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1.5 Care of the Elderly

1.5 Care of the Elderly			Core Rotation	Elective Rotation	Academic Program	Special Interest Elective
The family physician is a skilled clinician
The resident will be able to:
1.5.1	K	Describe physiologic, psychologic, social, and environmental changes in normal aging	FM, IM, GM		X
1.5.2	K	Describe the principles and components of a comprehensive geriatric assessment	FM, IM, GM		X
1.5.3	K/S	Perform a comprehensive geriatric assessment	FM, IM, GM
1.5.4	K	Describe how to recognize elder abuse	FM, IM, GM		X
1.5.5		Manage common geriatric presentations:
1.5.1.1	K/S	Fatigue / Generally unwell	FM, AEM, IM, GM	UC, FMH
1.5.1.2	K/S	Gradual visual changes and hear loss	FM, AEM, IM, GM	UC, FMH	X
1.5.1.3	K/S	Headache	FM, AEM, IM, GM	UC, FMH	X
1.5.1.4	K/S	Dizziness / Lightheadedness / Vertigo / Imbalance	FM, AEM, IM, GM	UC, FMH	X
1.5.1.5	K/S	Memory loss and dementia	FM, AEM, IM, GM	UC, FMH	X
1.5.1.6	K/S	Tremor	FM, AEM, IM, GM	UC, FMH
1.5.1.7	K/S	Cerebrovascular disease	FM, AEM, IM, GM	UC, FMH	X
1.5.1.8	K/S	Coronary artery disease	FM, AEM, IM, GM	UC, FMH
1.5.1.9	K/S	Atrial fibrillation	FM, AEM, IM, GM	UC, FMH
1.5.1.10	K/S	Abdominal pain	FM, AEM, IM, GM	UC, FMH	X
1.5.1.11	K/S	Constipation	FM, AEM, IM, GM	UC, FMH	X
1.5.1.12	K/S	Urinary incontinence	FM, AEM, IM, GM	UC, FMH
1.5.1.13	K/S	Anemia	FM, AEM, IM, GM	UC, FMH	X
1.5.1.14	K/S	Polypharmacy	FM, AEM, IM, GM	UC, FMH	X
1.5.1.15	K/S	Degenerative joint disease	FM, AEM, IM, GM	UC, FMH	X
1.5.1.16	K/S	Polymyalgia rheumatica and temporal arteritis	FM, AEM, IM, GM	UC, FMH	X
1.5.1.17	K/S	Falls / prevention of falls	FM, AEM, IM, GM	UC, FMH	X
1.5.1.18	K/S	Common psychiatric presentations (e.g. behavioural problems and behaviours in dementia, depression, substance abuse, etc.)	FM, AEM, IM, GM	UC, FMH	X
1.5.1.19	K/S	Needs for immunizations	FM, AEM, IM, GM	UC, FMH
1.5.1.20	K/S	Driving assessment	FM, AEM, IM, GM	UC, FMH	X
1.5.1.21	K/S	Osteoporosis	FM, AEM, IM, GM	UC, FMH

Family medicine is a community-based discipline
The resident will be able to:
1.5.6	K/A	Identify situations when house calls are appropriate for the elderly patient and the importance of making house calls	FM
1.5.7	K/A	Identify and recognize the unique needs of long-term care patients	FM

The family physician is a resource to a defined practice population
The resident will be able to:
1.5.8	K/S	Identify local resources that can assist in the provision of care for the elderly	FM, AEM, IM, GM	UC, FMH	X

The patient-physician relationship is central to the role of the family physician
The resident will be able to:
1.5.9	A	Describe the importance and impact of independence in health care decisions for the individual elderly patient	FM, AEM, IM, GM	UC, FMH
1.5.10	S	Communicate effectively with elderly patients and their families	FM, AEM, IM, GM	UC, FMH

References
Care of Older Adults. Recommended Curriculum Guidelines for Family Medicine Residents.
Evaluation objectives in family medicine: topics, key features and procedural skills.
Standards for Accreditation of Residency Training Programs. The College of Family Physicians of Canada. 2006.