Creating a teaching geriatric service: ten important lessons.

Abstract:

:The restructuring of The Medical Service at the Weill/Cornell campus of the New York Presbyterian Hospital, coupled with funding from the Donald W. Reynolds Foundation to strengthen physicians' training in geriatrics, enabled the creation of a geriatrics inpatient team and a 17-bed Acute Care for Elders unit. It has also allowed a program to be designed that exposes residents to the fundamental principles of geriatric care, offers them opportunities to follow older patients in multiple venues, and provides a chance to enhance their skills and gain experience in interdisciplinary care. In creating the service, a number of mistakes were made, but a few lessons were also learned in the process. After a brief description of the program, 10 lessons that highlight the pitfalls and potential of an inpatient geriatrics teaching service are shared.

journal_name

J Am Geriatr Soc

authors

Siegler EL,Capello CF

doi

10.1111/j.1532-5415.2005.53122.x

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

327-30

issue

2

eissn

0002-8614

issn

1532-5415

pii

JGS53122

journal_volume

53

pub_type

杂志文章
  • Greater risk of dementia when spouse has dementia? The Cache County study.

    abstract:OBJECTIVES:To examine the effects of caring for a spouse with dementia on the caregiver's risk for incident dementia. DESIGN:Population-based study of incident dementia in spouses of persons with dementia. SETTING:Rural county in northern Utah. PARTICIPANTS:Two thousand four hundred forty-two subjects (1,221 married...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02806.x

    authors: Norton MC,Smith KR,Østbye T,Tschanz JT,Corcoran C,Schwartz S,Piercy KW,Rabins PV,Steffens DC,Skoog I,Breitner JC,Welsh-Bohmer KA,Cache County Investigators.

    更新日期:2010-05-01 00:00:00

  • Lifestyle and the risk of dementia in Japanese-american men.

    abstract:OBJECTIVES:To determine whether adhering to a healthy lifestyle in midlife may reduce the risk of dementia. DESIGN:Case-control study nested in a prospective cohort. SETTING:The Honolulu-Asia Aging Study, Oahu, Hawaii. PARTICIPANTS:Three thousand four hundred sixty-eight Japanese-American men (mean age 52 in 1965-19...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03768.x

    authors: Gelber RP,Petrovitch H,Masaki KH,Abbott RD,Ross GW,Launer LJ,White LR

    更新日期:2012-01-01 00:00:00

  • The application of health care surrogate laws to older populations: how good a match?

    abstract:OBJECTIVE:The Health Care Surrogate Act (HCSA) in Illinois has been proposed as a model for state laws naming surrogate medical decision-makers for those without advance directives (ADs). Our objective was to determine if the HCSA identifies the same surrogate as older persons would choose for themselves. If not, is th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb02437.x

    authors: Hayley DC,Stern R,Stocking C,Sachs GA

    更新日期:1996-02-01 00:00:00

  • Patterns of dementia diagnosis in surveillance, epidemiology, and end results breast cancer survivors who use chemotherapy.

    abstract:OBJECTIVES:To determine patterns of dementia diagnosis seen after chemotherapy treatment. DESIGN:Using the linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database, International Classification of Diseases, Ninth Revision (ICD-9) diagnoses of dementia occurring in the years after breast cancer diagn...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.01848.x

    authors: Heck JE,Albert SM,Franco R,Gorin SS

    更新日期:2008-09-01 00:00:00

  • Frequency and pattern of emergency department visits by long-term care residents--a population-based study.

    abstract:OBJECTIVES:To obtain population-based estimates of emergency department (ED) visits by long-term care (LTC) residents. DESIGN:Retrospective cohort study using administrative data. SETTING:All LTC facilities in Ontario, Canada. PARTICIPANTS:All LTC residents who visited an ED at least once during a 6-month period. M...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02736.x

    authors: Gruneir A,Bell CM,Bronskill SE,Schull M,Anderson GM,Rochon PA

    更新日期:2010-03-01 00:00:00

  • Circulating 25-hydroxyvitamin D levels and frailty in older men: the osteoporotic fractures in men study.

    abstract:OBJECTIVES:To determine the cross-sectional and longitudinal associations between 25-hydroxyvitamin D (25(OH)D) levels and frailty status in older men. DESIGN:Prospective cohort study. SETTING:Six U.S. community-based centers. PARTICIPANTS:One thousand six hundred six men aged 65 and older. MEASUREMENTS:25(OH)D (li...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.03201.x

    authors: Ensrud KE,Blackwell TL,Cauley JA,Cummings SR,Barrett-Connor E,Dam TT,Hoffman AR,Shikany JM,Lane NE,Stefanick ML,Orwoll ES,Cawthon PM,Osteoporotic Fractures in Men Study Group.

