ACE ACUTE CARE FOR ELDERLY CONSULTATION SERVICES ELECTIVE

MEDICINE 920

Direct patient care involving a spectrum of acute medical conditions on inpatient hospital units with appropriate supervision from residents and attendings. Generate a weighted differential diagnosis, initial work-up and management for acute medical conditions. Review, interpret, and present current literature pertinent on patient care in primary care setting.

MEDICINE 933

Exposure to patients in outpatient clinic and on the inpatient consult service. Other exposure to patients may occur in a nursing home setting. Learn diagnostic tools to assess elders for common geriatric syndromes including cognitive impairment, depression, and falls. Gain knowledge to recognize and address poly-pharmacy, learn prescribing techniques that are appropriate for the patient's age, and recommend age-appropriate treatment plans. Active role on the inpatient consult team focusing on the care of hospitalized elders.

PSYCHIAT 930

Care of older adults with mental illness, including late-life depression and anxiety, suicidality, dementia, and substance use disorders. Under the supervision of clinicians with extensive experience in the care of older adults, help care for patients in inpatient, outpatient and long-term care settings. Have the opportunity to experience public health approaches to improving the mental health of older adults, for example, by attending caregiver support groups.

MEDICINE 919

Care for hospitalized patients on general medicine or hospital medicine services. Admit new patients, round on previously admitted patients, participate in multidisciplinary rounds, and work to transition patients to the next level of care. Evaluate and manage both patients with common inpatient conditions and medically complex patients requiring collaboration with consulting specialties. Complete other patient care related learning activities as assigned by instructors (e.g., literature reviews, presentations on specific topics); these are dependent on the individual student, attending physician, and clinical site.

MEDICINE 943

Opportunities to learn the process involving the evaluation and management of a full spectrum of acute and chronic cardiovascular diseases, as well as preoperative consultation for hospitalized adult patients. Become familiar with the principles of effective consultation and how to operationalize this role, through evaluating patients, presenting relevant data, providing effective cardiac consultation as an integral member of a fast-paced inpatient team. Essential skills are taught, including: interpreting 12-lead electrocardiograms (ECGs) and cardiac rhythm data from telemetry with assistance, observing select cardiac diagnostic tests and reading studies with faculty or fellows. Attendance at weekly Cardiovascular Medicine Grand Rounds is required.