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General Attitudes General Knowledge-Related to the Basic Sciences General Attitudes MS1 Courses Competency Topic Description Course Method Myths and Communicating with an older patient Physical Diagnosis Lecture Stereotypes Myths and Discussion of stereotyping and heterogenity of older Nutrition Lecture Stereotypes populations Heterogeneity In longevity, cognition, personality, mood Psychiatry Lecture Nutrition can have a significant impact on the rate of Heterogeneity Nutrition Lecture aging Openness and willingness to work Doctor/Patient Interdisciplinary health care team Lecture with other Relationship disciplines Openness and willingness to work Working with teams of health care providers Social Medicine Small Group with other disciplines Developing empathetic connections between physicians Doctor/Patient Compassion Lecture and patients; nonverbal communication Relationship Compassion Communicating with an older patient Physical Diagnosis Lecture Attitude Toward a Attitude Toward a Career in Geriatrics Survey Survey Career in Geriatrics Attitudes Toward Attitudes Toward the Elderly Survey Survey the Elderly Geriatrics Attitudes UCLA Geriatrics Attitudes Scale Survey Survey Scale MS2 Courses Competency Topic Description Course Method Openness and willingness to work Essential for comprehensive geriatric assessments; Geriatrics Lecture with other isolated interventions are generally of minimal benefit disciplines Improving and Goal of geriatric medicine is to maximize function, Optimizing decrease decline and improve quality-of-life; older Geriatrics Lecture Function patients want to remain independent Improving and Optimizing Screening functional status Physical Diagnosis Lecture Function General Knowledge-Related to the Basic Sciences MS1 Courses Competency Topic Description Course Method Demography and Increasing numbers; life expectancy Psychiatry Lecture Epidemiology Demography and The future of medicine; community-oriented primary care Social Medicine Lectures Epidemiology General Knowledge-Related to the Basic Sciences (continued) MS1 Courses Competency Topic Description Course Method Demography and Healthy nutritional lifestyle can improve life expectancy Nutrition Module Epidemiology and quality of life Caloric restriction; reactive oxygen species; post- Theories of Aging Biochemistry Lecture translational modification of proteins: glycoslation Theories of Aging Premature aging syndromes and telomere shortening Hematology Lecture Aging, immunology and immunosenescence; oxidative Theories of Aging Immunology Lecture stress; cytokine dysregulation Theories of Aging Free radicals Pathology Lecture Theories of Aging Oxidative stress; caloric restriction Nutrition Module "Normal" Aging is Longevity and cognition, personality, and mood Psychiatry Lecture Heterogeneous "Normal" Aging is Loss of lean body mass and aging Nutrition Module Heterogeneous Preventable, Treatable Aging Disuse atrophy Physiology Lecture Processes Preventable, Treatable Aging Sun exposure of skin and aging Histology Lecture Processes Preventable, Nutrition health behaviors and successful aging; Treatable Aging nutritional recommendations; strength training and Nutrition Module Processes healthy aging; vitamin intake and aging Anatomic and Neuronal tissue histology correlated with Alzheimer's Histologic Histology Lecture and Parkinson's disease Changes Pathology Aging cartilage; osteoporosis Histology Lecture Pathology Immunobiology of aging Immunology Lecture Increasing frequency of urinary tract infections with Pathology Microbiology Lecture increasing age Alzheimer's disease and neurofibrillary tangles/amyloid; Pathology Pathology Lecture brain and myocardial infarcts Physiology Electrolytes and water transport Physiology Lecture Physiology Changes in various organ systems with aging Psychiatry Lecture Decline is normal but varies markedly from system to Physiology Nutrition Module system Toxicity of amino glycosides; general emphasis on need Pharmacologic for adequate renal function with antibiotics excreted by Microbiology Lecture Changes kidney; and caution for use in elderly who frequently have impaired renal clearance of many of these drugs General Knowledge-Related to the Basic Sciences (continued) MS1 Courses Competency Topic Description Course Method Pharmacologic Biologic changes affecting pharmacologic treatment Psychiatry Lecture Changes Clinical pharmacokinetics - altered drug elimination in Pharmacologic elderly; changes in volume of distribution with age; Pharmacology Lecture Changes factors mitigating against medication compliance MS2 Courses Demography and Demographic imperative Geriatrics Lecture Epidemiology "Normal" Aging is Occurs at varying rates among individuals and within Geriatrics Lecture Heterogeneous Preventable, Normal aging isn't always