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2005 GSR Grantees

Emergency Medicine Orthopaedic Surgery Otolaryngology

Physical Medicine & Rehabilitation Urology

Emergency Medicine

Deborah Gutman, MD
Brown Medical School
Geriatrics Partner: Richard Besdine, MD

GSR Project:
A training plan to achieve integrated geriatrics curriculum for Emergency Medicine through the development of a databank of geriatric high fidelity simultation cases that teach critical and emergency care of elders to emergency medicine residents. These cases will be rotated through the curriculum every two years and serve as a national curricular model

Heather Prendergast, MD
University of Illinois Medical Center
Geriatrics Partner: Donald Jurivich, DO

GSR Project:
Strengthening geriatrics education in emergency medicine through a Geriatric Assessment and Reactivation Unit (GARU). The unit involves an interdiciplinary team led by a faculty geriatrician to ultimately provide data-driven information to help resident physicians understand whether they are stabilizing or decreasing frailty.

Michael Wadman, MD
University of Nebraska Medical Center
Geriatrics Partner: William Lyons, MD

GSR Project:
The development of a curriculum in Geriatric Emergency Medicine. The initiative focuses on the geriatrics chief complaints selected by review of work by a Core Content Task Forece, combined with an informal local needs assessment. Residents will participate in a community experience led by EM and geriatric faculty that will allow them to gain an understanding of the resources impacting the care of elder patients.

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Orthopaedic Surgery

Douglas K. Ayres, MD
Beth Israel Deaconess Medical Center
Geriatrics Partner: Kathryn S. Agarwal, MD

GSR Project: The objectives of the geriatrics curriculum for Harvard orthopaedic residents are to:

1. increase resident and faculty knowledge in the principles and practice of geriatric medicine
2. improve awareness of and prevent iatrogenic illness and medical errors in elderly patients as they transition perioperatively
3. create a strengthened alliance between geriatrics and orthopaedics yielding improved patient care and research through education of tomorrow's orthopedists, internists, and geriatricians
4. reduce morbidity and mortality for elderly patients hospitalized for acute orthopaedic care
5. over time, deliver a new model of care and establish improved geriatric/orthopaedic perioperative pathways

Gregory Della Rocca, MD (Jason Calhoun, MD, FACS)
University of Missouri - Columbia
Geriatrics Partner: Steven C. Zweig, MD, MSPH

GSR Project:
Geriatrics Training for Orthopaedic Residents a unique collaboration between orthopaedic surgery and geriatrics faculty will provide a relevant residency training experience for orthopaedic residents. The vision of the project is to create a cost-effective system of care that enhances service, promotes educational opportunities, and is both based in and generates policy-relevant research.

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Otolaryngology

Michael M. Johns, MD
Emory University School of Medicine
Emory Voice Center
Geriatrics Partner: Joseph Ouslander, MD

GSR Project:
Developing a Geriatric Otolaryngology (GEROTO) curriculum Curriculum Components:

1. A program to teach general principles of geriatric medicine, specific needs of geriatric patients, and geriatric syndromes will be developed and introduced to otolaryngology and residents and rotating medical students
2. Focus on clinical areas that affect otolaryngology in the elderly, such as dysphagia, voice disorders, dizziness, and vestibular disorders, hearing loss and habilitation, and disorders of taste and smell.

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Physical Medicine & Rehabilitation

Laura Lee, MD
University of Virginia
Geriatrics Partner: Jonathan Evans, MD, MPH

GSR Project:
A structured educational program that will target improving medical knowledge, clinical skills, and systems based practiced is proposed. The objective of this eductaional project is to develop a geriatric medicine curriculum focused on the rehabilitation population.

Medical knowledge of topic affecting older adults in rehabilitation will be approached through group didactic teaching and independent leaning (didactic sessions, publication/ on-line resources, Journal club)

Clincial skills in working witrh older adults will be enhanced through increased clinical exposure to older adults in different rehabilitation settings and case-based reviews (computer-based case-studies, rounds with geriatricians)

Systems based learning seeks to bring a better understanding of government and community influences on healthcare for older adults (geriatric health systems lecture series).

Mark Ziadeh, MD
University of Michigan School of Medicine
Geriatrics Partner: Brent Williams, MD

GSR Project:
Building on the foundation under funding from the D.W. Reynolds Foundation to develop geriatrics as a core component of residency education. The developments of a new one-month clinical rotation to be taught jointly by the Department of PM&R and the Division of Geriatric Medicine in the Department of Internal medicine.

The rotation will have three components: (1) Consultations on older patients on the acute medical and surgical services that have functional or rehabilitative issues (2) Admitting appropriate older patients to a "Geriatric-Rehabilitation Service" in the sub-acute unit of the GRECC and caring for them (3) Following discharge, the patients will follow-up with the PM&R resident in a "Geriatric Rehabilitation Clinic in the VA outpatient clinic.

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Urology

Badrinath Konety, MD, MBA
University of California at San Francisco
Geriatrics Partner: Bree Johnston, MD

GSR Project:
Geriatric Training for Urology Trainees. The training curriculum will incorporate components that will be broadly applicable to all urology residents and trainees and reinforced by components that will involved more focused training and exposure to geriatrics of small groups or individual residents during a specific rotation during their 3rd and 6th (Chief resident) years of training.

Project Goals: (1) To provide urologic residents with an appreciation of common geriatric issues encountered in urologic patients (2) To foster continued interaction of Urologists and Geriatricians in collaborative management of geriatric problems in elderly urology patients (3) To develop a collaborative educational curriculum and a foundation for continued future exposure to geriatric medicine for urology trainees and to encourage research and educational collaborations at all levels between the two specialties (4) To develop a framework for ongoing evaluation of the Geriatric curriculum and provide a basis for expansion of the curriculum to benefit other surgical sub-specialties.

John A. Taylor, III, MD
University of Connecticut
Geriatrics Partner: George A. Kuchel, MD

GSR Project:
Specific co-operative program ranging from didactic session to research and clinical programs designed not only to infuse the specialty perspective but also allow for direct input from each service in the management of the geriatric patient. The project will integrate selected geriatrics topics into the existing curriculum and establish a mutual crossover where each department will be responsible for providing two grand rounds presentations for the other service each year.

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