The field of geriatrics is a relatively young discipline. No formal medical training in geriatrics existed prior to the 1970s. A series of Institute of Medicine reports in the 1970s brought public attention to the changing medical needs of an aging population and recommended formal curricula on aging be established for medical trainees. To effectively care for older individuals, you will need to not only understand and manage the pathophysiology of aging, but also each patient’s social and personal preferences.
A number of multifactorial medical conditions called geriatric syndromes commonly affect the elderly. These include dementia, delirium, falls, and frailty or functional decline. The multifactorial nature and cumulative effect of these impairments make the elderly vulnerable. In this rotation guide, we have compiled articles and resources that you might find useful when caring for an elderly individual.
The topics covered are organized as follows:
Rotation Prep was developed by a collaborative team of experts, educators, fellows, and residents including James Yeh, MD (NEJM Fellow); Alex Djuricich, MD (NEJM Education Editor); Michelle Jose-Kampfner, MD; Mousumi Sircar, MD; and Bruce Bonnell, MD. The content was reviewed by Sarah Berry, MD.