Mini CHAMP: Content Outlines of Geriatric Topics and

Teaching ACGME Core Competencies

Table 1: Outline of the Mini CHAMP FDP Geriatrics Topics Content

15 Geriatric Topic modules listed under the following four themes:

8- 2 hour sessions

Theme #1: Identification of the Frail /Vulnerable Elder

• Identify and assess the vulnerable hospitalized older patient

• Dementia in hospitalized older medical patients: Recognizing and screening for dementia,

assessing medical decision making capacity, implications for the treatment of non-dementia

illness, pain assessment, improving the post-hospitalization transition of care

Theme #2: Recognize and Avoid Hazards of Hospitalization

• Delirium: Diagnosis, treatment, risk stratification and prevention

• Falls: Assessment and prevention

• Foley Catheters: Scope of the problem, appropriate indications and management

• Deconditioning: Scope of the problem, prevention

• Adverse Drug Reactions and Medication Errors: Principles of drug review

• Pressure Ulcers: Assessment, treatment and prevention

• Depression: Assessment and treatment

Theme #3: Palliate and Address End-of-Life Issues

• Pain Control: General principles and use of opiates

• Symptom Management in Advanced Disease: Nausea

• Difficult Conversations and Advanced Directives

• Hospice and Palliative Care and Changing Goals of Care

Theme #4: Improve Transitions of Care

• The Ideal Hospital Discharge: Core components and determining destination

• Destinations of Post-Hospital Care: Nursing homes for skilled rehabilitation and long-term care

Table 2: Teaching ACGME Core Competencies

ACGME Competency / Addressed in CHAMP Curriculum
Knowledge/Patient Care / All geriatric lectures (See Table 1)
Professionalism / Geriatric lectures:
1)  Dementia: Decision making capacity
2)  Advance directives and difficult conversations
Teaching on Today’s Wards exercises and games:
1)  Process mapping
2)  “I hope I get a good team” game
3)  “Deciding what to teach/missed teaching opportunities” game
Communication / Geriatric lectures:
1)  Advance directives and difficult conversations
2)  Destinations for post-hospital care: Nursing homes
3)  Dementia: Decision making capacity
Teaching on Today’s Wards exercises and games:
1)  Process mapping
2)  “Deciding what to teach/missed teaching opportunities” game
Systems Based Practice / Geriatric lectures:
1)  Ideal hospital discharge
2)  Delirium: Screening and prevention
3)  Frailty: Screening
4)  Foley catheter: Indications for use
5)  Pressure ulcers: Prevention
6)  Deconditioning: Prevention
7)  Falls: Prevention
8)  Drug and Aging: Drug review
Teaching on Today’s Wards exercises and games:
1)  Process mapping
2)  “Deciding what to teach/missed teaching opportunities” game
3)  Quality improvement projects
Problem Based Learning and Improvement / Teaching on Today’s Wards exercises and games:
1)  Census audit
2)  Case audit
3)  Process mapping