Geriatrics

Rotation Liasion: Heather Paladine, MD 

Rotation Goals and Objectives

Resident (R2) Geriatrics Rotation:

Goals and Objectives

 

 

I. Medical Knowledge

Goal:

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral aspects of geriatric medicine.

Objectives:

Residents at the end of the Geriatrics rotation are expected to:

 1) Demonstrate an awareness of common geriatric medical issues, clinical pharmacology as applied to the care of older adults, and principles of end of life care as evidenced through informal discussions with faculty members during precepting sessions, other interactions during the rotation, and a formal didactic presentation related to a common home visit topic.

II. Patient Care

 

Goal:

 

Residents must be able to provide patient care that is compassionate, appropriate and effective for the treatment of geriatric medical issues and the promotion of health for older adults.

 

Objectives:

 

Residents at the end of the Geriatrics rotation are expected to:

1) Demonstrate clinical competence in caring for residents in a long-term care facility by evaluating daily acute or subacute medical issues and completing monthly re-certifications under the guidance of an attending physician.

   

2) Actively participate in the planning, administration and followup of Home visits for select Farrell FHC patients, paying explicit attention to patient-tailored care plans within the patient’s home environment.

 

 

III. System-based Practice

Goal:

Residents must demonstrate the awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.

Objectives:

Residents at the end of the Geriatrics rotation are expected to:

1) Develop an organized system for ensuring that daily tasks at the long-term care facility are completed in a timely, thorough and efficient manner.

2) Work effectively with all members of the interdisciplinary care team at the long-term care facility.


 IV. Interpersonal and Communication Skills (ICS)

Goal:

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates.

Objectives:

Residents at the end of the Geriatrics rotation are expected to:

1) Know how to build and maintain a culturally competent, facilitative and therapeutic relationship with patients and their families.  

 

2) Illustrate knowledge of effective communication skills through interactions with faculty and other members of the health care team.

 

V. Professionalism

 

Goal:

 

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.

Objectives:

Residents at the end of the Geriatrics rotation are expected to:

1) Complete all patient care medical charting and administrative tasks in a timely fashion.

 

2) Demonstrate compassion, integrity and respect for others.

  



 VI. Practice-Based Learning and Improvement

Goal:

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning.

Objectives:

Residents at the end of the Geriatrics rotation are expected to:


 1) Locate, appraise and assimilate evidence from scientific studies related to their patients and demonstrate critical reading skills.

2) Facilitate the learning of patients, peers and self.  Demonstrate effective teaching skills through the aforementioned formal presentation/lecture/organized discussion.   

 

 
  


Rotation Expectations

Please contact rotation faculty prior to the first session:

Contact Information:




Rotation Schedule

Resident schedule (updated 9-17-24)

https://docs.google.com/document/d/1qJFFA-fwKO3rO9lw33EFpe-Vu5nUfGNKs-mjVy2gnjs/edit?usp=sharing


NURSING HOME:

-Your time at Manhattanville will be spent doing monthly recertifications which consist of nursing home resident medication reviews and H&Ps. Dr. Franzetti will tell you which patients need recertifications. Tuesday mornings you will do wound rounds with Dr. Franzetti at 7:30 am.

-If you have any questions you can call the Riverdale Family Practice Office at (718) 543-2700 or see Rotation Expectations for email and cell phone contact info.


 



Recommended Readings and Resources

Rotation Feedback and Evaluations

Please complete the rotation evaluation during the last week of your rotation. These will be compiled anonymously every six months and shared with faculty. You will also receive evaluations in Medhub from Dr. Franzetti, Dr. Patterson, and Dr. Irani.

Continuity Nursing Home visits

All PGY2 and PGY3 residents will be scheduled for monthly nursing home visits on most outpatient rotations. Check the orange schedule for details.  On these days, you should meet Dr. Franzetti at 8 am for wound care rounds, and then you'll see the nursing home residents together. It's helpful to review this AFP article before your first session: https://www.aafp.org/pubs/afp/issues/2020/0201/p159.html

Dr. Franzetti's cell number is 914-646-7854 and his email is cfranz06@aol.com

 

CONTINUITY NURSING HOME SCHEDULE

First week of the block: no resident

 

Second week of the block (starting 7/9)

Team1: blue/green

 

Third week of the block (starting 7/16)    

Team 2: purple/orange

 

Fourth week of the block (starting 7/23)    

Team 3: yellow/red

 

The code to the stairway is 2468, and when coming from the stairwell to the floors you have to press a button to disengage the alarm before opening the door.