The goal of training for residents is to optimize the quality of primary care, both acute and chronic, which residents provide to older adults. The training is focused on medical and neuropsychiatric geriatric syndromes including dementia, falls and delirium.
Specific Training Objectives
- Enhance knowledge of aging physiology and diseases common to the elderly; particularly complex medical and neuropsychiatric syndromes such as dementia, falls and delirium.
- Improve skills in geriatric assessment, specifically the medically-oriented physical examination of an older adult, cognitive assessment, functional status examination including gait, and the staging and description of skin ulcers, if present.
- Expand ability to integrate clinical, cognitive, functional and social assessment data into a treatment and management plan to optimize care of the elderly.
- Increase familiarity with services, health insurances, and other components of the health care and support system serving the elderly (e.g. home care, hospice, long term care)
- Improve physicians’ understanding of bioethics and its implications for medical decision-making for the elderly, particularly for those who lack capacity.
Level for PGYII Rotators
- Patient Care
Perform an in-depth geriatric assessment which is to include history of current and past medical illness, medications, social history, physical examination, functional examination, cognitive and mental status examination, and an impression and plan for care including interventions planned by the multidisciplinary team.
- Medical Knowledge
Search and use suggested literature sources to increase clinical and basic science fund of knowledge as it applies to geriatric medicine.
Develop an understanding of aging physiology and how it interacts with disease, the pathophysiology of diseases common to the elderly, atypical presentations of disease in the elderly, understanding of geriatric syndromes, geriatric pharmacology and appropriate prescribing, geriatric health screening and preventive services, information about social gerontology as it pertains to patient care, and health care systems.
Understand and maintain patient confidentiality when caring for geriatric patients and interacting with families and staff
Perform duties with reliability, demonstrating respect and patience with elderly patients and their families
Work cooperatively with the geriatric interdisciplinary team; and request advice and assistance when needed.
Complete patient care responsibilities in a timely fashion, complete charting, return calls and attend rounds and conferences.
- Interpersonal Skills
Create and sustain a therapeutic relationship with patients demonstrating the ability to listen, respond and integrate both verbal and nonverbal communication
- Practice-Based Learning and Improvements
Improve understanding of the standard of care and ability to provide this through literature and chart review as well as case discussions within the rounds and interdisciplinary team meetings.
- Systems-Based Practice
Learn of the functions of different sites of geriatric care and the appropriate referrals to them (home care, long term care, etc) as well as the functions of various members of the interdisciplinary geriatric care teams in each site of care.