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Family Medicine Geriatric Rotation

Goals

Through continuity care, the resident learns the importance of lifestyle in the young and middle-aged adult and its effects on the older adult. In addition, residents will learn to assist geriatric patients to function independently and to preserve their quality of life.

Objectives

I. Patient Care and Medical Knowledge

Residents will:

  • Understand the "normal" physiologic, psychologic, social and environmental changes of aging;
  • Be aware of unique, atypical and common presentations of disease processes or biopsychosocial dysfunction in the elderly;
  • Be aware of disease screening and health maintenance recommendations specific to the elderly;
  • Recognize government and voluntary community resources available to assist the elderly;
  • Have learned a targeted approach to comprehensive geriatric assessment and understand the role of multiple disciplines in caring for the older individual; and
  • Have presented a didactic conference to faculty and housestaff on a topic relevant to geriatrics.

II. Practiced-Based Learning and Improvement

Residents will be able to:

  • Use the internet to access current literature about Geriatric medicine topics;
  • Access the internet and other resources to provide patient education materials;
  • Work well in the context of the team of providers in the care of the Geriatric patient; and
  • Implement changes in patient care based on new information obtained from clinical experience, faculty teaching, and independent reading.

III. Interpersonal Communication Skills

  • Communicate effectively with patients
    Residents will be able to:
    • Communicate in a manner understandable to the geriatric patient and the family of a geriatric patient are able to successfully understand the disease and it's treatment and prognosis; and
    • Listen to and address the concerns of geriatric patients and their families.
  • Communicate effectively with colleagues
    Residents will be able to:
    • Work efficiently in the context of team of providers in the care of the geriatric patient;
    • Clearly communicate the issues of a geriatric patient to other professionals providing care to the geriatric patient, including current medical problems, history, physical, assessment and plan; and
    • Work efficiently with the support staff in the care of the geriatric patient.

IV. Professionalism

Residents will be able to:

  • Demonstrate cultural competency;
  • Demonstrate the ability to act in the best interests of the patients by observing:
    • Respect for confidentiality
    • Respect for patient autonomy
  • Be professional in all aspects of patient care:
    • Accepts personal responsibility for patients
    • Accepts feedback in all aspects of care, including the six core competencies
    • Timeliness
    • Appropriate attire

V. Systems-Based Practice

Residents will be able to:

  • Demonstrate understanding of the care of the geriatric patient and how the care of the elderly is different than the non-elderly;
  • Coordinate care with ancillary services to improve the healthcare of the patient;
  • Assist patients in dealing with their medical issues;
  • Assist the patient in the navigation of the health care system through:
    • Appropriate use of resources (clinic vs. ER)
    • Appropriate follow-up
      • Medical studies
      • Laboratory studies
    • Patient follow-up

Contact Information

Denise K. Sur, MD
Residency Program Director
UCLA Department of Family Medicine
1920 Colorado Blvd.
Santa Monica, CA 90404
TEL: (310) 319-4709
E-MAIL: dsur@mednet.ucla.edu