| University of Minnesota Medical School Duluth Office of Curricular Affairs 1035 University Drive - 109 Med Duluth, MN 55812 |
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| Survey Categories |
GERIATRIC SURVEY This Survey was created for Course Directors at the University of Minnesota Medical School Duluth. The purpose of the study is to do a needs assessment of our current geriatrics curriculum. This will serve as a baseline which will help to identify content gaps and to determine the best way to teach geriatrics in the curriculum. This internal study is being conducted by Dr. Richard Hoffman, Associate Dean for Curriculum and Education, and Dr. Alan Johns, Associate Professor in Family Medicine. If you have any questions regarding this survey, you are encouraged to contact Dr. Richard Hoffman or Dr. Alan Johns. SURVEY INSTRUCTIONS: Review the questions asked on this survey and gather necessary information needed to complete the survey. If you complete the survey in one sitting, fill in the information below and print the survey or, if you would like, do an "Edit, Select All" from the web page: "Edit, Copy" then paste it in Microsoft Word. This will allow you to save this document into a file on your computer and you can then start and stop the survey at various times. Please refer completed survey by (Date) to 109 Med. If you have any problems with the functionality of this survey, please contact Brenda Doup at 726-7581. |
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Basic Science Knowledge Clinical Pathophysiology Psychosocial Problems Disease Prevention Ethical Issues Health Care Financing Cultural Aspects of Aging Clinical Skills Knowledge Areas |
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Evaluation of Undergraduate Geriatrics Curriculum
Date: Course: Course Year: Yr 1 Yr 2
Course Director:
| Basic Science Knowledge | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic | Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| The demography and epidemiology of aging, including the growth in numbers of older people and heterogeneity of the older population | ||||
| Theories of aging, including biochemical/molecular, cellular, genetic, and biophysical | ||||
| "Normal" aging versus diseases at the molecular, cellular, tissue, and organism levels | ||||
| Anatomic and histologic changes associated with aging | ||||
| Pathology associated with normal aging and age-associated disease processes | ||||
| The physiology of aging in various organ systems | ||||
| Pharmacologic issues in aging and relevance to therapeutic decisions |
| Clinical: Risk factors, causes, signs, symptoms, differential diagnoses, initial diagnostic evaluations, and preventive strategies for: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic | Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Dementia | ||||
| Inappropriate prescribing of medications. | ||||
| Incontinence | ||||
| Depression | ||||
| Delirium | ||||
| Iatrogenic problems, including consequences of hospitalization and bedrest | ||||
| Falls | ||||
| Osteoporosis | ||||
| Sensory alterations, including hearing and visual impairment | ||||
| Failure to thrive | ||||
| Immobility and gait disturbances | ||||
| Pressure ulcers | ||||
| Sleep Disorders | ||||
| Nonspecific presentations of disease |
| Pathophysiology, presenting signs and symptoms, differential diagnoses, and initial diagnositc evaluations for: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic | Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Rheumatologic diseases (e.g., osteoarthritis, rheumatoid arthritis, temporal arteritis/polymyalgia rheumatica) | ||||
| Genito-urological diseases (e.g., benign prostatic hyperplasia, sexual dysfunction) | ||||
| Neurologic diseases (e.g., Parkinson's disease, stroke and transient ischemic attack, dizziness/syncope) | ||||
| Cardiovascular diseases (e.g., congestive heart failure, atrial fibrillations, valvular heart disease), and hypertension (diastolic and systolic) | ||||
| Endocrinologic diseases (e.g., type II diabetes mellitus, hyperosmolar nonketotic coma, hyper- and hypo-thyroidism, Paget's disease of the bone) | ||||
| Cancers of various organs, including breast, lung, colon, prostate, and hematologic malignancies | ||||
| Infections, including pneumonia, tuberculosis, and urinary tract infections | ||||
| Renal diseases (e.g., fluid and electrolyte disturbances) | ||||
| Gastroenterologic disorders (e.g., constipation, malnutrition, diverticulitis, diverticulosis | ||||
| Psychiatric diseases (e.g., depression) | ||||
| Fractures and amyloidosis |
| The presenting signs and symptoms of-and appropriate referral for - psychosocial problems and issues common to elders, including: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic | Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Normal late-life changes, inlucing retirement | ||||
| Psychological problems, including affective disorders, psychotic disorders, anxiety disorders, responses to medical illness, depression, and substance abuse | ||||
| Under-reporting of symptoms and illnesses | ||||
| Sexuality and aging | ||||
| Elder abuse and neglect | ||||
| Suicide | ||||
| Home Safety | ||||
| Community resources, including those used to prevent institutionalization | ||||
| Adaptation of care in alternative living situations, including long-term care facilities |
| Disease Prevention, including: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic | Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Primary disease prevention (for example, exercise and nutritional and psychosocial interventions designed to maximize function and allow independent living) | ||||
| Secondary disease prevention with age - appropriate screening for diseases and identification of geriatric syndromes | ||||
| Tertiary disease prevention strategies (for example, rehabilitation and chemoprophylaxis in the post-myocardial infarction patient) |
| Ethical Issues in geriatric care, including: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic |
Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Advance directives | ||||
| Decision - making capacity | ||||
| Euthanasia | ||||
| Assisted suicide | ||||
| Health care rationing | ||||
| Pain management | ||||
| End-of-life care |
| Health care financing, including: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic |
Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Mechanisms and implications | ||||
| Medicare | ||||
| Medicaid | ||||
| Managed care | ||||
| Capitation |
| Cultural aspects of aging, with emphasis on: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic |
Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Demographic information for ethnic elders in the United States | ||||
| The heterogeneity of federally-designated minority groups; risk factors and disease prevalence in these elders | ||||
| The components of culturally competent medical care |
| Clinical Skills | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic |
Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Screening examinations for mental status, geriatric depression, and functional status (including activities of daily living and instrumental activities of daily living) | ||||
| Physical diagnosis skills, including the ability to perform mobility and gait and balance assessments, recognizing normal versus abnormal signs of aging, and performing pre-operative assessment |
| Knowledge Areas: | Not Covered | Couple of Sentences in the Lecture Devoted to Topic | Half a Lecture Devoted to Topic |
Entire Lecture Devoted to Topic |
|---|---|---|---|---|
| Syndromes and conditions more common with older people | ||||
| Diseases and disorders more common with older people | ||||
| Ethical issues in geriatric care | ||||
| Psychosocial issues | ||||
| Pharmacological changes in aging | ||||
| Physiology of aging in various organ systems | ||||
| Prevention | ||||
| Palliative care | ||||
| Normal aging versus disease | ||||
| Age-associated and related pathology | ||||
| Demography and epidemiology of aging | ||||
| Theories of aging, including molecular, cellular, genetic, and biophysical | ||||
| Health care financing (mechanisms and implications) | ||||
| Anatomic and histologic changes over life cycle | ||||
| Nutrition | ||||
| Cultural aspects of aging | ||||
| Outcome measurement pertinent to older persons |