Download Three-year rolling training programme

SpR/StR Geriatric Medicine Three Year Rolling Training
Programme 2006-2010
Wed 6th September
2006
Blackford Seminar
Room
PGEC, NRIE
Eyes, Ears, Skin
Thurs 5th October
Blackford Seminar
Room
PGEC, NRIE
“The interface with
community and
hospital geriatric
medicine”
Wed 1st November
Seminar Room 6
Chancellors Building
NRIE
Nutrition
Mouth and dental
problems
Haematology
Tues 12th December
Blackford Seminar
Room
PGEC, NRIE
Gerontology
Update on Eye Problems
 Macular degeneration
 Cataracts
 Glaucoma
Dizziness and deafness
 investigation and management of dizziness
 practical demonstration of Hallpikes & Epley’s
manoeuvre
 Communication strategies with deaf people
Tissue viability
 Ulcers
 Peripheral Vascular Disease
 Dressings
 Practical demonstration of ABPI measurement
and interpretation
Dermatology in the Elderly
 Neoplastic disorders
 Inflammatory conditions
 Skin manifestation of systemic disease
Community resources
Supported discharge
What happens in Edinburgh?
Community Rehab. Service
Crisis Care
Rapid Response Team
The Role of the Health Visitor
Nursing Home, NHS continuing care or hospice
The role of the Geriatrician in Intermediate Care
What is intermediate care?
Case studies of good intermediate care.
Intermediate care: the economic argument.
Intermediate care: Scotland’s future
opportunities
Medical assessment of the elderly in the Community
National perspective
Discharge Planning – pitfalls and re-admissions
Placement issues
Assessment of nutritional status
Basic measurement tools
Impact of diseases on nutritional status
Malnutrition
Nutritional support
Principles
Routes
- NG, PEG, TPN
Withdrawal of nutrition
Mouth & dental problems
Mucosal lesions
Dentures and associated problems
Systemic disease in the mouth
Anaemia, Myelodysplasia, Myeloma
Common presentation of leukaemia
Ageing – the science
Concepts
Impact on the organism
Demographic shifts in populations
27th February 07
Room F1609
NRIE
Orthogeriatrics &
Falls and Syncope
16th May 07
Seminar room 3,
Chancellors Building,
NRIE
Rehabilitation
Clinical
Governance
Wed 12th Sept 2007
Seminar room 3
Chancellors building
NRIE
Continence
System specific physiology
The ageing……………………
Heart, Kidney, Liver, Lung
Pharmacology in the elderly
Pharmacokinetics & Pharmacodynamics
Psychology of ageing
Ageism and elder abuse, Discrimination
Public Health Issues
Quality of life
Concepts & measurement
Orthogeriatric assessment
Perioperative assessment and care
Orthogeriatric Rehabilitation
Orthogeriatric services
Orthopaedic management of fractures
Hip Fracture
Colles
other common fractures
Anaesthetic Assessment of an elderly patient
Case based discussion around models of management
of falls & syncope:
Assessing a patient who has fallen
Falls risk assessment and screening tools
Interventions to reduce falls – what is the
evidence base?
Setting up a falls service
Assessment of a syncopal patient
Investigations for syncope
Treatments and interventions to reduce
syncope
General principles of rehabilitation
Evidence base
Realistic goal-setting
Communication with primary care
Aids and Appliances
What equipment can the District nurses provide
for patients at home? Who provides what?
