CLASS YEAR 1 subclass YEAR 2 subclass YEAR 3 subclass YEAR 4 subclass YEAR 5 subclass GIANTS of GM a Incontinence (Urinary and Faecal) Immobility Cognitive impairment Impaired balance and falls Sensory impairment KEYNOTE LECTURES ‘GET TO KNOW THE BGS’ PRESIDENT'S REVIEW COMMON/ DIFFICULT PROBLEMS a Clinical Practice Evaluation Group (CPEG) Autumn meeting Education & Training Committee Autumn meeting Academic & Research Committee Autumn meeting Workforce Group Autumn meeting Autumn meeting Cardiac disease Renal disease Respiratory disease Diabetes Mellitus Dermatology Depression Bereavement & loss Palliative care Oncology Parkinson's disease Cerebrovascular disease Electrolyte disorders Fitness to drive Drugs & therapeutics Hepato-biliary Aggression Pain Foot problems Antimicrobial prescribing Musculoskeletal disorders GI disorders Complaints – dealing with Elder abuse & neglect ‘Wild Card’ Nutrition/difficulty with swallowing Haematological Capacity & consent/end of life issues Dental/orofacial/ophthalmic ‘Wild Card’ Epilepsy Speech & Language disorders Medical emergencies Peri-operative assessment Tissue viability/ pressure sores ‘Wild Card’ Multidisciplinary care Hospital-Community Interface Paradigms of care/ care pathways Assessment/ assessment tools Drugs & therapeutics – general principles Education and training – UG and PG Revalidation/Appraisal/ Assessment /Clinical Governance Discharge Planning Risk Management Cross specialty care Clinical implications of ageing Communication Aids and Adaptations/ mechanisms of disease The appropriateness of investigations Geriatric medicine in developed economies Care homes Research/applicat-ion of science to clinical care Healthcare Professional led Practice Service development/NSF GENERAL/ MANAGEMENT Finance & Policy Committees Medical ethics/ Human rights act Law and the elderly Evidence based medicine/clinical guidelines Rehabilitation Carers Intermediate care/ continuing care Primary care Cell biology/stem cell/molecular biology/genomics Health promotion & disease prevention Geriatric medicine in developing economies a a = SUGGESTED SIGs b FOR ‘GIANTS, COMMON/ 1,2,3,5,6,7,9,10 DIFFICULT PROBLEMS AND 2,3,4,6,8,9,11,12 Service development/NSF GENERAL/MANAGEMENT 2,3,5,7,8,11,13 1,2,3,4,5,6,9,11,12 2,4,6,7,10,11,13 CLASS YEAR 1 CLINICS/ WORKSHOPS INc c = SUGGESTED YEAR 2 Neurology Diabetes Palliative Care/oncology Cardiology Ethics Research Stroke Falls Vascular disease Parkinson's Disease Therapeutics Medical use of Ultrasound YEAR 4 YEAR 5 Psychiatry Gastroenterology Palliative Care/oncology Metabolic/endocrine Rehabilitation Stroke Orthogeriatrics Management Education & training including SAC in Ger Med. Stroke Falls Cardiology Ethics Respiratory disease Falls ‘Wild Card’ Tissue viability ‘Wild Card’ SIGs FOR WORKSHOPS b 2,4,5,6,11,12 TRAINEES MEETING YEAR 3 Transition from SpR to consultant 2,5,8,9,11,13 Open 2,5,6,8,9,10 Clinical governance cg 2,3,4,5,7,9,12 Open 2,4,5,6,10,11,12,13 Research b = SIGs KEY 1 Bladder and bowel1 2 Cardiovascular section2 3 Cerebral aging and mental health3 4 Diabetes4 5 Drugs and prescribing section5 6 Falls and bone health section6 7 Gastroenterology and clinical nutrition7 Being formed 8 Health service research8 9 Medical ethics9 10 New technology in elderly care10 11 Parkinson' disease section11 12 Primary and continuing care12 13 Respiratory section13 The ‘Wild card’ for ‘Clinics/workshops’ and ‘Common/difficult problems’ should avoid items listed for other years, or recently covered. It is there to allow a greater freedom of choice within the specialty. Spring and autumn meetings can cover different aspects of the same topic provided the range of subclasses are covered over the year. Bladder and bowel1 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Continence and stroke Continence and movement disorders Continence and falls Continence and care homes Mechanism to support people who care for people with incontinence Stimulation and monitoring devices to improve continence Continence education in undergraduate training The effect of menopause on continence mechanisms The role of the gynaecologist, urologist Ways to maximise compliance and motivation in older patients Can general incontinence research be extrapolated to the elderly? Epidemiology of bowel problems The awareness of incontinence among medical specialists Clinic-based intervention versus home management of elderly patients Does early diagnosis and intervention minimise progression of symptoms? Interrelationship between urodynamic findings and symptoms in the elderly Optimal management and efficacy of treatment of urinary tract infection Optimal intervention for the frail elderly Cardiovascular section2 1. 2. 3. 4. 5. 6. 7. 8. 9. Epidemiology and clinical manifestations of chronic venous insufficiency Indications for surgery in patients with claudication Medical management of claudication Non-invasive diagnosis of peripheral vascular disease Valvular heart disease Arrhythmias and implantable devices Thrombolysis in stroke* Varicose veins * Aortic Aneurysms in the elderly* * Possible symposium topics Cerebral aging and mental health3 1. 