Experience / Goals and Objectives / Logistics / Readings
COACH /
  • Complete home assessments in the management of patients with cognitive impairment
  • Practice caregiver education and support
  • Understand the risks and benefits of pharmacologic and behavioral interventions for dementia with behavioral disturbance.
/ Judith Davagnino, SW, VA x6258. Review CPRS for patient information before home visit /
Croasdaile Clinic /
  • Describe the financial model and care provided in a continuing care retirement community
/ Contact the clinic at least 2 weeks ahead of time if you are unable to attend. Address is 2600 Croasdaile Farm Parkway, follow signs to the clinic. Call 919 384-2571 for entry. Contact is Dr. White
Duke Connected Care /
  • Describe how accountable care organizations are funded, and how services provided differ from fee-for-service Medicare
  • Participate in a population management program for high risk older adults
/ Contact Dr. White
Duke Connected Care office, 718 Rutherford Street, Durham. Review cases ahead of time in EPIC; list will be sent out to you via email the previous week /
Geriatrics PACT /
  • Appreciate how geriatrics primary care differs from standard primary care practices including staff:patient ratios and coordination with care managers and IDT
/ Contact Dr. Soheili or pager (919) 970-6978.
Directions to the Raleigh CBOC,
Geriatrics PT/OT /
  • Describe the roles of Physical, Occupational, and Speech Therapy in the care of post-acute and long-term care patients.
  • Determine the appropriateness of assistive devices for older adults with mobility impairments
  • Describe commonly used adaptive equipment for older adults with functional impairments
/ Contact Phyllis Vandenberg ahead of time to arrange dates /
Geriatric Video Telehealth /
  • Participate in evaluation and management of older patients with geriatric syndromes using telehealth
  • Describe how non-face to face models of care are implemented and evaluated within health systems.
/ Contact Megan Pearson () VA x 5323 for schedule of consults /
Gerofit /
  • Understand the relationship between physical activity and the development of functional impairment in older adults
  • Provide exercise prescriptions for older adults
  • Understand the role of the exercise physiologist in geriatrics research, education and patient care
/ Email or call Adrienne Wagenblast
to arrange an experience based on their schedule for new intakes/programs for the week /

Home Based Primary Care /
  • Collect functional and psychosocial information during home visits
  • Describe patient selection, team roles, and expected outcomes for a home based primary care program
/ Contact Linda (HBPC NP) 919 323-6866 or Carol (HBPC PA) 919 810-3612 /
Musculoskeletal clinic /
  • Diagnose and treat common musculoskeletal problems including rotator cuff disorders, back pain, knee pain, and hip pain.
  • Develop proficiency in common joint and bursal aspirations/injections
  • Use rehabilitation as a treatment modality for musculoskeletal disorders
/ Email or page Dr. Kim Huffman () to introduce yourself and let her know what weeks you will be coming /
PACE /
  • List the enrollment criteria, funding, and appropriate patient selection for PACE
  • Identify how acute, post-acute, and chronic care are handled in the PACE model
/ Karen Oldham
Directions: /
Renal Silver /
  • Understand the role of geriatric assessment in serious chronic disease management and advanced care planning
/ Contact Rasheeda Hall / (add JAGS paper when published)
Senior PharmASSIST /
  • List principles of appropriate prescribing in older adults
  • List factors that influence medication adherence in older adults
  • Work with a geriatric pharmacist in a multidisciplinary team
/ Specific dates have been pre-arranged: 7/7, 7/21, 8/11, 8/18, 9/22, 9/29, 10/6, 10/13, 12/15, 12/29, 5/11/17, 5/25/17
Contact Marilyn Disco if you cannot go to the dates in your block month
Directions: /

STRIDE /
  • Appreciate the risk of functional decline and other hazards of hospitalization associated with immobility.
  • Understand the impact of an early hospital mobilization program and post-hospital discharge exercise counseling.
/ Contact John Bartle () VA x 6753 /
TLC Partners /
  • Recognize the potential problems arising during transitions of care, and to experience a model shown to reduce recurrent hospitalizations
  • Evaluate an older adult in their home environment
/ Contact Colleen Wojciechowski, NP by email: . Please travel with the Nurse Practitioner. Review CPRS information ahead of time and be prepared to discuss the patient’s condition and potential problems in transitions with the NP. /