Feeding, kitchen and bathing aids
Mobility aids and wheelchairs and stairlifts
Continence and toileting aids
Condition specific rehabilitation issues
Rehabilitation in inflammatory arthropathy
Amputation and vascular rehabilitation
Respiratory rehabilitation
Cardiac rehabilitation
Clinical Governance
Organisational framework Accountability
Risk management
EBM; R&D
Improving quality of services
Safeguarding high standards of care
Healthcare commission in Clinical Governance
The Clinical Governance reporting process
Normal bladder anatomy & physiology
Age related changes to bladder function and
continence mechanism
Risk factors and causes of incontinence in elderly
Classification of incontinence
Assessment and investigation
Faecal Incontinence
Tue 23rd Oct 2007
Carlton seminar room
PGEC, NRIE
Psychiatry in the
elderly
Joint meeting with
trainees in psychiatry
Wed 12th Dec 2007
Seminar room 3
Chancellors Building,
NRIE
Research : a
practical toolkit
Wed 27th Feb 08
Palliative care
RCPE
Joint meeting with GIM
trainees organised by
palliative care
Tues 12h March 08
Blackford, PGEC
Stroke/TIA
Causes, investigation and management
Urology
Carcinoma Prostate-Diagnosis, Investigation and
Management
Destrusor instability
Urinary retention
Gynaecology and female incontinence
Treatment of incontinence (included in sessions above)
Role of incontinence specialist nurse/
Community Continence Advisor, Aids &
Equipment (case based discussion)
Depression and anxiety
Psychotic syndromes
Delirium
Dementia
Epidemiology
Diagnosis – history, examination, investigation
a. Dementia syndromes
b. Reversible dementias
c. Neuropsychology
Drug treatment
Behavioural and psychological manifestations
of dementia
Management of dementia in the community
The role of a memory clinic
Liaison psychiatry
Basic science:
Physiology and Pharmacology of the ageing brain
Research – getting started
Evaluating medical literature
Searching medical literature
Research Methodology
Study designs & Statistics
Ethics committee
Writing a research proposal
Pain
Pathophysiology
Drugs & Non-pharmacological approaches
Quality of Life
Basic concepts & Measurement
Palliative care emergencies
acute pain, hypercalcaemia, Spinal cord compression
Clinical aspects of Acute Stroke
Diagnosis
Acute Stroke Management
Complications of Stroke
Natural History and Prognosis
TIA, primary and secondary prevention
Stroke Rehabilitation
Assessment for Rehabilitation
Mechanisms and Patterns of Recovery
Outcome Measures and Stroke Scales
Management of spasticity
Post Hospital Management of Stroke
Stroke Service Organisation
What happens on an Acute Stroke Unit
One-stop neurovascular clinics
Psychology and Stroke
Communication and Stroke
Surgery for Stroke
11th June 08
Craigmillar room at
Post Graduate
Education Centre
Death and Dying
Predicting death
Management of a good death
End of Life Decisions
Withdrawal of treatment (? Debate on assisted suicide)
CPR
What happens after death
Death certification & The fiscal
28th Oct 08
Calton Seminar Room
PGEC
Rheumatology
RA
Degenerative joint disease
Gout
11th – 12th Nov 08
Medical Education
Centre, WGH
Communication
challenges in
clinical practice
10th Dec 08
Seminar room 1
Chancellor's Building.
Oncology
(+/-Ethics)
Neurology (not
stroke or PD)
Osteoporosis
Basic science
Guidelines, DEXA, treatment options
The consultation
Active listening
Breaking bad news
Communication with colleagues
Oncology
Screening and detection
Management of common cancers in the elderly (resp,
breast, bowel, [skin, prostate & haem covered
elsewhere])
‘How to decide’
Advance directives and living wills
Non-PD tremors
Benign essential tremor
Chorea
MND, MS, Peripheral neuropathy
Idiopathic PD
Motor and non-motor features
Differential diagnosis (Parkinsonism)
Gait analysis
Drug treatment/non-drug treatment
Service delivery and development
Design a PD service
10th Feb 09
Seminar Room, RVH
Parkinson’s
Disease
3rd June 09
Craigmillar Room,
PGC
The interface of
community and
hospital geriatric
medicine
Day Hospitals
Anticipatory Care: the relationship between the Care Home
sector and the NHS
Occupational Therapy – discharge from the front door
Falls in hospitals / Falls in the community
Research in
geriatric medicine:
a practical toolkit
Getting started
Ethics
Managing a research grant
Useful web links
What next?
10th December 09
Calton Seminar Room
Postgraduate
Education Centre RIE
21st January 10
Arthur’s Seat, PGEC,
RIE
Generic topics: best accessed via courses at Lister, but will include where
relevant in teaching days too.
 Ethical and legal issues
 Management
 Audit

The new consultant perspective
Not included in programme, as best learned in clinical environment:
 Comprehensive Geriatric Assessment
 Principles of rehabilitation
 Presentations of illness in older people