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Home / Geriatric Medicine
Older adults module

Geriatric Medicine

Function, cognition, falls, polypharmacy, goals of care and caregiver context.

Module objectives

By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.

Core presentations

Complete topic guide

Falls and mobility

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Delirium and dementia

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Frailty and functional decline

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Polypharmacy and deprescribing

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Urinary incontinence

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Driving safety

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Elder abuse

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Goals of care

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →Complete topic guide

Caregiver stress

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →

Expected station skills

  • Collateral history
  • ADL/IADL assessment
  • Cognition and delirium screening
  • Medication reconciliation
  • Capacity and substitute decision-making
Module drill: For each presentation, state the leading diagnosis, the dangerous alternative, one discriminating question, one discriminating examination finding and the first action if the patient is unstable.

Red flags and escalation

  • Acute delirium
  • Injury after fall
  • Medication toxicity
  • Abuse or neglect
  • Unsafe discharge
  • Rapid functional decline

Station rehearsal template

  1. Read the task and identify the required output.
  2. Open professionally and establish the agenda.
  3. Gather focused positive and negative findings.
  4. Summarize and prioritize the differential.
  5. State investigations and management in a safe sequence.
  6. Address the patient’s concerns and understanding.
  7. Close with disposition, follow-up and safety-netting.

Suggested complete 11-minute stations

Collateral history + delirium plan11 minutes

Older adult with acute confusion

Recognize delirium, identify precipitants and protect the patient while treating causes.

Focused history + multifactorial plan11 minutes

Recurrent falls and dizziness

Identify orthostatic hypotension, medication effects and modifiable fall risks.

Counselling + capacity/safety11 minutes

Driving safety in early dementia

Address unsafe driving respectfully, explain next steps and preserve mobility.