    更新日期:2011-01-01 00:00:00

  • Measures of postural stability are not predictors of recovery from large postural disturbances in healthy older adults.

    abstract:OBJECTIVES:To determine, in healthy older adults, the relationship between postural steadiness, stability limits, and the ability to recover balance from three postural disturbances requiring anteriorly directed stepping responses. DESIGN:Analysis of multiple motor tasks in a cross-sectional sample of healthy older ad...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb03027.x

    authors: Owings TM,Pavol MJ,Foley KT,Grabiner MD

    更新日期:2000-01-01 00:00:00

  • Diagnosis and characteristics of syncope in older patients referred to geriatric departments.

    abstract:OBJECTIVES:To test the applicability and safety of a standardized diagnostic algorithm in geriatric departments and to define the prevalence of different causes of syncope in older patients. DESIGN:Multicenter cross-sectional observational study. SETTING:In-hospital geriatric acute care departments and outpatient cli...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2006.00891.x

    authors: Ungar A,Mussi C,Del Rosso A,Noro G,Abete P,Ghirelli L,Cellai T,Landi A,Salvioli G,Rengo F,Marchionni N,Masotti G,Italian Group for the Study of Syncope in the Elderly.

    更新日期:2006-10-01 00:00:00

  • Effect of Geriatric-Specific Trauma Triage Criteria on Outcomes in Injured Older Adults: A Statewide Retrospective Cohort Study.

    abstract:OBJECTIVES:To evaluate the effect on outcomes of the Ohio Department of Public Safety statewide geriatric triage criteria, established in 2009 for emergency medical services (EMS) to use for injured individuals aged 70 and older. DESIGN:Retrospective cohort study of the Ohio Trauma Registry. SETTING:All hospitals in ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14376

    authors: Caterino JM,Brown NV,Hamilton MW,Ichwan B,Khaliqdina S,Evans DC,Darbha S,Panchal AR,Shah MN

    更新日期:2016-10-01 00:00:00

  • Agile Implementation: A Blueprint for Implementing Evidence-Based Healthcare Solutions.

    abstract:OBJECTIVES:To describe the essential components of an Agile Implementation (AI) process, which rapidly and effectively implements evidence-based healthcare solutions, and present a case study demonstrating its utility. DESIGN:Case demonstration study. SETTING:Integrated, safety net healthcare delivery system in India...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15283

    authors: Boustani M,Alder CA,Solid CA

    更新日期:2018-07-01 00:00:00

  • New or Worsening Symptoms and Signs in Community-Dwelling Persons with Dementia: Incidence and Relation to Use of Acute Medical Services.

    abstract:OBJECTIVES:To understand the range of symptoms that present to family caregivers of community-dwelling persons with Alzheimer's disease and related dementias (ADRD). DESIGN:Six-month longitudinal prospective study to identify the incidence of new or worsening symptoms and their association with acute care medical serv...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14672

    authors: Sloane PD,Schifeling CH,Beeber AS,Ward KT,Reed D,Gwyther LP,Matchar B,Zimmerman S

    更新日期:2017-04-01 00:00:00

  • Racial differences in use of cancer prevention services among older Americans.

    abstract:CONTEXT:Racial differences in receipt of cancer prevention services may be related to poorer outcomes for minorities. Understanding reasons for such differences could help target appropriate interventions. OBJECTIVES:To determine if racial differences exist in the use of cancer prevention services among older blacks a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04746.x

    authors: Hegarty V,Burchett BM,Gold DT,Cohen HJ

    更新日期:2000-07-01 00:00:00

  • Do-Not-Hospitalize Orders in Nursing Homes: "Call the Family Instead of Calling the Ambulance".

    abstract:OBJECTIVES:To determine how do-not-hospitalize (DNH) orders are interpreted and used in nursing homes (NHs) once they are in place. DESIGN:Qualitative study using in-depth semi-structured interviews performed from December 2013 to April 2014. SETTING:Eight skilled nursing facilities in Connecticut that ranked in the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14879

    authors: Cohen AB,Knobf MT,Fried TR

    更新日期:2017-07-01 00:00:00

  • Survival of elderly patients with transfusion-related acquired immunodeficiency syndrome.

