UNTHSC TCOM Geriatric Competencies Curriculum Mapping Document
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1 INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject Delivery, and Target Competency Level. METHOD OF SUBJECT DELIVERY ATTITUDE COMPETENCIES GERI-A-1 Awareness of Myths and Stereotypes Related to Older People GERI-A-2 Recognition of Negative Aspects of Ageism on Optimal Care of the Elderly GERI-A-3 Recognition of the Heterogeneity of Older Persons GERI-A-4 Openness & Willingness to Work With Other Disciplines in Caring for Older Patients GERI-A-5 Aging Self-Awareness and Personal Attitudes (Own Aging, Disability, Death) GERI-A-6 Attitude of Compassion & Understanding for Care givers of the Frail Elderly GERI-A-7 Appreciation for Improving and Optimizing Functionality for Older People GERI-A-21 Awareness of and Presentation of Palliative Care (Including Hospice) as a Positive, Active (AAMC 21) Treatment Option for a Patient With Advanced Disease BASIC SCIENCES GERI-K-27 Demography and Epidemiology of Aging GERI-K-28 Theories of Aging (Biochemical/Molecular,Cellular, Genetic, Biopsychosoical) GERI-K-29 Normal Aging GERI-K-30 Anatomic and Histologic Changes of Aging GERI-K-31 Pathology of Normal Aging (See also K17 below for AAMC) GERI-K-17 Physiology of Aging (Organ Systems) (AGS, AAMC 17, OMS) AAMC 17 Requires identify 3 Physiologic Changes and Their Contribution to Homeostenosis PHARMACOLOGIC CHANGES RELATED TO AGING (AGS, AAMC 1-3, OMS) GERI-K-1 Drug Selection and Dose Based on Knowledge of Age-Related Changes (AAMC 1) Familiarity with Research Foundation, Titration, Drug Half-Life Variability in Older Adults, Factors (OMS) on Rates of Absorption, on Prescription and Over the Counter Medications, and Polypharmacy. GERI-K-2 Identify Drugs to Be Avoided and Explain Potential Problems With Each (AAMC 2) GERI-K-3 Inappropriate Prescribing of Medications (See Under Skills Competencies Development of Patient's Med. List) (AGS) Page 1 of 5
2 INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geriatric competency being taught, the corresponding Method of subject Delivery, and Target Competency Level. METHOD OF SUBJECT DELIVERY Osteopathic Manipulative Medicine GERI-K-48 Osteopathic Principles & s Related to Geriatrics (OMS) GERI-K-49 Osteopathic Manipulative Methods (OMS) Health Care Financing GERI-K-66 Mechanisms and Implications (Medicare, Medicaid, Managed Care, Capitation) CLINICAL PRACTICE Knowledge, Diagnosis, and Differential Diagnosis of Geriatric Syndromes and Conditions Including Etiology (OMS) (AGS, AAMC, OMS) GERI-K-4 Depression (AGS, AAMC 4, OMS) GERI-K-4.1 Dementia (AGS, AAMC 4, OMS) GERI-K-4.2 Delirium (AGS, AAMC 4, OMS) GERI-K-8 (AAMC8) Develop an Evaluation and Non-Pharmacologic Management Plan for Agitated Demented or Delirious Patients (AAMC 8) GERI-K-32 Incontinence GERI-K-33 Iatrogenesis (Consequences of Hosp. & Bed Rest) GERI-K-12 Falls (AAMC 12 >65 Access For Falls Past Year) AGS, AAMC 12, OMS) GERI-K-34 Osteoporosis GERI-K-9 Alterations Special Senses (Vision & Hearing) AGS, AAMC 9, OMS) GERI-K-35 Failure to Thrive GERI-K-13 Immobility and Gait disturbances (AGS,AAMC12,13,OMS) GERI-K-26 Pressure Ulcers (AAMC 26 Requires Examination of Skin) (AGS,AAMC 26,OMS) GERI-K-36 Sleep Disorders GERI-K-18 Atypical Presentation of Disease (AGS, AAMC 18, OMS) For AAMC 18 Must Generate Differential Diagnosis Including GERI-K-18.1 Acute Coronary Syndrome GERI-K-18.2 Dehydration GERI-K-18.3 Urinary Tract Infection GERI-K-18.4 Acute Abdomen GERI-K-18.5 Pneumonia Page 2 of 5
3 Reading, Case Review) Knowledge, diagnosis, and Differential Diagnosis of Diseases common to Older People GERI-K-37 Rheumatological Diseases GERI-K-38 Genito-Urological Diseases GERI-K-39 Neurological diseases GERI-K-40 Cardiovascular Diseases GERI-K-41 Endocrinological diseases GERI-K-42 Cancer of Various Organs GERI-K-43 Infections GERI-K-44 Renal diseases GERI-K-45 Gastroenterological Disorders GERI-K-46 Psychiatric Diseases GERI-K-47 Others (like Fractures, Amyloidosis) Prevention GERI-K-58 Primary Prevention (exercise, nutrition, psychosocial interventions to aid in independent living) GERI-K-59 Secondary Prevention (Age Appropriate Screening) GERI-K-60 Tertiary Prevention Strategies Psychosocial Issues GERI-K-50 Normal