Division of Geriatric Medicine

Undergraduate Information

Welcome!

Learning Objectives

The educational purpose of the Geriatric Medicine Selective at McMaster University is to expose the undergraduate medical learner (aka the Clinical Clerk) to the wide spectrum of diagnoses, and the management of clinical presentations of common diseases, in older adults.

By the end of the two-week selective, each student should be able to describe:

  1. Consequences of normal aging versus disease, including and understanding of the heterogeneous nature of the aged population and Canadian demographics of aging.
  2. Key syndromes and illnesses in the elderly including the following:

High Priority

  1. Functional Decline
  2. Dementia
  3. Delirium
  4. Depression
  5. Falls, Immobility & Gait Disturbances
  6. Failure to thrive / Weight Loss
  7. Polypharmacy & Appropriate prescribing of medications
  8. Urinary Incontinence

Second Priority

  1. Chronic pain
  2. Osteoporosis
  3. Heart failure
  4. Pressure ulcers
  5. Sensory alteration, including vision and hearing impairment
  6. Atypical presentation of disease
  7. Decision-making capacity
  8. Preventive health care strategies for the elderly and the importance of these.
  9. Community and hospital resources available to assist in the management of the older patient
  10. Consequences of normal aging versus disease, including and understanding of the heterogeneous nature of the aged population and Canadian demographics of aging.
  11. Key syndromes and illnesses in the elderly including the following:

By the end of the two-week selective, each student should be able to perform:

  1. A Comprehensive Geriatric Assessment, which includes assessment of baseline and current functional status, and cognition, as well as attention to those learning objectives described above.

Educational Resources

  1. The Division of Geriatric Medicine at McMaster University has an Educational Resources page with downloadable files that you may find helpful during this rotation. //fhs.mcmaster.ca/medicine/geriatric/resources.htm
    1. In particular, there is a Power-point presentation on “How to perform a Comprehensive Geriatric Assessment”, entitled gPODEach learner is expected to review this presentation prior to the beginning of his/her rotation.
    2. Geriatric Medicine Survival Guide: a 152-page, downloadable file that you may wish to have available on your smart-phone, or printed out in hard-copy and spiral-bound, during this rotation. This same handbook will also be available shortly as a print-on-demand (via their new Expresso Book Machine) soft-cover pocketbook from McMaster University’s Titles Bookstore for a nominal fee.
    3. Several additional PowerPoint presentations, on topics such as the work-up and management of Dementia and Delirium, are available for review on the website.
  2. The “Association for Elderly Medicine Education” (AEME) is a trainee-run initiative from the UK, which has multiple “Mini-GEMs” (Geriatrics E-learning Modules) available on their website.  These are short, focused video podcasts  that you may find helpful during your rotation: http://aeme.org.uk/mini-gems/
  3. The New England Journal of Medicine (NEJM) has recently developed a resource for trainees entitled, “Resident 360”  https://resident360.nejm.org/pages/home

For more information contact:

Dr. Heather McLeod, MD, MEd, FRCP(C)
(Geriatric Medicine Undergrad Coordinator)
St. Joseph’s Healthcare, Hamilton.
Phone 905-522-1155 Ext. 34930
Fax 905-521-6068
hmcleod@mcmaster.ca

Rachelle Dyment
(Undergrad Administrative Assistant)
905-522-1155 Ext.12405
Fax 905-521-6068
rdyment@stjosham.on.ca