The Texas Tech Medcast
Reynolds Geriatrics Series
This podcast series is supported by a grant from the D.W. Reynolds Foundation


The Texas Tech Medcast is a podcast for medical residents, medical students, practicing physicians, and others involved in medical education and high quality, patient-centered primary care. The Texas Tech MedCast Series are available as a subscription or as individual episodes at no charge from the Apple iTunes Music Store (search Texas Tech or MedCast).

Click on the episode titles below to listen to the episodes.

Texas Tech MedCast Podcast Series:
Episode title
Link to the MP3 File
& Fact Sheet (pdf)
Description & Learning Objectives Presenters Date Posted/
Length
Geriatric Polypharmacy

Fact Sheet

This episode outlines 5 strategies for effective prescribing in the elderly
Learning Objectives: the physician audience should be able to:
  • Explain how aging-related decline in organ function impacts pharmacokinetics with specific emphasis on the kidneys, liver, blood volume & muscle
  • Explain implications for polypharmacy in the elderly
  • Discuss measures that a physician can take to avoid over-medication in the elderly
  • Use the Beers Criteria to identify potentially inappropriate medications for the elderly
  • Manage clinical situations of pathologies in or drug-related problems in older adults
Podcast Pearl: Considerations for dose regimen in the elderly (Dr. Kitty McMahon)
 
Mike Ragain, MD

Kathryn McMahon, PhD
Pharmacology & Neurosciences

Lynn Bickley, MD
Internal Medicine
Lubbock
9/14/2006

19:06

Geriatric Incontinence

Fact Sheet

This episode provides an overview of the prevalence and types of urinary incontinence, as well as techniques for effective history-taking and treatment recommendations.
Learning Objectives: the physician audience should be able to:
  • Describe the scope & prevalence of urinary incontinence
  • List & describe the types of urinary incontinence
  • Take a history from a patient complaining of urinary incontinence & list
  • Make treatment recommendations for urinary incontinence
Podcast Pearl: Kegel Exercises for Urinary Incontinence (Dr. Prabhu)

& Fiona Prabhu, MD
Family Medicine, Lubbock
9/14/2006

17:34

Assessing the Older Adult:  Approach to the Patient

Fact Sheet

This episode addresses techniques for obtaining a health history from an older adult, focusing on the physician’s demeanor, communication style, and approach to the patient.
Learning Objectives: the physician audience should be able to:
  • Adjust the environment for a visit with an older patient
  • Shape the content & pace of the visit
  • Effectively elicit symptoms from the patients
  • Address the cultural dimensions of aging
Podcast Pearl: Seven tips for effectively communicating with an older patient during an office visit
Lynn Bickley, MD
Internal Medicine


& Betsy Jones, EdD
Family Medicine, Lubbock
9/26/2006

21:32

Nursing Home Visits:  A How-To Guide

Fact Sheet

This episode includes a how-to guide for effective nursing home visits, focusing on the admission H&P, routine nursing home visits, annual exams, and acute/ urgent care visits.
Learning Objectives: the physician audience should be able to:
  • Distinguish between the needs of short-term and those of  long-term nursing home patients
  • Perform an Admission History & Physical exam on a nursing home patient
  • Perform and document a routine nursing home visit
  • Conduct an annual exam for a nursing home patient
  • Manage an acute or urgent visit when contacted by the nursing home
Podcast Pearl: Readmission to the Nursing Home after Hospitalization:  Avoiding Problems (Dr. Baker)

Laura Baker, MD
Family Medicine Lubbock
& Betsy Jones, EdD
Family Medicine, Lubbock
9/26/2006

19:26

Health Literacy and the Older Adult

Fact Sheet

This episode includes an overview of health literacy with special emphasis on health literacy issues that affect the older adult and includes strategies for helping older patients overcome problems with health literacy.
Learning Objectives: the physician audience should be able to:
  • Define the term "health literacy
  • List reasons why health literacy may be a particular problem for the elderly
  • Give examples of difficulties that older adults might face with medication labels, printed or oral instructions, and other patient education materials
  • Employ effective communication skills with older adults, including the "teach-back technique" and appropriate use of translators.

Lorraine Wallace, PhD
Family Medicine, University of Tennessee, Knoxville
& Betsy Jones, EdD
Family Medicine, Lubbock
10/13/2006

17:14

Evaluation of Falls in the Elderly

Fact Sheet

This episode outlines the clinical significance of falls in the elderly, the consequences of falls, risk factors for falls, and clinical approaches to the elderly patient who falls. .
Learning Objectives: the physician audience should be able to:
  • Describe the clinical significance of falls in the elderly
  • List the consequences of falls in the elderly
  • Screen patients for the risk factors for falls
  • Develop an appropriate care plan for an elderly patient who falls

Paul Casner, MD
Internal Medicine El Paso
& Mike Ragain, MD
Family Medicine, Lubbock
11/14/2006

19:44

Narrative Medicine

Fact Sheet

This episode provides an overview of narrative medicine and outlines benefits of engaging in the narrative medicine process to both patient and physician.
Learning Objectives: the physician audience should be able to:
  • Define the term "narrative knowledge"
  • List different types or genres of narrative medicine
  • List potential benefits of narrative medicine to both patient and physician
  • Locate examples of published narrative medicine
  • Begin journaling as a way to get started

