Category

Topic

Part

Rehabilitation

• General principles of rehabilitation
• Evidence base
• Realistic goal setting

1

• Assessment scales
• Roles and expertise of different members of interdisciplinary team
• Who provides what? (what equipment can be provided for feeding, kitchen aids, bath aids, mobility aids, wheel chair, stairlifts; what can DN provide?)

• Condition specific rehabilitation issues

-Inflammatory arthropathy

- Amputation and vascular rehab

- respiratory and cardiac rehab

Falls and orthogeriatrics

• Orthogeriatric assessment
• Perioperative assessment & care
• Surgical issues
• Anaesthetic assessment of older patient

1

• Orthogeriatric rehab with special empasis on hip#, colles# and other common #
• Different models of orthogeriatric care and services

• Causes and management of osteoporosis
• CBD – assessing someone who has fallen including screening tools

• Assessing a syncopal patient – investigations and management
• CBD - setting up a falls service, including evidence base for interventions to reduce falls

Comprehensive geriatric assessment

• Atypical presentation and Geriatric Giants
• Understanding the concept of frailty

1

Basic Gerontology

• Ageing and senescence
• System specific physiological effects of ageing : Cardiovascular, gastrointestinal, neurological, respiratory, endocrine, renal, musculoskeletal, dermatological
• Effects on homeostasis

1

• Changes in pharmacodynamics and pharmacokinetics; compliance; drug interactions

• Demographics trends (developed/developing countries), public health issues
• Ageism, discrimination
• Psychology of Ageing
• CBD – Elder abuse- recognising, action, prevention

Health promotion

• Benefits of a healthy lifestyle in older age
• Smoking cessation
• Specific techniques for disease prevention in older people -eg risk/ benefit of aspirin for MI, warfarin for stroke, antihypertensives

1

Discharge planning ; Interface between community and hospital geriatric medicine

• Management of chronic disease
• Available resources – eg community care, respite care, institution based long-term care, intermediate care, voluntary agencies
• Supported discharge : what happens in Dundee – Community rehab service; crisis care; ESDS

1

• Role of Geriatrician in Intermediate care; What is intermediate care – economic argument
• medical assessment of older people in the community –National perspective
• CBD – case study of good intermediate care

• Nursing home, NHS continuing care or hospice
• Placement issues
• Discharge planning – pitfalls and readmissions

Continence

• Urinary : bladder anatomy and physiology, age related changes, risk factors and causes of incontinence
• Classification, assessment ,investigation and management of incontinence
• CBD – Role of incontinence specialist nurse/ aids and equipment

1

• Faecal incontinence: causes, investigations and management
• Urology: Ca prostate- diagnosis inv and management
• Urinary retention

2

Psychogeriatrics

• Major psychiatric conditions: depression, anxiety, paranoid states
• Deliruim
• CBD – when to seek specialist advice

1

• Dementia

•  Epidemiology

•  Dementia syndromes, reversible dementias, neuropsychology

•  Diagnosis

•  Behavioural and psychological manifestations

• Anticholinestrase therapy – evidence and guidelines

• Assessing cognition

• Management of Dementia in the community

• The role of a memory clinic
• CBD: Medicolegal issues (Adults with incapacity), Consent (including for research), confidentiality

Stroke/TIA care

• Diagnosis/differential of stroke:Stroke syndromes, Complications of stroke, Natural history and prognosis
• Acute stroke management, TIA primary and secondary prevention – evidence

1

• Stroke rehabilitation: assessment for rehab, mechanisms and patterns of recovery, outcome measures and scales, management of spasticity
• Post hospital management of stroke ; psychology and stroke – effect on carers

• Stroke service organisation : Acute stroke unit; one stop neurovascular clinic
• Communication and stroke
• Surgery for stroke

Palliative care
& ethical issues
& legal issues

• Death and dying: predicting death, management of a good death, what happens after death, bereavement counselling, Death certification and the fiscal
• CBD – advance directives and living wills

1

• Management of emergencies in palliative care (acute pain, hypercalcaemia, haemorrhage, spinal cord compression
• Quality of life – basic concepts and measurement

2

Movement disorders

• Parkinsons disease, diagnosis, gait analysis
• Drug and non drug treatment
• Non PD tremor, Benign essential tremor
• MSA, PSP

1

Eyes, ears, skin

• Common eye problems in older people (ARMD, Glaucoma, cataracts)
• Dizziness investigation and management
• Demonstration: Hallpikes & Epley's
• Communication strategies with deaf people

1

• Pressure ulcers
• Dressings
• Peripheral vascular disease, ABPI demonstration and interpretation
• Skin manifestation of systemic disease

Nutrition

• Assessment of nutritional status; impact of disease on nutritional status, Nutritional support
• CBD- Withdrawal of treatment: ethical issues around hydration and nutrition
• Ethical aspects of screening and detection of malignancies

1

Clinical governance

• Organisational framework of clinical governance
• Accountability, risk management
• EBM
• Improving quality of services
• Safeguarding standards of care
• Healthcare commission in clinical governance
• Reporting process

1

Management

• Structure of the NHS, financing and organisation
• Role of NICE and SHAS
• Principles of appraisal process

1

• Administrative duties relevant to a consultant geriatrician
• Power of attorney
• Workings of committees, employee law
• Dealing with complaints

• Critical event analysis
• Advantages and disadvantages of guidelines
• Dealing with difficult colleagues/ fitness to practice issues

3

Rheumatology

• Degenerative joint disease
• Gout
• RA
• Management of chronic pain

1

Haematology

• Anaemia: investigation, management and treatment
• Common presentation of leukaemia
• Myelodysplasia and myeloma

1

Etc

• Mouth and dental problems
• Journal club

1

Research

• Searching medical literature
• Evaluating medical literature
• Journal club

1

• Writing a reasearch proposal, study designs and statistics
• Journal club

2

DVLA

• Effects of different diseases on driving
• Responsibilities of physician

1