2. 3. 4. 5. 6. 7. 8. 9. Psychological aspects of medical illness Depression Delirium Dementias and anti-dementia drugs (who, when, how?) Capacity and consent Psychoses Liaison Psychiatry Effects of psychiatric co-morbidities on physical rehabilitation Mental Health problems in care homes 10. 11. 12. 13. 14. 15. 16. 17. Mental health problems in prisons Managing physical illness on psychiatric wards Everything a geriatrician needs to know about old age psychiatry Everything an old age psychiatrist needs to know about geriatric medicine Physical health assessment - in primary & secondary care dementia in disseminated sclerosis Assessment, diagnosis and management of ageing in learning disabled New genetic mechanisms of learning disability Longitudinal studies of ageing and cognition Diabetes4 1. 2. 3. 4. 5. 6. 7. 8. Metabolic decompensation in older people. Cognitive impairment and clinical depression. Treatment of peripheral neuropathy. Care Home diabetes. Use of insulin therapy. Use of oral agents. Estimation of cardiovascular risk. Management of peripheral vascular disease. Drugs and prescribing* 5 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Pharmacological Principles and the Older Patient Medication Review Prescribing Quality Assessment Supplementary Prescribing Compliance and Concordance Complementary Medicines Adverse Drug Reactions in Older People Drug Utilization in Older Populations Prescribing and the Nursing Home Patient Carer Needs and Prescribing Drug Errors Drug Development and the Older Patient Therapeutics in older People - Special Considerations *To expand Drugs and prescibing section for fuller details in a new window, see: www.bgs.org.uk/cpd/cpddocuments/dps.doc Falls and bone health section6 1. 2. 3. 4. Diagnosis, management and treatment of osteoporosis Vit D - its role and function in bone and muscle function. The role of PTH in the elderly. Metabolic bone disease Medical and surgical and anaesthetic care for fractured neck of femur 5. 6. 7. 8. 9. 10. 11. Assessment and effective intervention for fallers including assessment of unexplained fallers Gait and balance problems in the elderly Effective fall prevention. Fracture prevention using a combined falls and bone risk assessment Strength and balance training. Which type of exercise prevents falls Exercise in the elderly - a health or social responsibility NICE guidleines for falls (2004) and osteoporosis (2005). Better management of hip fracture. Integrated care pathways for fallers Gastroenterology and clinical nutrition7 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Gastro-oesophageal Reflux Disease in the Elderly Management of Iron Deficiency Anaemia in the Elderly; managing GI bleeding Coeliac Disease in the Elderly; malabsorption syndromes PEG Feeding; refeeding syndrome Malnutrition in the Elderly – assessment and management , including obesity Autoimmune Liver Disease in the Elderly; drug and alcohol related liver disease; other liver disease Ischaemic Colitis; bowel ischaemia Intestinal pseudo-obstruction; gastrointestinal dysmotility; oropharyngeal dysphagia Gastrointestinal Malignancies Constipation; faecal incontinence Obtaining consent for GI procedures; explaining risk Medical ethics9 1. 2. 3. 4. 5. 6. 7. Ethics of ageing including Resource Allocation and Rationing, Autonomy and Dignity, Justice and Moral Obligation. Consent to Examination and Treatment Withdrawing and withholding life prolonging medical treatment Development of ethics support in clinical practice and how delivery of health care can promote high ethical standards Education and training of ethics - Undergraduate and Postgraduate Ethics in Research Medico-Legal issues in Geriatric Medicine practice Parkinson' disease section11 1. 2. 3. 4. 5. 6. Diagnosis of Parkinson’s disease – using Videos and scans; Acute problems in PD for the generalist Early treatment options Management of the complex stage (apomorphine, surgery etc)) PD and Dementia with Lewy bodies Building a PD service Primary and continuing care12 1. 2. Organisation of care – GPs with Special Interest/specialist nurses etc Assessment processes 3. 4. 5. 6. 7. 8. 9. Community Clinical Governance (embracing integrated health and social services, independent sector) Community Geriatrician -present and future roles Autonomy, choice and changes in legislation End of life planning, Living Wills, Capacity Chronic Disease Management Prescribing Issues and Palliative Care Promoting Health – Primary and Secondary Prevention for the most frail. Respiratory section13 1. 2. 3. 4. 5. COPD and asthma diagnosis and management Pulmonary rehabilitation Respiratory physiology and interpretation of lung function tests in older people Lung cancer education Management of pneumonia and other chest infections