: 

After reviewing this module, learners should be able to:

1) list examples of psychotic symptoms.

2) describe the steps involved in performing a diagnostic work-up.

3) summarize treatment principles.

Additional information/Special implementation requirements or guidelines: 

Author:  Mary Camp, MD

Geriarician:  Amit Shah, MD

Medical Illustrator:  Lindsay Oksenberg, MA

Date posted: 
Tue, 01/20/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/20/2015
Contact Person/Corresponding Author:



Suggested Citation:
Evaluation and Management of Late Life Psychosis. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/201

Cognitive Assessment in the Elderly

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

This module demonstrates how to administer the Montreal Cognitive Assessment Test (MoCA).  The MoCA was created to screen patients who present with mild cognitive complaints and who usually perform in the normal range on the Mini-Mental State Examination or MMSE.

Educational objectives: 

After reviewing the module, learners should be able:

  • to know when to utilize the MoCA to screen a patient.
  • to know how to perform and score the MoCA.
Additional information/Special implementation requirements or guidelines: 

Quicktime is needed to view this video.

Author:  Mary Ellen Quiceno, MD

Geriatrician:  Belinda Vicioso, MD

Medical Illustrator: Lindsay Oksenberg, MA

Date posted: 
Tue, 12/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 12/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Cognitive Assessment in the Elderly. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/201

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