Ambulatory / Geriatric Medicine Clerkship

ASSESSMENT OF FUNCTIONAL STATUS
Sudha Elangovan, MD, PhD

Lachs MS, Feinstein AR, Coohey LM Jr, et al: A simple procedure for general screening for functional disability in elderly patients. Ann Intern Med 1990;112:699-706.

This reading can be found on reserve at the George J. Farha Library.

ASTHMA
Zubair Hassan, MD

NAEPP Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma-Update on Selected Topics 2002. NIH Publication No. 02-5075, July 2002.

Since this publication is posted on public web sites within the “NIH.GOV” domain, it is considered to be “in the public domain.”   Therefore, this publication has been photocopied and included in your syllabus.

CANCER DETECTION AND SCREENING
John Dorsch, MD

These readings are available in UpToDate on the Internet.   To access the readings, see instructions below. *

1. Brawley O, Garnick MB.   Risk Factors and Screening for Prostate Cancer .  
2. Fletcher SW.   Screening for Breast Cancer .
3. Fletcher RH.   Screening for Colorectal Cancer.
4. Goodman A.   Screening for Cervical Cancer.  

CHEMICAL DEPENDENCY
Timothy Scanlan, MD

Alcoholism in the Elderly: Diagnosis, Treatment, Prevention, © 1995, American Medical Association.

This article has been photocopied and included in your syllabus with permission from the American Medical Association.

DELIRIUM
Sudha Elangovan, MD, PhD

“Chapter 19 – Delirium.”   In Cobb EL, Duthie EH, Murphy JB, eds.   Geriatric Review Syllabus: A Core Curriculum in Geriatric Medicine . 5th ed. Malden, MA: Blackwell Publishing for the American Geriatrics Society, 2002.

This book may be found on reserve at the George J. Farha Library.

DEMENTIA
Anne Walling, MD/Maurice Duggins, MD/Natalia Montoya, MD/Sudha Elangovan, MD, PhD/Doug Woolley, MD, MPH

1. These readings can be found on reserve at the George J. Farha Library
   1. “Chapter 17 – Dementia.”   In Cobb EL, Duthie EH, Murphy JB, eds.   Geriatric Review Syllabus: A Core Curriculum in Geriatric Medicine . 5th ed. Malden, MA: Blackwell Publishing for the American Geriatrics Society, 2002.
   2. “Chapter 18 – Dementia.”   In Cobb EL, Duthie EH, Murphy JB, eds.   Geriatric Review Syllabus: A Core Curriculum in Geriatric Medicine . 5th ed. Malden, MA: Blackwell Publishing for the American Geriatrics Society, 2002.
2. This reading can be found by accessing the following:

DEMENTIA ROUNDS
Anne Walling, MD

Cummings JL, Frank JC, Cherry D, Kohatsu ND, Kemp B, Hewett L, Mittman B.   Guidelines for managing Alzheimer's disease: part I. Assessment. Am Fam Physician . 2002 Jun 1;65(11):2263-72.

Cummings JL, Frank JC, Cherry D, Kohatsu ND, Kemp B, Hewett L, Mittman B. Guidelines for managing Alzheimer's disease: Part II. Treatment. Am Fam Physician. 2002 Jun 15;65(12):2525-34.

Burns A, Byrne EJ, Maurer K. Alzheimer's disease. Lancet. 2002 Jul 13;360(9327):163-5.

This reading can be found by accessing the following: *

Scroll down to the article and Click on “Page Image PDF”
Print out the article

DEMOGRAPHY
Web-Based, Self-Study

There is no required reading, other than the webmodule’s KNOWLEDGE section.  

DEPRESSION
Rick Kellerman, MD

Birrer RB, Vemuri SP.   Depression in later life: a diagnostic and therapeutic challenge. Am Fam Physician. 2004 May 15;69(10):2375-82 .

This article can be found by accessing the following direct link: http://www.aafp.org/afp/20040515/2375.html

DERMATOLOGY
John Dorsch, MD / Jerome Streit, MD

Berger R, Gilchrist BA. Skin Disorders. In Duthie Edmund H, Katz Paul R, eds. Practice of Geriatrics, 3rd ed. Philadelphia: WB Saunders; 1998.

This reading can be found by accessing the following: *

EBM INTRODUCTION
Scott Moser, MD

Oxman AD, Sackett DL, Guyatt GH, et al: User’s Guides to Medical Literature: How to Get Started. JAMA. 1993;270(17):2093-2095.

This article can be found by accessing the following URL: http://www.cche.net/usersguides/start.asp

CLICK on Clinical Scenario and begin to read through the article.

(If you are having difficulty accessing this address, go to http://www.cche.net/usersguides/main.asp CLICK on How To Get Started, then CLICK on Clinical Scenario and scroll through the entire article)

EBM DIAGNOSIS
Douglas Woolley, MD, MPH

Jaeschke R, Guyatt GH, Sackett DL, et al. User’s Guides to Medical Literature: How to Use an Article About a Diagnostic Test. JAMA. (1994;271(5):389-391) and (1994;271(9):703-707).

These articles can be found by accessing the following URL: http://www.cche.net/usersguides/diagnosis.asp

(CLICK on Clinical Scenario and scroll through the entire article)

Guyatt GH, Patterson C, et al.   Diagnosis of Iron-Deficiency Anemia in the Elderly. Am Jour Med 1990; 88:205-209.

This article can be found on reserve at the George J. Farha Library

EBM META-ANALYSIS
Christina Reimer, M.D.

Lechat P, Packer M, Chalon S. Clinical Effects of β-Adrenergic Blockade in Chronic Heart Failure. Circulation. 1998; 98:1184-91.

