Electives - Geriatrics
Geriatric Medicine - Salem
Elective Number: 1629 (arranged)
Rotation Supervisor: Dr. Blake Lipscomb - Jeffrey.Lipscomb@va.gov;
VA Pager 1051, ext 2236
Designated Signer: Clerkship Director or Attending on Duty
Evaluation should be given to: Dr. Lipscomb
Duration: Maximum: 4 weeks, Minimum: 2 weeks
Available: all Rotations
For Orientation, Report to: Linda Ferguson-Saunders or Brenda Casinger, Medical
Service Student Coordinators
Time to Report: 1:00 pm
Place to Report for Orientation: Building 143 C1-56; room 1EF-115 or room
Typical day: 7:30 am - 4:30 pm
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must
contact Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to
interview between November 1 and February 1.
- Specific days missed must be approved by the Attending on
Number of students per rotation: 1
Course Description: This elective will provide an excellent
opportunity for the student to broaden his/her knowledge base
concerning the aging process and to develop the clinical skills
necessary to effectively manage the complex medical problems
encountered in older patients. The principal focus of this rotation
is comprehensive geriatric assessment and geriatric rehabilitation.
In addition, a structured didactic curriculum is provided.
There is no night or weekend call and no weekend rounds.
The educational purpose is to provide the student with a
concentrated experience working with geriatric patients under the
supervision of a experienced interdisciplinary team. This exposure
will allow the student to improve skills in diagnosis and management
of older patients with multiple physical and psychosocial problems,
and learn to effectively organize community resources to maximize the
patients' functional independence.
- Skill in communication with geriatric patients and their
- Skill in data gathering from a cognitively impaired
- Provision of preventive health maintenance and care for the
geriatric patient including:
- immunizations and prophylaxis;
- periodic health assessment, including cognitive,
functional, gait, decision making capacity, rehabilitation and
assistive device needs, nutritional screening, vision and
hearing, and affect assessments.
- Appropriate use of prescription drugs with particular
attention to drug interactions and cost-benefit of multiple
- Medical and psychosocial management of patients with chronic
disease and functional decline, including demonstration of
appreciation of the effect of such illness on the family, and on
the mental health of the patient and family.
- Awareness and management of his/her own values and attitudes,
which might interfere with the appropriate care of the geriatric
- Ability to marshal resources in the hospital and the community
to assist in managing patient problems, including rehabilitation
services, home health agencies, and long-term care
- Knowledge and skills related to prevention, diagnosis,
treatment, long-term management, patient education and referral of
both common and serious geriatric medical problems including:
unintentional weight loss, failure to thrive, urinary retention or
incontinence, fecal incontinence and constipation, syncope and
dizziness, postural instability, falls and gait disorders, sleep
disorders, pressure sore, pain, neurobehavioral disorders,
depression and mania, dementia, mobility, inability to feed or
take care of oneself, inadequate home support and elder