    abstract:OBJECTIVE:To determine the influences of age and risk group on the survival of AIDS patients. We concentrated on transfusion because it is the commonest risk factor for AIDS in patients over 70 years of age. DESIGN:Survival curve regression analysis. PARTICIPANTS:Patients aged 13 years and over with AIDS acquired thr...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1993.tb06694.x

    authors: Sutin DG,Rose DN,Mulvihill M,Taylor B

    更新日期:1993-03-01 00:00:00

  • Compression injury of the sciatic nerve during a prolonged surgical procedure in a diabetic patient.

    abstract::Patients with diabetes mellitus and an underlying mixed axonal and demyelinating polyneuropathy are particularly prone to compression neuropathies with consequent axonal degeneration and a poor prognosis for recovery. This hazard should be taken into account whenever a prolonged surgical procedure is contemplated. An ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb00515.x

    authors: Massey EW,Pleet AB

    更新日期:1980-04-01 00:00:00

  • How would terminally ill patients have others make decisions for them in the event of decisional incapacity? A longitudinal study.

    abstract:OBJECTIVES:To determine the role terminally ill patients would opt to have their loved ones and physicians play in healthcare decisions should they lose decision-making capacity and how this changes over time. DESIGN:Serial interviews. SETTING:The study institutions were The Johns Hopkins Medical Institutions in Balt...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01473.x

    authors: Sulmasy DP,Hughes MT,Thompson RE,Astrow AB,Terry PB,Kub J,Nolan MT

    更新日期:2007-12-01 00:00:00

  • Home environmental hazards and the risk of fall injury events among community-dwelling older persons. Study to Assess Falls Among the Elderly (SAFE) Group.

    abstract:OBJECTIVE:To determine if home environmental hazards increase the risk of fall injury events among community-dwelling older persons. DESIGN:Population-based case-control study. SETTING:South Miami Beach, Florida. PARTICIPANTS:270 persons aged 65 years and older who sought treatment at six area hospitals for injuries...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb03799.x

    authors: Sattin RW,Rodriguez JG,DeVito CA,Wingo PA

    更新日期:1998-06-01 00:00:00

  • Hospice Care of Veterans in Medicare Advantage and Traditional Medicare: A Risk-Adjusted Analysis.

    abstract:OBJECTIVES:To compare the quality of end-of-life care in Medicare Advantage (MA) and traditional Medicare (TM), specifically, receipt and length of hospice care. DESIGN:Retrospective analysis of administrative data. SETTING:Hospice care. PARTICIPANTS:Veterans dually enrolled in the Veterans Health Administration (VH...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15434

    authors: Gidwani-Marszowski R,Kinosian B,Scott W,Phibbs CS,Intrator O

    更新日期:2018-08-01 00:00:00

  • Indwelling device use and antibiotic resistance in nursing homes: identifying a high-risk group.

    abstract:OBJECTIVES:To quantify the relationship between indwelling devices (urinary catheters, feeding tubes, and peripherally inserted central catheters) and carriage of antimicrobial-resistant pathogens in nursing home residents. DESIGN:Cross-sectional. SETTING:Community nursing home in Southeast Michigan. PARTICIPANTS:Re...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01468.x

    authors: Mody L,Maheshwari S,Galecki A,Kauffman CA,Bradley SF

    更新日期:2007-12-01 00:00:00

  • Medication safety in older adults: home-based practice patterns.

    abstract:OBJECTIVES:To identify the current state of medication-taking practices of community-dwelling older adults on high-risk medications. DESIGN:Telephone survey of older adults filling prescriptions for warfarin, digoxin, or phenytoin from May 2, 2002, through June 30, 2003. SETTING:The Pennsylvania Pharmacy Assistance C...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53308.x

    authors: Metlay JP,Cohen A,Polsky D,Kimmel SE,Koppel R,Hennessy S

    更新日期:2005-06-01 00:00:00

  • Pneumonia versus aspiration pneumonitis in nursing home residents: diagnosis and management.

    abstract:OBJECTIVES:To determine the frequency of aspiration pneumonitis in nursing home residents with an initial diagnosis of pneumonia and to compare the clinical characteristics, management, and outcome of aspiration pneumonitis with those of pneumonia. DESIGN:Retrospective chart review. SETTING:Hospital geriatric unit fo...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1034/j.1601-5215.2002.51004.x

    authors: Mylotte JM,Goodnough S,Naughton BJ

    更新日期:2003-01-01 00:00:00

  • The Prevention for Elderly Persons (PEP) Program: a model of municipal and academic partnership to meet the needs of older persons for preventive services.

    abstract:OBJECTIVE:To create a program to identify preventive needs for community-dwelling older persons and incorporate intervention strategies to improve implementation of these services. DESIGN:Program development and case-series. SETTING:Community-based meal sites, academically administered program. PARTICIPANTS:Persons ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb01416.x

    authors: Reuben DB,Hirsch SH,Frank JC,Maly RC,Schlesinger MS,Weintraub N,Yancey S

