Division of Geriatrics

Clinical Examination Geriatric Assessment Workshop

A half-day geriatrics assessment workshop is held during the conclusion of the second year physical examination course.

Goals and Objectives 

Goal:

Teach that assessment of older adults includes physical and cognitive function.

Objectives:

  1. Describe physical function using
  2. Utilize methods to assess physical function such as the Get-up-and-go test
  3. Describe neuropsychiatric function
  4. Utilize standardized tools to assess cognition such as the MiniCog

Program Structure 

  1. Didactic Lecture on geriatric assessment (full class, 180 students) – 1 hour
  2. Small group workshops: 12 groups of 15 students with 2 preceptors each – 2 hours
  3. Geriatric Assessment Instrument Completion for Simulated Patient and Actual patient
  4. Distribution of Geriatric Assessment Pocket Cards

Program Content 

  1. Simulated Patient Session for Cognitive Assessment

    Goal: Teach approach to the geriatric patient, interviewing skills, the use of cognitive and neuropsychiatric assessment tools, and to describe findings
    1. Activities with simulated patient: Students complete the following tasks demonstrating for the group:
      1. Chief complaint & History of Present Illness
      2. Geriatric Review of Systems
      3. Social History
      4. Neuropsychological assessment
        1. Mini Cog – 3 – item recall & clock drawing
        2. Digit repetition
        3. Timed Naming
         
      5. Optional activities: Discussion of delirium, depression and dementia. Introduction to the following tools:
        1. Confusion Assessment Method
        2. Geriatric Depression Scale
         
       
    2. Discussion
      1. Students describe the mental status of the simulated patient
      2. Students describe the impairments that they observed
      3. Discuss scoring and interpretation of the Minicog
      4. Discuss potential neurological/medical causes of the impairments and their treatment
       
     
  2. Real Patient with Gait Disorder for Functional Assessment

    Goal: Teach the fundamentals of a gait assessment and the Get up and Go test
    1. The student evaluates an actual patient with a gait disorder. Students complete the following activities:
      1. History of Present Illness related to the gait problem
      2. Geriatric Review of Systems (Activities of Daily Living, Instrumental Activities of Daily Living)
      3. Standing balance
      4. Static balance – semi-tandem; full tandem stance
      5. Gait
      6. 360 Degree Turn
      7. Full Get Up and Go Test
      8. Optional additional tests – Tinetti Performance-Oriented Assessment of Balance and Performance-Oriented Assessment of Gait
       
    2. Discussion
      1. Students describe the ADL status
      2. Students describe the impairments that they observed
      3. Discuss simple neurological/medical causes of such impairments and their treatment
       
     
  3. Student Evaluation of Workshop
  4. Faculty Review of Workshops

Contact Us

Division of Geriatrics
111 East 210 Street
Bronx, NY 10467

718-920-6722
Fax: 718-655-9672

more contact info 

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