University of Arizona College of Medicine

Geriatric Medicine Training Program

Major Topics in Geriatrics

Use this to check off the topics that you have covered in either journal club or in case conference Keep this list in a prominent place along with pertinent review articles Major Topics in Geriatrics Date Discussed Aging and longevity

-theories of aging

-physiology and natural history of aging

-pathologic changes with aging

-epidemiology of aging populations

-other _____________________________

Preventative medicine

-nutrition

-oral health

-exercise

-screening

-immunizations and chemoprophylaxis

-instructing patients / caregivers about and integration of community resources

- other _______________________________

Geriatric assessment

-medical (history taking/physical in difficult/unusual situations)

-cognitive i.e. dementia / depression screening tools

-functional – ADL/ADLS, etc.

-social support and economic

- other___________________________

Interdisciplinary assessment and coordination of care

-with nursing, pharmacologist, social services, etc.

-with integrative medicine, rehab medicine, etc.

-with local nursing homes, assist. Living, adult care homes, etc.

-other______________________________

Geriatric syndromes / special interests

-depression and related disorders

-frailty

-falls

-incontinence

-osteoporosis

-fractures

-sensory impairment

-pressure ulcers

-sleep disorders

-pain

-senior / elder abuse

-malnutrition

-functional impairment

-wound care

-other ______________________________

Diseases that are prominent or have special characteristics in the Elderly, in the following categories:

-neoplastic

-cardiovascular

-neurologic

-musculoskeletal

-metabolic

-infectious disease

-other

Pharmacologic aspects of aging

-changes in pharmacokinetics / pharmacodynamics

-drug interactions

-overmedication

-appropriate prescribing

-adherence

-other

Psychological aspects of aging

-interpersonal and family relationships

-living situations

-adjustment disorders

-depression

-bereavement

-anxiety

-other

Economic aspects

-Title III of the Older Americans Act

-Medicare / Medicaid

-Capitation / cost containment / other

Ethical and legal issues

-limitation of treatment / right to refuse treatment

-competency / capacity

-guardianship

-advance directives / durable power of attorney for medical

-other

Geriatric rehab related to orthopedic, rheumatologic, cardiac, and neurologic impairments

-physical medicine modalities

-exercise

-functional activities

-assistive devices

-environmental modification

-patient and family education

-psychosocial and recreational counseling

-other

Long term care setting / skilled nursing / assistive living settings

-palliative care and hospice in these settings

-administration and regulations

-financing of long term care

-continuum form short to long term care

-other

Research methodologies related to geriatric medicine

-clinical epidemiology

-decision analysis / evidence based medicine

-critical literature review

-other

Perioperative assessment and management

Iatrogenic disorders and their prevention

Communication skills

-with patients, families, colleagues, community groups – best methods, appropriate use

Caregiver issues

-role of family support

-involvement in community support / resources

-other

Home Care

-components of home visit

-accessing appropriate community resources

-other

Hospice Care

-pain management

-symptom relief

-comfort care

-end of life discussions / care / issues

-other

S:/Geriatric Medicine Training Program 6-9-09


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