    更新日期:1996-11-01 00:00:00

  • Clinical utility of a rapid diagnostic test series for elderly psychiatric outpatients.

    abstract::Psychiatric evaluation of the elderly is especially difficult for several reasons, e.g., the presence of organic impairment, the effects of multiple drug therapy, and the tendency to confuse the normal concomitants of aging with neurotic symptoms. The authors have developed and evaluated a brief series of self-report ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1978.tb01950.x

    authors: Murkofsky C,Conte HR,Plutchik R,Karasu TB

    更新日期:1978-01-01 00:00:00

  • Factors Associated with Incomplete Bladder Emptying in Older Women with Overactive Bladder Symptoms.

    abstract:OBJECTIVES:To identify factors associated with incomplete bladder emptying in older women with overactive bladder (OAB) symptoms. DESIGN:Retrospective medical records review. SETTING:Urodynamic laboratory at a large academic health care system in the southeast United States. PARTICIPANTS:Medical records from women a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13474

    authors: Park J,Palmer MH

    更新日期:2015-07-01 00:00:00

  • Severe elder obesity and 1-year diminished lower extremity physical performance in homebound older adults.

    abstract:OBJECTIVES:To determine whether severe obesity in older people is independently associated with diminished lower extremity physical performance (LEP) in a random sample of homebound older adults that were considered ambulatory. DESIGN:Prospective cohort with 1 year of follow-up (2000-02). SETTING:In-home assessments ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2006.00842.x

    authors: Sharkey JR,Ory MG,Branch LG

    更新日期:2006-09-01 00:00:00

  • Site of death in the hospital versus nursing home of Medicare skilled nursing facility residents admitted under Medicare's Part A Benefit.

    abstract:OBJECTIVES:To determine factors that predict site of death (hospital vs nursing home (NH)), related costs, and geographic variation in site of death of NH residents admitted under the Medicare Part A Benefit. DESIGN:Retrospective cohort study. SETTING:NHs located in the United States (N=13,146). PARTICIPANTS:All per...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2004.52352.x

    authors: Levy CR,Fish R,Kramer AM

    更新日期:2004-08-01 00:00:00

  • Lower systolic blood pressure is associated with greater mortality in people aged 85 and older.

    abstract:OBJECTIVES:To investigate the association between blood pressure and mortality in very old people. DESIGN:Population-based cohort study. SETTING:County of Västerbotten, Sweden. PARTICIPANTS:Half of all subjects aged 85 and all of those aged 90 and 95 and older (N=348) in one urban and five rural municipalities in th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.01948.x

    authors: Molander L,Lövheim H,Norman T,Nordström P,Gustafson Y

    更新日期:2008-10-01 00:00:00

  • The timing hypothesis and hormone replacement therapy: a paradigm shift in the primary prevention of coronary heart disease in women. Part 1: comparison of therapeutic efficacy.

    abstract::The long-held belief that outcome data from intervention trials in men are generalizable to women has created the framework in which the primary prevention of coronary heart disease (CHD) in women is viewed, but over the past decade, data have accumulated to refute such a supposition of generalizability. These lines o...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/jgs.12140

    authors: Hodis HN,Mack WJ

    更新日期:2013-06-01 00:00:00

  • Typology of Family Relationship and Elder Mistreatment in a US Chinese Population.

    abstract:OBJECTIVES:To examine the associations between typology of family relationship and risk of elder mistreatment (EM). DESIGN:Population-based epidemiological cross-sectional study. SETTING:Community-dwelling older adults in the greater Chicago area. PARTICIPANTS:A total of 3157 US older Chinese immigrants. MEASUREMEN...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15892

    authors: Li M,Guo M,Stensland M,Silverstein M,Dong X

    更新日期:2019-08-01 00:00:00

  • Self-reported sleep and nap habits and risk of mortality in a large cohort of older women.

    abstract:OBJECTIVES:To determine the association between self-reported sleep and nap habits and mortality in a large cohort of older women. DESIGN:Study of Osteoporotic Fractures prospective cohort study. SETTING:Four communities within the United States. PARTICIPANTS:Eight thousand one hundred one Caucasian women aged 69 an...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2008.02171.x

    authors: Stone KL,Ewing SK,Ancoli-Israel S,Ensrud KE,Redline S,Bauer DC,Cauley JA,Hillier TA,Cummings SR

    更新日期:2009-04-01 00:00:00