Ambulatory
Geriatrics Practice, Kim Emmett, MD, FIM -Turkey Creek
NHC-Fort
Sanders, 21 st and Highland Street
Thomas
Namey, MD, 300 Baptist Professional Building
Memory
Disorders Clinic, Cole Neuroscience Center , POB B, Suite 102
3.
Faculty:
Kim
Emmett, MD, Chief, Section of Geriatrics
John
Dougherty, MD
Thomas
Namey, MD
4.
Schedule:
Typically
8 AM until 5 PM , Monday through Friday
Additional
experiences include two half days each with a hospice nurse and
a wound care nurse.
5.
Related Conferences:
Geriatrics
Noon Conference,
Ambulatory
Care Noon Conference (schedules included).
6.
Primary Goals: The resident will be expected to attain knowledge
and skills regarding the basic principles of geriatrics, including
knowledge of aging physiology and pharmacology. The resident will
learn to perform competent care of healthy and frail elderly patients.
7.
Primary Objectives:
Patient
Care: The resident
will demonstrate clinical skill in medical history taking, physical
examination and diagnosis and management of illness in the elderly.
The resident will perform a comprehensive geriatric mental and
functional assessment and plan discharge needs from both the acute
care and extended care facility.
Medical
Knowledge:
The
resident will understand the processes of normal aging and physiologic
function.
The
resident will understand common presentation of illnesses and
response to therapy.
The
resident will identify nutritional needs and recognize malnutrition;
will learn the appropriate use of supplemental and enteral feedings.
The
resident will learn the importance and limitations of preventive
care and recognize iatrogenic disease in the elderly.
The
resident will attain skill in the evaluation and management
of common geriatric syndromes such as dementia, delirium, failure
to thrive, weight loss, falls, psychiatric conditions, pressure
ulcers and gait disturbances.
Practice-Based
Learning and Improvement: The
resident will learn to identify and correct knowledge gaps in
the evaluation and management of elderly patients in a primary
care setting.
Interpersonal
and Communication Skills: The
resident will learn to communicate effectively with elderly patients,
their caregivers and ancillary personnel associated with their
care.
Professionalism:
The resident will
demonstrate respect and compassion for elderly patients in all
facets of their medical care including end-of- life issues.
System-Based
Practice: The resident
will demonstrate an understanding of pertinent issues in the care
of elderly patients including cost of medical care, appropriateness
for various preventive health measures, and the availability and
necessary functional capacity for various living options for elderly
patients.
8.
Supplemental References, Suggested Readings :
Rose,
BD (Ed); Up-To-Date, Wellesley , MA , 2006. Available through
Preston Medical Library. The
following topics are suggested:
Care
of the geriatrics patient
Anticoagulation
in the Elderly
Approach
to the Evaluation of Older Drivers
Brief
guide to geriatric assessment
Overview
of falls in the Elderly
Diagnosis
and management of late-life depression
Drug
prescribing for older adults
Geriatric
Health Maintenance
Reuben,
David, Herr, Keela, Pacala, James, Pollock, Bruce, Potter, Jan,
Semla, Todd: Geriatrics At Your Fingertips, Online Edition. Free
Download from the American Geriatrics Society. http://www.geriatricsatyourfingertips.org
.
9.
Method of Resident Evaluation: Each resident is informally
and continually evaluated during the course of the rotation. A summative
evaluation form will be completed by Dr. Emmett via New Innovations
at the end of the rotation and discussed with the resident.
10.
Method of Specialty Evaluation: Residents are asked
to provide feedback to the attending in an informal manner during
the course of the rotation. They will complete an evaluation form
using New Innovations at the end of the rotation. Cumulative feedback
to the attending faculty member will be given by the Departmental
Chair.
The University of Tennessee Graduate School of Medicine Department of Medicine
