Geriatrics.pdf

Training in geriatric medicine is crucial for internists due to demographic changes, requiring a minimum level of competency in managing complex medical problems of older adults. Internal medicine residents learn geriatrics through core conferences, grand rounds, and rotations, with learning objectives including understanding normal aging, disease, and changes in physical and cognitive function. The curriculum includes rotations in ambulatory geriatric practice, Acute Care of the Elderly (ACE) Team, hospice meetings, and nursing home care, with teaching methods such as one-on-one instruction and recommended reading from online resources like Up To Date and Harrison's. Unique learning opportunities include home care, palliative care, and geriatrics weekly fellows conference, with a focus on diseases like dementia, incontinence, and osteoporosis, as well as principles of screening, immunization, and geriatric assessments. Evaluation methods include summative evaluation, pre and post-tests, and mid-rotation evaluations.