SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Geriatric Consultation
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of the Internal Medicine Clerkship
Responsible Faculty Director:
Vinod Kaushik, MD
Other Faculty:
Lee Grumbles, MD Mukaila Raji, MD Maria Camacho, MD Erin Hommel, MD Anna Rotkiewicz, MD
Location to Report on First Day
Rebecca Sealy, Room 6.608 (Christian Mikobi) at 8:30am on the first day of the elective. Phone 409-772-1987
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 1. To provide the student with an experience in geriatric consultation and pre‑operative assessment. 2. To learn systematic evaluation of common clinical problems of the elderly. 3. To understand comprehensive geriatric assessment.

 Student will improve their ability to: 1. Appreciate the importance of multidisciplinary care in the evaluation and management of older patients. 2. Evaluate and manage common clinical problems in the elderly, including pre-≠operative assessment. 3. Organize appropriate discharge planning and follow‑up of older patients.

Description of course activities
 1. Participate in inpatient consultation rounds and geriatric assessment of patients in clinic and on no-medical wards. This team now co‑manages all patients aged 70 and above on the orthopedic service. 2. Students will be given daily reading assignments on clinical issues. 3. Students will participate in organized interdisciplinary meetings. 4. Students will attend twice weekly didactics in Geriatric syndromes. wellbutrin online cozaar advil zithromax phentermine online purchase phentermine order soma online naproxen generic zyrtec buy ultram generic lipitor phentermine online generic wellbutrin generic xanax buy soma diflucan order cialis prevacid viagra online allegra wellbutrin online hoodia online norvasc lorazepam ambien online purchase viagra soma buy phentermine generic prevacid cheap adipex phentermine online cetirizine lasix viagra generic phentermine famvir imovane augmentin order valium online celecoxib zestril generic prozac buy xenical order phentermine cheap alprazolam purchase valium zyrtec tylenol cheap viagra online buy ultram online generic cialis buy propecia order soma viagra online buy hydrocodone metformin

Type of students who would benefit from the course
 This course would be particularly important for a student planning a career in family medicine, primary care, internal medicine, or geriatric medicine.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday ACE Consult Memory Loss Clinic, Dr. Raji
  Tuesday Geriatric Clinic Oceanview Consults, Dr. Kaushik
  Wednesday ACE Consult Falls Clinic, Dr. Adrade
  Thursday ACE Consult GEM Clinic, Dr. Camacho
  Friday ACE Consult GEM Clinic, Dr. Hommel
  Average number of patients seen per week: 15  
  Call Schedule:    

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Students round withthe attending physician and fellow.
  B. Frequency / duration of presentation(s)?
    New consults will be presented during rounds (Monday through Friday).
  C. Format - What guidelines are set for the student's presentation?
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Daily notes are required Monday through Friday.
  B. Format - What guidelines are set for the student's written work?
    SOAP notes.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
    Review of the medical literature regarding clinical conditions that affect the student's patients is expected.
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Current cases.
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?

6.  Other Modes of Evaluation
  Please explain below.
    The attending in the geriatric consultation service will complete the Internal Medicine departmental evaluation form at the end of the rotation.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.