Additional SFDC Program: Geriatrics in Primary Care
Each year from 1997 to 2004, six medical faculty were selected to attend the Stanford Faculty Development Center for training as Geriatrics in Primary Care (GiPC) seminar facilitators. The 1-month facilitator training course provided participants with the background knowledge and seminar leadership skills they needed to deliver a series of seven 2-hour seminars to faculty and residents.
Curriculum
- Diversity of Health & Function in the Third Age
- Assessment & Management of Selected Geriatric Syndromes
- Health Promotion: Screening
- Health Promotion: Behavior Change
- Depression, Dementia & Delirium
- Longitudinal Care Options
- Addressing Difficult Decisions
Facilitator Training
- Instruction in curriculum by project faculty
- Review of selected background literature
- Training in teaching skills
- Review and practice of the seminars
- Delivery of practice seminars to local faculty and postdoctoral fellows
- Presentations by guest speakers
- Field trips to older adult care programs
- Sessions on homesite implementation and data collection for program evaluation.
Program Faculty (1997-2004):
Catherine Bree Johnston, MD, MPH; Peter Pompei, MD; Melen McBride, RN, PhD; David Lansdale, PhD; Oma Morey, PhD; and program alumni.
List of Trained GiPC Facilitators
| 36 Institutions | 44 Facilitators | Year |
| Boston University, Boston, MA | Laura Goldman | 2004 |
| Case Western Reserve, Cleveland, OH | Amir Guirguis | 1999 |
| Christiana Care Health System, Wilmington, DE | Diane Coniglio | 2000 |
| Cornell University | Veronica LoFaso | 2001 |
| Emory University, Atlanta, GA |
Stephanie Brown-Johnson Monica Parker |
1998 2004 |
| Georgetown University Medical Center, Washington, DC | Shyrl Sistrunk | 1997 |
| Henry Ford Health System, Detroit, MI | Elena Perry-Thornton | 1999 |
| Highland General Hospital, Oakland, CA | Sonia Levingston | 1998 |
| McKeesport Hospital, McKeesport, PA | Daphne Bicket | 1998 |
| Meharry Medical College | Adejoke Aina-Babalola Leonard Webster |
2001 2002 |
| Monterrey Institute of Technology, Monterrey, Mexico | Abel Barragan-Berlanga | 2003 |
| Morehouse School of Medicine, Atlanta, GA | Folashade Omole | 2000 |
| Mount Sinai Medical School, City University of New York, NY | Rainier Soriano |
2000 |
| New York Medical College, New York, NY | Caroline Vitale | 2004 |
| Oregon Health Sciences University, Portland, OR | Elizabeth Eckstrom | 1997 |
| Ponce School of Medicine, Ponce, Puerto Rico | Hector Gil de Rubio Muneca Rivera |
2003 2003 |
| Santa Clara Valley Medical Center, San Jose, CA | Gary Pasternak | 1997 |
| Singapore General Hospital, Singapore | Ng Yuen Yen | 2003 |
| St. Joseph's Mercy Hospital, Ann Arbor, MI | Evan Morrison | 1997 |
| Uniformed Services Univ. of the Health Sciences, Bethesda, MD | Ellen Pinholt | 2002 |
| University of Buenos Aires, ARGENTINA | Judith Estremero | 1999 |
| University of California, Davis, CA | Lisa Gibbs | 2001 |
| University of California, Irvine, CA | Anne Musser | 2002 |
| University of California, San Diego, CA | Arnold Gass | 2003 |
| University of California, San Francisco, CA |
Helen Chen Gregory Bugaj Diana Jao |
1998 1998 2001 |
| University of California, Los Angeles, CA |
Huan Guu Theresa Nevarez |
2000 2004 |
| University of Illinois, Chicago, IL | James Wendt | 2001 |
| University of Miami, Miami, FL | Lisa Granville | 1997 |
| University of Michigan, Ann Arbor, MI | Brent Williams | 2002 |
| University of Nevada, Reno, NV | Diane Chao | 2003 |
| University of Oklahoma , Tulsa , OK | Robert Salinas | 1999 |
| University of Pennsylvania, Philadelphia, PA |
Hollis Day Jennifer Kapo |
1998 2004 |
| University of Ryukyu, Okinawa, JAPAN | Yuko Takeda-Yamashita | 2000 |
| University of South Carolina, Columbia, SC | Natalie Johnson Donna Ray |
2001 2002 |
| University of Texas, Southwestern, Dallas, TX | Larry Irvin | 2002 |
| Wayne State University, Detroit, MI | Vidya Chalasani | 1997 |
Homesite Seminars
The teaching of seminars in subsequent years is based on an institution's size and needs. Trained facilitators also serve as regional and national faculty development resources for geriatrics in primary care.
Results of Program Evaluation
- Seminars rated as highly useful
- Significant increases in participants' knowledge of geriatric content
- Significant increases in self-reported skills related to geriatrics
Comments from SFDP-trained Geriatrics in-Primary Care Facilitators
"This has been an outstanding opportunity for personal and professional growth. This has been the most intense and productive learning experience that I can recall."
"An opportunity to be re-inspired about practicing medicine and teaching."
"It has been a rigorous month both in terms of content and process... it has allowed me to "think again" which I think we don't get to do much of with clinical pressures. It is a faculty development program and I feel rejuvenated and ready to pursue clinical teaching and continued self improvement with a new found energy."
"My knowledge has expanded exponentially. The content was well chosen and I now feel dramatically more comfortable with it than when I first arrived. The "extra" talks and field trips helped keep us focused on the real people we are learning to care for, and this curriculum includes a very heartfelt humanism that could have easily been lost."
"My content knowledge increased considerably. My interest in self-directed learning via reading, computer, etc. sky rocketed. My desire to really learn and understand what I can do to improve the quality of life for my older patients has increased. My consciousness of the special problems and barriers to caring for the elderly is much higher."
"There is clearly a stimulating and concise method to teach geriatrics in primary care which I was beginning to doubt but am happy to realize exists."
"Taking care of [a] primarily geriatric population, I thought I knew geriatrics. This course allowed me to have new insights about the field. Not only did I learn [the] clinical knowledge base to care for the patient, [but] I also learned the basic principle behind it that I will now be able to teach. I enjoyed the past 30 days and will enjoy geriatrics in primary care for life."
Comments from Faculty Participants in Home-site Seminars
"Attending this seminar changed my attitude and knowledge about geriatric care."
"Thorough review of information for both clinical use and teaching use - very practical."
"Overall excellent - will recommend the seminars to others."
"Enjoyed exposure to concentrated geriatric teaching, which I did not receive in my medical training."
"Our facilitator is a great resource for us on geriatric issues."
Comments from Resident Participants in Home-site Seminars
"I was enlightened by the difference between knowing a subject well enough to practice, and teaching it. I enjoyed learning the tools for teaching."
"Excellent course on geriatrics in terms of learning theories and practical applications of common geriatric problems. I feel more confident in managing my geriatric population: it does not seem overwhelming now."
"I have incorporated many of the tools for assessment into my practice."
"I had hardly any knowledge base as a foundation; now I have a practical guide to utilize."
"Concise seminars: lots of group involvement and participation."
"I expected not to enjoy this seminar - to be bored. I was pleasantly surprised. I think it was definitely interesting and very relevant and useful. The instructor did a great job. I will speak highly of it to colleagues."
"The small group lesson format was particularly effective; the instructor obviously put in a tremendous amount of effort; the time I spent here was extremely useful."