The Portal of Geriatrics Online Education

Medical Student Pre-Clerkship

Senior Mentor Program Development Toolkit

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

This product will guide its user though the process of creating a Senior Mentor Program. The necessary files and documentation are provided, as well as a short video on the benefits of such a program.

Educational objectives: 

To expose students to the older population through friendship and personal interaction. The goals of this program are centered around exposing medical students to older adults as people rather than sick patients.

Additional information/Special implementation requirements or guidelines: 

A group of volunteer older adults.

Date posted: 
Thu, 01/01/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 10/17/2009
Contact Person/Corresponding Author:



Suggested Citation:
Senior Mentor Program Development Toolkit. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/248

Homeostenosis

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

This is an online educational tool for understanding concepts regarding homeostenosis and homeostasis in aging humans. Works best in Internet Explorer.

Educational objectives: 

The learner will be able to:

  1. Recognize the balance of homeostasis and homeostenosis in older patients;
  2. Be familiar with homeostenosis truisms;
  3. Understand the changing interpretations of homeostenosis and aging;
  4. Be able to present evidence for new interpretations of homeostenosis; and
  5. Be able to describe at least two examples of where a disease state common to older patients can present uncommonly, and why.
Additional information/Special implementation requirements or guidelines: 

Online, computer-based resource requires use of Adobe Flash reader.

Publications from, presentations from, and/or citations to this product: 
  1. Teasdale TA. Geriatrics e-Syllabus Project. 56th Gerontological Society of America meeting 2003, San Diego, CA.
  2. Teasdale TA. CD-ROM and Web-Based Self-Learning Modules in Geriatric Medicine Have Extended the Classroom. Slice of Life: Computers in Healthcare Education Symposium. Salt Lake City, July 2000.
  3. Teasdale TA, R Madden R, Sebastian R. Redesigning CD-Based Self-Learning Modules in Geriatric Medicine. 57th American Geriatric Society Meeting, Nashville, TN. 2000.
Date posted: 
Fri, 12/12/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/10/2012
Contact Person/Corresponding Author:



Suggested Citation:
Homeostenosis. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/248

Senior Mentor Program

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

This product contains materials used in the University of South Carolina's Senior Mentor Program. The program pairs seniors with medical students in an effort to help broaden the students' awareness of their patients. The goal is for students to view their patients as individual people instead of just another sick person.

Additional information/Special implementation requirements or guidelines: 

Strong planning, as to what modules are realistic to accomplish in light of the program characteristics i.e. 1 year vs. 2, required or elective.

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 09/24/2009
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Senior Mentor Program. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/248

Caring for Junior - A Problem-Based Learning Case

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

This product is a problem-based learning case targeted at M-1 students. The case follows our patient "Junior" from initial presentation in the outpatient clinic, through an acute hospitalization, and finally to discharge to an assisted living facility. The case, at our institution, unfolds over 3 weeks but is adaptable to many formats. The case touches many aspects of the care of older patients including functional assessment, cognitive evaluation, appropriate medication use, falls, and sites of care. The case materials are designed for easy use by group preceptors who are not Geriatricians.

Educational objectives: 

The learner will be able to: 1) Understand the complexity of issues that arise in the care of older patients. 2) Be able to describe the elements of function. 3) Identify the elements of the diagnosis of depression. 4) Identify the elements of the diagnosis of dementia. 5) Describe the issues involved in driving assessments. 6) Identify and describe different types of advance directives. 7) Identify potentially inappropriate medications for older patients. 8) Describe different sites of care for older patients. 9) Others as described in case.

Additional information/Special implementation requirements or guidelines: 

Materials must be reviewed ahead of time. Group size is typically 8 students. They meet for 90 minutes on three consecutive weeks.

Publications from, presentations from, and/or citations to this product: 

Flacker JM, Johnson TJ, Hamilton C, Reis-Starr C, Ouslander J. Do Student-Generated Learning Issues Reflect Learning Objectives Of A Problem-Based Learning Case? (Selected for Presidential Poster Session) Annual Meeting of the American Geriatrics Society, 2005. MedEd Portal

Date posted: 
Mon, 02/25/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 02/09/2011
Contact Person/Corresponding Author:



Suggested Citation:
and . Caring for Junior - A Problem-Based Learning Case. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/248

Web-Based Module to Train and Assess Competency in Systems-Based Practice

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

Purpose of the study: The ACGME competency of systems-based practice seeks to increase residents' understanding of the health care system and to train them in the efficient and effective utilization of resources within this system. We developed an interactive, internet-based 30-minute module to train medical residents in the delivery of optimal care to patients by helping them navigate the complex maze of health care resources and to make transitions of care more seamless. The key curricular components of this training module are: 1) the basic elements of Medicare and Medicaid, 2) the various levels of post-acute hospital care for older patients, and 3) the role of provider-to-provider and provider-to-patient communication in patient transitions of care, including the critical elements of an effective discharge summary. Methods: We created an interactive, animated module based on the story of an older patient who presents to an emergency room with focal weakness after a recent hospital stay. It depicts a common scenario that illustrates the importance of communication in the transition of an older patient from one site of care to another. The vignette has been tailored to be applicable to multidisciplinary trainees. Interactive questions are embedded within the case to emphasize key teaching points while continuing to engage the learners.

Educational objectives: 

Specific learning objectives addressed in this module include: 1) The critical elements of an effective discharge summary. 2) How effective discharge communication improves patient outcomes. 3) Basic features of Medicare and Medicaid. 4) How intensity of interventions and support varies, depending on the site of care.