This article can be found by accessing Dykes Library Online Journal Web Page at http://library.kumc.edu/journals/onlinejnls.asp

Oxman A, Cook D, Guyatt G. Users’ Guides to the Medical Literature: How to Use an Overview. JAMA. 1994; 272:1367-71.

This article can be found by accessing the following URL: http://www.cche.net/usersguides/overview.asp

(CLICK on Clinical Scenario and scroll through the entire article)

EBM THERAPY
Scott Moser, MD

The following reading materials are required for this section:

Guyatt G, Sackett D, Cook DL, et al. User’s Guides to Medical Literature: How to Use an Article About Therapy or Prevention. JAMA. (1993;270(21):2598-2601) and (1994;271(1):59-63).

This article can be found by accessing the following URL: http://www.cche.net/usersguides/therapy.asp
(CLICK on Clinical Scenario and scroll through entire article)

Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, Jackson RD, Beresford SA, Howard BV, Johnson KC, Kotchen JM, Ockene J. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33.

This article is on reserve at the Farha Medical Library.

HEALTH SERVICES
Web-Based, Self-Study

Publication:   Medicare and You 2003.

This article can be found by accessing the following:

Go to http://www.medicare.gov on the Internet.

Click on “Medicare and You 2003” under “News and Updates”

INTRODUCTION TO HOSPICE
Gerard Brungardt, MD

Emanuel LL, von Gunten CF, Ferris FF, eds. “Plenary 3:   Elements and Modules,” The Education for Physicians on End-of-life Care (EPEC) Curriculum: © The EPEC Project, The Robert Wood Johnson Foundation, 1999.

This article has been photocopied and included in your syllabus with permission from the EPEC Project.

HOSPICE - BREAVEMENT
Nadine Reimer Penner

Emanuel LL, von Gunten CF, Ferris FF, eds. “Module 12: Last Hours of Living,” The Education for Physicians on End-of-life Care (EPEC) Curriculum: © The EPEC Project, The Robert Wood Johnson Foundation, 1999, M12-20 to M12-23.

This article has been photocopied and included in your syllabus with permission from the EPEC Project.

Periyakoil, VJ. Fast Facts and Concepts #43: Is it grief or depression? June, 2001. End-of-life Physician Education Resource Center www.eperc.mcw.edu .

Weissman, D. Fast Fact and Concepts #07: Depression in Advanced Cancer. June, 2000. End-of-Life Physician Education Resource Center www.eperc.mcw.edu .

These articles have been photocopied and included in your syllabus with permission from EPERC.

HOSPICE - MEDICAL ETHICS
Tom Welk, DMin

• There is no required reading for this section.

HOSPICE - PAIN MANAGEMENT
Gerard Brungardt, MD

Emanuel LL, von Gunten CF, Ferris FF, eds. “Module 4: Pain Management,” The Education for Physicians on End-of-life Care (EPEC) Curriculum: © The EPEC Project, The Robert Wood Johnson Foundation, 1999.

This article has been photocopied and included in your syllabus with permission from the EPEC Project.

MOBILITY, GAIT, AND FALLS
Web-Based, Self-Study

Studenski S, Wolter L. Instability and Falls. In Duthie Edmund H, Katz Paul R, eds. Practice of Geriatrics, 3rd ed. Philadelphia: WB Saunders; 1998.

This article can be found by accessing the following: *

OSTEOPOROSIS
Sudha Elangovan, MD, PhD

Finkelstein JS. Osteoporosis. In Goldman, ed. Cecil Textbook of Medicine, 21st ed. Philadelphia: WB Saunders; 2000.

This article can be found by accessing the following: *

PARKINSON’S ROUNDS
Anne Walling, MD

Rascol O, et al. Treatment Interventions for Parkinson’s disease: an evidence based assessment. Lancet 2002;359: 1589-98.

This article can be found by accessing the following: *

The articles are sorted by title.   The default is 10 per page.   Scroll down to bottom and
Click on page 3 (The article in on page 3.   You can also sort by page number and display more articles on each page if you prefer.)

Scroll down to the article and
Click on “Page Image PDF”

Print out the article

Rao G, Fisch L, et al.   Does This Patient Have Parkinson Disease?   JAMA 2003; 289: 347-353.

This article can be found by accessing the following: *

Also recommended reading:

Smaga S. Tremor. Am Fam Phy 2003;68:1545-1552.

This article can be found by accessing the following:

PHYSIOLOGIC AGING
Web-Based, Self-Study

“Chapter One: Clinical Implications of the Aging Process.” In Kane RL, Ouslander, JG, Abrass IB, eds. Essentials of Clinical Geriatrics, 4th ed. New York: McGraw-Hill; 1999.

This book can be found on reserve at the George J. Farha Library

PRESSURE ULCERS
Sudha Elangovan, MD, PhD

Goode PS, Allman R. Pressure Ulcers. In Duthie Edmund H, Katz Paul R, eds. Practice of Geriatrics, 3rd ed. Philadelphia: WB Saunders; 1998.

This reading can be found by accessing the following: *

THYROID
Christine Faulk, MD

Thyroid Disorders. In Ferri Fred F. Ferri's Practical Guide to the Care of the Medical Patient, 5th ed. St. Louis: Mosby, Inc.; 2001.

This reading can be found by accessing the following: *

URINARY INCONTINENCE
Sudha Elangovan, MD

Francis J Jr. Delirium. In Duthie Edmund H, Katz Paul R, eds. Practice of Geriatrics, 3rd ed. Philadelphia: WB Saunders; 1998.

This reading can be found by accessing the following: *

* If you are accessing these sites on your home computer, you must dial in through the KUSM-W server.   You can set-up an account by contacting Information Technology Services at 293-2605.   There is no charge for this account.