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DESCRIPTION AND COURSE OBJECTIVES: The student will acquire (1) greater proficiency in collection of clinical and laboratory data from elderly patients; (2) knowledge of contribution which can be made by various members of the health care team; (3) knowledge of community resources which can contribute to the care of the elderly; (4) knowledge of the distinction between the aging process and disease in aging; and (5) insight into his feelings and bias toward aging and the aged.
CONTENT AREAS: 1. Psychosocial Aspects of Aging to include normal behavior, demography and epidemiology, social resources and programs, attitudes toward the elderly, interaction of bio-psychosocial factors. 2. Geriatric Disorders and Problems to include anatomy and physiology of the aging process in organ systems; pathology and pathophysiology; epidemiology and natural history; assessment and management of diseases, disorders and common symptom complexes, drug toxicity, preoperative evaluation; incontinence and falls, iatrogenic illnesses, nutrition, social problems. 3. Assessment and Management of the Elderly to include interviewing and functional history; communication and interpersonal skills, physical examination, special clinical tests; clinical decision making; record keeping; preventative medicine; clinical pharmacology; rehabilitation; health care team/coordinated interdisciplinary care; continuity of care; continuum of care/health care delivery alternatives; humanistic care.
TRAINING SITES (hours per week): inpatient (20 h), nursing home (15 h), outpatient clinic (5 h).
STUDENT INVOLVEMENT WITH OTHER HEALTH CARE PROVIDERS: As part of a health care team, the student will work with: interns, residents, internists, psychiatrists, other MD specialists, a nurse practitioner, LPHNs, RNs, physical therapists, social workers, psychologists, nutritionists, neurologists, podiatrists, dentists, clergy and pharmacists.
COURSE COMPONENTS: Clinical activities, (inpatient and outpatient, nursing home) lectures, readings, special seminars, tutorials, written report of literature review.
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