STANDARD COMPETENCIES:

 

 I.      General Issues in Geriatric Practice

         A.      History and Physical Exam in the Geriatric

         B.      Assessment of function

         C.      Social Support

         D.      Ethical and Legal issues

         E.      Medication use

         F.      Sexuality

         G.      Driving

 II.     Systems of Care in Geriatrics

         A.      Acute Care

         B.      Nursing Home Care

         C.      Home Care

         D.      Office Practice

         E.      Palliative Care

 III.    Prevention and Rehabilitation in Geriatrics

         A.      Preventive Health Maintenance

         B.      Exercise

         C.      Nutrition

         D.      Rehabilitation

         E.      Assistive Devices

 IV.     Syndromes in Geriatrics

         A.      Urinary Incontinence

         B.      Instability and Falls

         C.      Orthostatic Hypotension, Dizziness, and Syncope

         D.      Osteoporosis

         E.      Pressure Ulcers

         F.      Sleep and Aging

         G.      Hypothermia and Hyperthermia

         H.      Failure to Thrive

 V.      Neuropsychiatric Disorders in Geriatric Practice

         A.      Dementia

         B.      Delirium

         C.      Depression

         D.      Emotional and Behavioral Problems

         E.      Alcohol and Substance Abuse

         F.      Nervous System Disease

         G.      Cerebrovascular Disease

         H.      Parkinson¿s Disease and Parkinsonian Syndromes

 VI.     Medical and Surgical Disorders in Geriatric Practice

         A.      Cardiac Disorders

         B.      Hypertension

         C.      Oncologic Disorders

         D.      Hematologic Disorders

         E.      Infections

         F.      Musculoskeletal Disorders

         G.      Orthopedic Disorders

         H.      Otologic Disorders

         I.      Opthalmologic Disorders

         J.      Skin Disorders

         K.      Pulmonary Disorders

         L.      GI disorders

         M.      Gynecologic Disorders

         N.      Prostatic Disorders

         O.      Renal and Electrolyte Disorders

         P.      Endocrine Disorders

 TOPICAL OUTLINE:

 

 I.      Evaluate presenting signs and symptoms, physical findings and laboratory evidence to formulate a differential diagnosis of common orthopedic disorders.  Develop diagnostic and therapeutic treatment plans as well as patient education. (A, B, C, D, E, F, G)

         A.      Distinguish between pertinent positive and negative physical findings.

         B.      Identify physical findings by body system and develop a working differential diagnosis based on the findings.

         C.      Describe a differential diagnosis list and make a diagnosis from the differential.

         D.      Learn basic laboratory tests used, describe their methodology as well as interpreting resulting data.

         E.      Describe common orthopedic disorders and fractures and their presentations.

         F.      Demonstrate knowledge of appropriate `work up¿ for patient with a suspected orthopedic disorder or injury.

         G.      Describe indications for referral or consultation.

 II.     Evaluate presenting signs and symptoms, physical findings and laboratory evidence to formulate a differential diagnosis of common neurological disorders.  Develop diagnostic and therapeutic treatment plans as well as patient education. (A, B, C, D, E, F, G)

         A.      Distinguish between pertinent positive and negative physical findings.

         B.      Identify physical findings by body system and develop a working differential diagnosis based on the findings.

         C.      Describe a differential diagnosis list and make a diagnosis from the differential.

         D.      Learn basic laboratory tests used, describe their methodology as well as interpreting resulting data.

         E.      Describe common neurological disorders and their presentations.

         F.      Demonstrate knowledge of appropriate `work up¿ for patient with suspected neurological disorders.

         G.      Name and describe the use, indications and contraindications of pharmacotherapeutics used in treatment of neurological disorders.

         H.      Describe indications for referral or consultation.

         I.      Complete a neurological focused history

         J.      Describe the common presentation, classification and current treatment of seizure disorders.

 III.    Evaluate presenting signs and symptoms, physical findings and laboratory evidence to formulate a differential diagnosis of disorders common to the geriatric population.  Develop diagnostic and therapeutic treatment plans as well as patient education. (A, B, C, D, E, F, G)

         A.      Distinguish between pertinent positive and negative physical findings.

         B.      Describe a differential diagnosis list and make a diagnosis from the differential.

         C.      Describe common diseases and their presentations in the elderly.

         D.      Demonstrate knowledge of appropriate `work up¿ for a geriatric patient.

         E.      Describe the use, indications and contraindications of pharmacotherapeutics and drug interactions unique to the geriatric population.

         F.      Describe indications for referral or consultation.

         G.      Distinguish those behavioral and social problems unique to the geriatric population.