Virtual Clerkship Presentation Objectives

Please include these objective in your presentations. Their intention is to assure that these specific
points are covered. You may add to them too!

1. Dementia
a. Identify the important components of a history in the evaluation of impaired cognition.
b. Describe the pertinent portions of a physical exam in the evaluation of impaired
cognition.
c. Describe the validated screening tools in the evaluation of dementia.
d. Describe the pharmacologic and non-pharmacologic treatment of dementia.
2. Delirium
a. Identify delirium as a medical emergency and how to use the confusion assessment
method in order to diagnose it.
b. Describe the precipitating factors of delirium.
c. Describe the work-up for precipitating factors for delirium.
d. Describe the pharmacologic and non-pharmacologic treatment of delirium with
emphasis on when it is appropriate to use pharmacologic treatments and restraints.
3. Depression
a. Describe how depression presents differently in older adults.
b. Describe the evaluation of an older adult presenting with depressed mood.
c. Describe screening tools in the evaluation of depressed mood in older adult.
d. Describe the treatment for depression in older adults.
4. Falls
a. Identify the intrinsic and extrinsic risk factors for falls, include environmental hazards.
b. Describe de Get Up and Go as a validated screening tool for gait and balance
assessment.
c. Describe the components of a plan to mitigate fall risk including the use of assistive
devices and involvement of Interprofessional team members.
5. Polypharmacy
a. Identify the components of a complete medication list including prescribed, over-the-
counter, supplements, vitamins, and herbals.
b. Describe how pharmacokinetic and pharmacodynamic age-related changes may impact
drug selection and dosing.
c. Identify 3 medications (can include over-the-counter) that can lead to a prescribing
cascade.
6. Persistent Pain Management in Older adult
a. Describe the components of an adequate pain assessment in older adults.
b. Describe the assessment of pain in adults with cognitive impairment.
c. Describe the WHO pain management ladder.
d. Describe the factors important in opiate selection as they relate to older adults.
7. Pressure Ulcers
a. Identify the factors that increase an older patient’s risk for skin breakdown
b. Identify the high risk pressure injury areas that should be routinely examined in older
adults.
 c. Describe the staging and documentation of pressure injuries.
d. Describe the appropriate Interprofessional team members to mitigate the risk of
pressure injuries.
8. Hospice and Palliative Care
a. Describe the difference between palliative care and hospice.
b. Describe the Medicare hospice criteria.
c. Describe what is covered in the Medicare hospice benefit.
9. Transitions of Care
a. Describe the risks of a transition of care.
b. Describe the components of an effective transition of care plan.
c. Describe the components of a discharge summary that promotes an effective transition
of care.
d. Compare and contrast discharge locations including admission criteria (to include skilled
nursing facility vs acute rehab vs assisted living facility vs home with home health).
10. Frailty
a. Define frailty and how it relates to homeostenosis.
b. Describe frailty rapid assessment tools.
c. Describe the prevention and management strategies for frailty.
11. COVID-19 and older adults
a. Describe why older adults are at higher risk of death due to COVID-19.
b. Describe 3 unique challenges older adults face in the COVID-19 pandemic.
c. Describe 3 ways how physicians can help older adults prepare for the pandemic.