Publications from, presentations from, and/or citations to this product: 

Presented at the 5th Harvard Medical School Medical Education Day, November 7, 2006. 

Eskildsen, M. A. (2010, December). Review of Web-Based Module to Train and Assess Competency in Systems-Based Practice. Journal of the American Geriatrics Society, 58(12), 2412-2413. Also available online.

Date posted: 
Fri, 09/04/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 09/04/2009
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Web-Based Module to Train and Assess Competency in Systems-Based Practice. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/248

Patient Centered Care Workshop: Providing Quality Health Care to a Diverse Population

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

Educators have recently been challenged to actively incorporate instruction that emphasizes cultural diversity, access to health care/health care disparities, evidence-based medicine, and reflection regarding impact of physician's values and beliefs on the patient care. Framing these issues as a 3-perspective approach to patient-centered care (PCC), this 2-part workshop is designed teach learners how to incorporate the patient's, physician's and society's perspective into a health care plan (Part 1) and to provide opportunities for learners to apply the approach using a series of strategically crafted instructor-authored cases and at least one student generated "critical incident" case scenario (Part 2). More specifically, our 3-perspective PCC approach requires learners to consider the physician's role and perspectives (e.g., bio-psychosocial model of care, evidence based medicine, values and beliefs), the patient perspectives organized by the Kleinman questions, and the social review of systems (e.g., societal and economic barriers to health care) when developing patient treatment plans. Suitable for medical students, residents or practicing physicians this workshop can be adapted from its 4-hour format into smaller units. Packet contains a detailed instructor and facilitator guides, PowerPoint slides with speaker notes, cases, critical incident and workshop evaluation forms, and references needed to lead the workshop.

Educational objectives: 

The learner will be able to:

  1. Continuously apply the Kleinman questions to elicit each patient's perspectives on health, disease, illness, and treatment.
  2. Identify physician perspectives and values that influence patient care management including the biomedical model, evidence-based medicine, and physician beliefs.
  3. Identify societal factors including racial, ethnic and socio-economic barriers to and disparities in health care.
  4. Incorporate the patient, physician and societal perspectives into a treatment plan.
Additional information/Special implementation requirements or guidelines: 

An ABC Nightline video was used in Part 1 of the workshop and must be purchased for us. It was not rated by learners as an essential component of the workshop, but it provided a nice compliment to the lecture-based overview of the PCC model focusing on physician values/biases and societal perspectives. A medical student provided part of the overview session establishing peer creditably but again was not seen as essential. Small group facilitators were a key aspect of the workshop and were effectively oriented through the facilitator guide and a brief orientation session immediately preceding the workshop. Having two facilitators, a physician and non-physician (e.g., member of the health profession) was effective but not essential given the format/structured nature of the case discussion. Other details regarding implementation plans (e.g., facilities, readings, duplication of case materials/handouts) are detailed in the Instructor Guide.

Publications from, presentations from, and/or citations to this product: 

MedEd Portal

Date posted: 
Mon, 08/31/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 10/27/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Patient Centered Care Workshop: Providing Quality Health Care to a Diverse Population. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/248

Delirium: An Interactive Learning Experience

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

It is important to expose medical students to geriatrics curricula. Creative methods of delivering medical education result in increased student interest in, and retention of subject matter. This resource is a case about Delirium designed to create active learning groups among third year Medical Students and is delivered in the context of a 2 hour workshop. The case presentation is followed by discussion within the smaller group of learners (about 10 students). Each group reviews the case and identifies salient aspects of the history, physical examination, risk factors and management options. Then the whole group of learners (about 30 students) reviews the information and conclusions of each group through a discussion facilitated by a faculty member. The total time for this product is about 40 minutes. The evaluations indicate that this approach is well-received by the students.

Additional information/Special implementation requirements or guidelines: 

An instructor manual will be provided in which the implementation guidelines are embedded. It is important for the facilitator to make the exercises very interactive to encourage student involvement at all levels.

Publications from, presentations from, and/or citations to this product: 

MedEd Portal

Date posted: 
Mon, 08/03/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/23/2010
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Delirium: An Interactive Learning Experience. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/248

Falls in the Elderly: An Orientation for the Medical Student

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

It is important to expose medical students to geriatrics curricular. Creative methods of delivering medical education result in increased student interest in, and retention of subject matter. This resource is a case about "falls" designed to create active learning groups among third year Medical Students and is delivered in the context of a 2 hour workshop. The case presentation is followed by discussion within the smaller group of learners (about 10 students). Each group reviews the case and identifies salient aspects of the history, physical examination, risk factors and management options. Then the whole group of learners (about 30 students) review the information and conclusions of each group through a discussion facilitated by a faculty member. The total time for this product is about 40 minutes. The evaluations indicate that this approach is well-received by the students. This work was put together with assistance from a grant from the Donald W Reynolds Grant foundation.

Educational objectives: 

The learner will be able to: 1) Identify risk factors for falls in older adults. 2) Describe an appropriate history in the evaluation of an older patient with falls. 3) Illustrate a focused physical exam in the evaluation of a patient with falls. 4) Identify appropriate management options for falls in older adults.

Additional information/Special implementation requirements or guidelines: 

An instructor manual will be included in which the implementation guidelines are embedded.

Publications from, presentations from, and/or citations to this product: 

MedEd Portal

Date posted: 
Fri, 02/22/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 11/01/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Falls in the Elderly: An Orientation for the Medical Student. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/248

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