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Geriatrics Curriculum for
Residents
SFM Residency
Updated 9/5/08 by ACH
Formal teaching venues for
residents:
1. Didactics (R1 R2 R3, mostly R2 and R3) – Carroll and
Fellows
2. Fellow teaching on service (R1 R2 R3, mostly R1) – Fellows
3. Nursing home quarterlies (R2 and R3) –
Alethea/Carla/Carroll
4. Geri Assessment clinic in Geriatrics rotation (R3) – Carla
and Alethea
Teaching topics:
|
TOPIC |
WHERE TAUGHT
(proposed) |
|
Dementia |
Didact, FMS, NH,
GA |
|
Delirium |
FMS, GA, NH |
|
Depression |
Didact, NH, GA |
|
Urinary
incontinence |
Didact, GA |
|
Vision
loss/ hearing loss |
Didact, GA |
|
Malnutrition/
failure to thrive |
FMS, GA |
|
Osteoporosis |
Didact, GA |
|
Falls
and gait disturbance |
FMS, NH, GA |
|
Dizziness
and syncope |
GA |
|
Pressure
ulcers and wound care |
FMS, GA |
|
Venous
stasis/ arterial insufficiency |
FMS |
|
Sleep
disorders |
GA |
|
Polypharmacy |
Didact, NH, GA |
|
Elder
abuse |
Didact, GA |
|
Prevention |
Didact, GA |
|
Transitions in
care |
FMS, GA |
|
Movement
disorders/ parkinson’s |
Didact |
|
Sexual
changes with aging |
Didact |
|
Erectile
dysfunction |
Didact |
|
Osteoarthritis |
Didact |
|
Hip
fractures |
FMS |
|
End of life
conversations |
Didact, FMS, NH |
|
Hospice
and palliative care |
FMS, NH |
|
POLST |
FMS |
|
Common
geriatric infections |
FMS, NH |
|
Pain
management |
FMS |
|
Feeding
tubes |
FMS |
|
Elderplace/ PACE |
FMS |
|
Community
resources for seniors |
FMS |
|
Prognosis
in chronic disease |
FMS |
Didactics
18 month cycle = 5
sessions x 3 topics each, with 2 sessions incl Pract Mgmt = 13 geri topics
1.
dementia
2. parkinson’s
3. osteoporosis
4. polypharmacy
5. urinary incontinence
6. sexual changes with aging
7. erectile dysfunction
8. vision loss and hearing loss
9. depression
10. osteoarthritis
11. prevention/ preventive care
12. elder abuse
13. end of life conversations
Fellow teaching on service
(52 weeks; topics will repeat; case-based teaching also encouraged)
1.
delirium
2. end of life conversations (includes family meetings)
3. hospice and palliative care
4. prognosis in chronic disease
5. hip fractures
6. pressure ulcers/ wound care
7. venous insufficiency and arterial insufficiency
8. common infections in geriatrics (uti, pna, etc)
9. NH/assisted living/SNF – what’s the difference?
10. transitions in care and placement
1.
Elderplace and the PACE model
2. POLST form
3. feeding tubes/ malnutrition
4. falls and fall prevention
5. pain management
6. dementia/ bedside cognitive assessment
7. community resources for seniors
NH quarterlies
1.
What is a nursing home? What is my role here?
2. Dementia and cognitive impairment. Treating
behavioral disturbance
3. Infections in LTC
4. End of life care and hospice
5. Pain management in LTC
6. Falls and fall prevention
7. Polypharmacy/ Beers List
8. NH wrap up, lessons learned, feedback
Geriatric Assessment
clinic (topics from binder) – some topics will be covered formally, others will
require independent reading.
1.
dementia
2. delirium
3. depression
4. urinary incontinence
5. vision loss/ hearing loss
6. malnutrition/ failure to thrive
7. osteoporosis
8. falls
9. dizziness and syncope
10. pressure ulcers
11. sleep disturbances
12. polypharmacy
13. elder abuse
14. prevention and preventive care
15. transitions in care
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