Behavioral Late Life Changes GERI-K-51 Psychopathology GERI-K-52 Under-Reporting of Symptoms & Illness GERI-K-53 Sexuality & Aging GERI-K-54 Elder Abuse & Neglect GERI-K-55 Suicide GERI-K-11 Home Safety (AAMC11 Requires Home Safety Assessment with Recommendations) (AGS, AAMC 11) GERI-K-56 Community Resources GERI-K-57 Adaptation to Care in Alternative Living Situations Ethical Issues in Geriatric Care (AGS, AAMC 14, OMC) GERI-K-14 Code Status (Must Be Able to Define and Differentiate) (AAMC 14) GERI-K-14.1 Health Care Proxies (Must Be Able to Define and Differentiate) (AAMC 14) GERI-K-14.2 Advance Directives GERI-K-61 Decision-Making Capacity GERI-K-62 Euthanasia, Assisted Suicide GERI-K-63 Health Care Rationing GERI-K-64 Pain Management (AGS, AAMC, OMS) Page 3 of 5
4 GERI-K-65 End-of-Life Care (AGS, AAMC, OMS) GERI-K-19 Palliative Care Based on Identification of Patient's Goals for Care (AGS, AAMC, OMS) GERI-K-19.1 Pain Management (AAMC 19) GERI-K-19.2 Management of Non-Pain Symptoms (AAMC 19) Identify Patient's and Family's (AAMC 20) GERI-K-20 Psychological Needs (AAMC 20) GERI-K-20.1 Social Needs (AAMC 20) GERI-K-20.2 Spiritual Needs (AAMC 20) GERI-K-21 Coordinate Care With An Appropraite Interdisciplinary Team (AAMC 21) GERI-K-15 Identify When Factors Override Standard Recommendations for Tests (AAMC 15) GERI-K-16 Identify When Factors Override Standard Recommendations for Treatment (AAMC 16) Cultural Aspects of Aging GERI-K-67 Ethnic Demography GERI-K-68 Heterogeneity of Minority Groups GERI-K-69 Disease Prevalence and Risk Factors GERI-K-70 Culturally Competent Medical Care Hospital Care GERI-K-22 Identify Potential Hazards of Hospitalization for All Older Adult Patients (AAMC 22) GERI-K-23 Explain Risks, Indications, Alternatives, and Contraindications for Indwelling (Foley) Catheter Use in (AAMC 23) Older Adult Patients GERI-K-24 Explain Risks, Indications, Alternatives, and Contraindications for physical & Pharmacological (AAMC 24) Restraint use GERI-K-25 Communicate Key Components of Safe Discharge Plan and Potential Sites for Discharge (AAMC 25) SKILLS COMPETENCIES Geriatric Assessment (AGS & AAMC) GERI-S-9 Physical Assessment and Exam (AGS & AAMC 9) GERI-S-1 Osteopathic Structural Exam (OMS) GERI-S-2 Mobility Assessment (OMS) GERI-S-7 Cognitive Assessment (AGS & AAMC 7) GERI-S-5 Formulate a Differential diagnosis and Implement Initial Evaluation in a Patient Who Exhibits Dementia, Delirium, or Depression (AAMC 5) GERI-S-6 In an Older Patient with Delirium, Initiate Diagnostic work-up, to Determine Etiology (AAMC 6) GERI-S-4 Emotional Assessment (AGS) GERI-S-8 Social Functioning Assessment (AGS) GERI-S-9 Assessment of ADLs (AGS, AAMC 9, OMS) GERI-S-9.1 Assessment of IADLs (AGS, AAMC 9, OMS) Page 4 of 5
5 SKILLS COMPETENCIES GERI-S-11 Pre-operative Assessment (OMS) GERI-S-3 Document Patient's Complete Medication List (Prescribed & Over Counter) (AAMC 3) Development of a Management Plan GERI-S-10 Develop a Preliminary Management Plan for Patients Presenting with Functional Deficits Including Adaptive Interventions and Coordination of Interdisciplinary team (like social work, nursing, rehabilitation, nutrition, and pharmacy.) (AAMC 10) Synthesis of the competencies represented in the following sources: AGS The American Geriatrics Society Education Committee. Areas of Basic Competency for the Care of Older Patients for Medical and Osteopathic Schools. American Geriatrics Society. New York, NY. AAMC The Association of American Medical Colleges. Geriatric Competencies for Medical Students. Recommendations of the July 2007 Geriatrics Consensus Conference. The Association of American Medical Colleges. Washington DC. OMS Gugliucci, Marilyn, Giovanic, Athina; Geriatrics Curricula for Undergraduate Medical Eduation in Osteopathic Medicine, in Guidelines for Gerontology and Geriatrics Programs 2008 Update. Programs 2008 Update. Association for Gerontology in Higher Education. Washington DC. INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject Delivery, and Target Competency Level. David Farmer PhD, UNTHSC Reynolds GET-IT Program 08/24/2009 Revised 7/27/2010 to Replace (CIL) with Problem and Mechanism Based Learning Modules under Methods of Subject Delivery Page 5 of 5
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