disease but lifestyle and Treatable Aging prevention significantly affect aging; priority of geriatric Geriatrics Lecture Processes medicine is to maximize function and quality of life Loss of Impaired with aging Geriatrics Lecture Homeostasis Loss of 74 yo male with fractures resulting in increased risk for Geriatrics Small Group Homeostasis frailty Anatomic and Multi- Histologic Temporal lobe lesions and aphasia Neuroanatomy disciplinary Changes case Disorders of autonomic nervous system with age; brain Pathology lesions and visulospatial deficits; deficits of cerebral Neuroanatomy Lecture cortex; Alzheimer's disease Pathology cases - stroke; meningitis in elderly patient; Pathology Neurology Small Group Alzheimer's disease Sleep pathology; age-related macular degeneration; glaucoma; diabetic retinopathy; pathology of the Pathology degenerative diseases of the central nervous system Neurology Lecture (Alzheimer's, Parkinson's, dementia with Lewy bodies); stroke pathology Pathology of neurodegenerative diseases including Alzheimer's disease, Parkinson's disease and dementia with Lewy bodies; subdural hemorrhage; stroke (embolic Pathology Neuropathology Lecture and due to cerebral vascular disease); glioblastoma multiforme; 81 yo with meningitis; 68 yo male with probable Alzheimer's disease Pathology Pulmonary embolism and aging; obstructive sleep apnea Pulmonary Lecture Nursing home resident with pneumonia; elderly female Pathology with alkalosis and electrolyte disturbances; pulmonary Pulmonary Small Group embolism and aging; obstructive sleep apnea Osteoporosis; abnormal uterine bleeding; urinary Pathology Reproductive Lecture incontinence Physiology Baroceptor reflex, hippocampus and memory Neuroanatomy Lecture Physiology Normal sleep physiology Neurology Lecture General Knowledge-Related to the Basic Sciences (continued) MS2 Courses Competency Topic Description Course Method Neurotransmitters and receptors of the central nervous Physiology Neuropharmacology Lecture system Neurophysiology of post-herpetic neuralgia in older Physiology Neurophysiology Lecture individuals Decreasing FEV1/FVC with aging; DLCO variability and Physiology Pulmonary Lecture age Physiology Decreasing pulmonary capacities with age Pulmonary Physiology Lecture Menopause; pharmacology of estrogens and progestins Physiology Reproductive Lecture and hormone replacement; male climacteric Physiology of successful aging; functional limitations Physiology result from physiologic decline; chronic disease burden Geriatrics Lecture and lifestyle choices Pharmacologic Age-associated physiologic changes that affect Geriatrics Lecture Changes prescribing of medications Pharmacologic 68 yo woman and diminished creatinine clearance Geriatrics Small Group Changes General Knowledge-Related to the Clinical Practice MS1 Courses Competency Topic Description Course Method Amyloid & relationship to Alzheimer's disease; Dementia aggregation of misfolded proteins in Alzheimer's and Biochemistry Lecture Parkinson's disease Dementia Alzheimer's disease Genetics Lecture Alzheimer's & Parkinson's diseases as major causes of Dementia Pathology Lecture death Alzheimer's disease and inheritance; cognition and Dementia Psychiatry Lecture aging Mood disorders and neurotransmission; depression and Depression associated medical diseases; depression and brain Psychiatry Lecture imaging; human aging; bereavement and grief Falls Fall statistics; subdural hematoma Pathology Lecture Intrinsic (deep) muscles of the back and vertebral Osteoporosis Gross Anatomy Lecture column (kyphosis) Osteoporosis Changes in resorption/formation of bone with aging Histology Lecture Non-specific Presentation of older patient with low white blood count Presentation of Pathology Lecture with acute infection Disease MS2 Courses Dementia Mini-Mental State Examination Neurology Lecture Dementia Drugs for Alzheimer's disease; antipsychotics Neuropharmacology Lecture Dementia Screening for cognitive impairment Physical Diagnosis Lecture General Knowledge-Related to the Clinical Practice (continued) MS2 Courses Competency Topic Description Course Method Dementia Risk factors; criteria; types; pathophysiology; diagnosis Geriatrics Lecture 90 yo woman with hallucination, poor memory and Dementia Geriatrics Small Group propensity to fall; 90 man with poor memory Inappropriate Side effects are accentuated in the elderly and certain Prescribing of Geriatrics Lecture medications contraindicated in the elderly Medications Depression Drugs for treatment of depression Neuropharmacology Lecture Depression Screening for depression Physical Diagnosis Lecture Presentation; diagnosis; suicide; evaluation; treatment Depression Geriatrics Lecture options 84 yo woman hospitalized for two months with acute Depression Geriatrics Small Group myocardial
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