ACADEMIC GERIATRICS ROTATION SCHEDULE



|Experience |Goals and Objectives |Logistics |Readings |

|COACH |Complete home assessments in the management of patients |Judith Davagnino, SW, |

| |with cognitive impairment |Judith.Davagnino@ VA x 6258. |t/295/18/2148.short |

| |Practice caregiver education and support |Review CPRS for patient information | |

| |Understand the risks and benefits of pharmacologic and |before home visit | |

| |behavioral interventions for dementia with behavioral | | |

| |disturbance. | | |

|Croasdaile Clinic |Describe the financial model and care provided in a |Contact the clinic at least 2 weeks | |

| |continuing care retirement community |ahead of time if you are unable to | |

| | |attend. Address is 2600 Croasdaile | |

| | |Farm Parkway, follow signs to the | |

| | |clinic. Call 919 384-2571 for entry. | |

| | |Contact is Dr. White | |

| | |Heidi.white@duke.edu | |

|Duke Connected Care |Describe how accountable care organizations are funded, and|Contact Dr. White Heidi.white@duke.edu |

| |how services provided differ from fee-for-service Medicare |Duke Connected Care office, 718 |icle.aspx?articleid=2290608&lin|

| |Participate in a population management program for high |Rutherford Street, Durham. Review |kId=13941656 |

| |risk older adults |cases ahead of time in EPIC; list will | |

| | |be sent out to you via email the | |

| | |previous week | |

|Geriatrics PACT |Appreciate how geriatrics primary care differs from |Contact Dr. Soheili | |

| |standard primary care practices including staff:patient |Kambiz.Soheili@ or pager (919) | |

| |ratios and coordination with care managers and IDT |970-6978. | |

| | |Directions to the Raleigh CBOC, | |

| | | |

| | |gh.asp | |

|Geriatrics PT/OT |Describe the roles of Physical, Occupational, and Speech |Contact Phyllis Vandenberg ahead of |

| |Therapy in the care of post-acute and long-term care |time to arrange dates |/articles/PMC3955056/ |

| |patients. |Phyllis.vandenberg@ | |

| |Determine the appropriateness of assistive devices for | | |

| |older adults with mobility impairments | | |

| |Describe commonly used adaptive equipment for older adults | | |

| |with functional impairments | | |

|Geriatric Video Telehealth|Participate in evaluation and management of older patients |Contact Megan Pearson |

| |with geriatric syndromes using telehealth |(megan.pearson@) VA x 5323 for |abs/10.1080/02701960.2013.87090|

| |Describe how non-face to face models of care are |schedule of consults |2#.V17ObnLmrcs |

| |implemented and evaluated within health systems. | | |

|Gerofit |Understand the relationship between physical activity and |Email or call Adrienne Wagenblast |

| |the development of functional impairment in older adults |Adrienne.Wagenblast@ to arrange |ience/article/pii/S000399931100|

| |Provide exercise prescriptions for older adults |an experience based on their schedule |8173 |

| |Understand the role of the exercise physiologist in |for new intakes/programs for the week | |

| |geriatrics research, education and patient care | |

| | | |icle.aspx?articleid=183892 |

|Home Based Primary Care |Collect functional and psychosocial information during home|Contact Linda (HBPC NP) 919 323-6866 or|

| |visits |Carol (HBPC PA) 919 810-3612 |t/284/22/2877.full.pdf+html |

| |Describe patient selection, team roles, and expected | | |

| |outcomes for a home based primary care program | | |

|Musculoskeletal clinic |Diagnose and treat common musculoskeletal problems |Email or page Dr. Kim Huffman |

| |including rotator cuff disorders, back pain, knee pain, and|(kim.huffman@duke.edu) to introduce |icle.aspx?articleid=1899177 |

| |hip pain. |yourself and let her know what weeks | |

| |Develop proficiency in common joint and bursal |you will be coming | |

| |aspirations/injections | | |

| |Use rehabilitation as a treatment modality for | | |

| |musculoskeletal disorders | | |

|PACE |List the enrollment criteria, funding, and appropriate |Karen Oldham koldham@ |

| |patient selection for PACE |Directions: |ience/article/pii/S152586100800|

| |Identify how acute, post-acute, and chronic care are |''/durh|426X |

| |handled in the PACE model |am+PACE+north+carolina/@35.9164586,-78.| |

| | |8434647,11z/data=!4m5!4m4!1m0!1m2!1m1!1| |

| | |s0x89ace555fb35e77b:0xdf5cf82d9e768d1b | |

|Renal Silver |Understand the role of geriatric assessment in serious |Contact Rasheeda Hall |(add JAGS paper when published)|

| |chronic disease management and advanced care planning |Rasheeda.stephens@duke.edu | |

|Senior PharmASSIST |List principles of appropriate prescribing in older adults |Specific dates have been pre-arranged: |

| |List factors that influence medication adherence in older |7/7, 7/21, 8/11, 8/18, 9/22, 9/29, |/articles/PMC3571677/ |

| |adults |10/6, 10/13, 12/15, 12/29, 5/11/17, | |

| |Work with a geriatric pharmacist in a multidisciplinary |5/25/17 |

| |team |Contact Marilyn Disco if you cannot go |17/1/6.short |

| | |to the dates in your block month | |

| | |Marilyn@ | |

| | |Directions: | |

| | | |

| | |r+Pharmassist,+406+Rigsbee+Ave+%23+201,| |

| | |+Durham,+NC+27701/@35.9993638,-78.89922| |

| | |66,15z/data=!4m2!3m1!1s0x89ace471729131| |

| | |19:0x6662bbe60a04f883 | |

|STRIDE |Appreciate the risk of functional decline and other hazards|Contact John Bartle |

| |of hospitalization associated with immobility. |(john.bartle@) VA x 6753 |doi/10.1111/j.1532-5415.2004.52|

| |Understand the impact of an early hospital mobilization | |354.x/pdf |

| |program and post-hospital discharge exercise counseling. | | |

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|TLC Partners |Recognize the potential problems arising during transitions|Contact Colleen Wojciechowski, NP by |

| |of care, and to experience a model shown to reduce |email: colleen.wojciechowski@. |ngmaterials/TransitionalCareofO|

| |recurrent hospitalizations |Please travel with the Nurse |lderAdultsHospitalizedwithHeart|

| |Evaluate an older adult in their home environment |Practitioner. Review CPRS information |Failure-1262.pdf |

| | |ahead of time and be prepared to | |

| | |discuss the patient’s condition and | |

| | |potential problems in transitions with | |

| | |the NP. | |

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