Lance Evans , PhD
Family Medicine Lubbock
& Betsy Jones, EdD
Family Medicine, Lubbock
12/8/2006

16:29

Geriatric Functional Assessment

Fact Sheet

This episode gives an overview of the purposes of functional assessment of the elderly as well as tools for easy assessment in the office setting. 
Learning Objectives: the physician audience should be able to:
  • Define the purpose of functional assessment of the elderly
  • List three questions that help assess healthy aging
  • Identify screening factors for vision, hearing, leg mobility, urinary incontinence, nutrition, memory, depression & physician disability
  • Use the Get-Up-And-Go test for mobility
  • Conduct a simple functional assessment in an office setting

Useful Links for this episode:

Mike Ragain, MD
Kathryn
Family Medicine Lubbock
Fiona Prabhu, MD
Family Medicine Lubbock
Lynn Bickley, MD
Internal Medicine
Lubbock
1/19/2007

17:37

BPH: Benign Prostatic Hyperplasia

Fact Sheet

This episode discusses issues related to BPH, benign prostatic hyperplasia (or hypertrophy).
Learning Objectives: the physician audience should be able to:
  • Interview and examine a male patient complaining of difficult urination
  • Use the American Urological Association (AUA) Symptom Index for BPH
  • Indentify treatment options for BPH
    This episode was recorded and edited during a seminar at the Society of Teachers of Family Medicine (STFM) Predoctoral Education Conference at the Peabody Hotel in Memphis, Tennessee, on Friday, January 26, 2007.

    Tommie Farrell, MD
    Family Medicine, TTUHSC, Lubbock

    Rachel Bramson, MD
    Family Medicine, Texas A&M

    Julie McKee, MD
    Family Medicine
    University of Texas Medical Branch, Galveston

    Richard Usatine, MD
    Family Medicine
    University of Texas HSC, San Antonio
    1/29/2007

    18:18

    Plantar Fasciitis

    Fact Sheet

    This episode outlines issues related to Plantar Fasciitis, a common condition in older adults.
    Learning Objectives: the physician audience should be able to:
    • Define the term plantar fasciitis and explain the source of the condition
    • List frequent presenting symptoms of plantar fasciitis
    • Conduct an appropriate history and physical examination for a patient complaining of heel pain
    • Define the term windlass mechanism
    • Introduce initial conservative therapy to treat plantar fasciitis

    Jennifer Mitchell, MD, FAAFP
    Family Medicine Lubbock
    & Betsy Jones, EdD
    Family Medicine, Lubbock
    2/19/2007

    11:24

    Mini Mental State Exam

    Fact Sheet

    This episode illustrates the use of the Mini Mental State Exam (MMSE), a brief instrument useful for assessing mental status in the elderly.
    Learning Objectives: the physician audience should be able to:
    • Identify at least 3 clinical purposes of the MMSE
    • List the benefits and limitations of using the MMSE to assess an elderly patient
    • Be able to administer and score the MMSE
    • Describe implications of the MMSE for treatment decisions

    This episode was recorded and edited during a seminar at the Southern Group on Educational Affairs (SGEA) Conference at the Brown Hotel in Louisville, Kentucky, on Thursday, April 19, 2007.

    Tommie Farrell, MD
    Family Medicine Lubbock
    Stephen Fath, PhD,
    University of Texas HSC Houston
    & Betsy Jones, EdD
    Family Medicine, Lubbock
    4/24/2007

    18:00

    Nutritional Issues and Concerns in the Elderly

    Fact Sheet

    This episode outlines nutrition issues and concerns in elderly patients.
    Learning Objectives: the physician audience should be able to:
    • Identify vitamins and minerals that are recommended for supplementation in the elderly
    • List tools for nutrition screening in the elderly
    • Locate the DETERMINE form online and use it for screening
    • Use patient education and nutritional recommendations to help elderly patients maintain strength
    • Collaborate with nursing home staff to improve the nutritional status of elderly patients in long-term care facilities

    Kathy Chauncey PhD, RD

    Beth Cochran, MD,
    Family Medicine, Lubbock

    5/15/2007

    15:17

    Preventive Screening for the Elderly

    Fact Sheet

    This episode outlines preventive screening recommendations for elderly patients.
    Learning Objectives: the physician audience should be able to:
    • Describe variations in recommendations for preventive screening for the elderly
    • List clinical screening and typical vaccinations for the elderly
    • List cardiovascular and cancer screenings for the elderly
    • Conduct a preventive screening exam on an older adult
      Tommie Farrell, MD
      Family Medicine, Lubbock

      Anthony Carter, MS4
      Baylor College of Medicine

      7/2/2007

      25:44

      For more information about the Texas Tech MedCast series or the research project
      "Using Podcasting to Deliver Resident Cardiovascular Training in a Practice-Based Primary Care Research Network,"
      contact Betsy Goebel Jones, EdD, Podcast Producer and Project PI.


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