Current Course

Date & Topics
Location of the course
Details of the sessions

Advanced Postgraduate Course No. II, 2008 - 2010

Dates and Topics:
The Middle East Academy for Medicine of Ageing announces the second advanced postgraduate course in geriatrics for the years 2008/2009. The highly successful format of intensive student participation in working groups, giving short presentations and leading discussions, as well as state-of-the-art lectures by experts in the field will be followed again.

The second course of the MEAMA consists of four sessions of four days each and will start in April 2008 and will continue in Nov 2008. The third session and the fourth sessions will be in April 2009 and Nov l 2009.

This intensive study course composed of four sessions is directed towards physicians, nurses, social workers, and health care officers, responsible for the health care of older people. In addition to faculty members of medical, nursing, social and physiotherapy schools interested in developing the field of geriatrics and gerontology. The course can also be attended by junior potential academic staff working in other fields (internal medicine, sub-specialities, biology) involving the ageing process and care of elderly people. The complete programme aims to increase scientific, clinical, educational and managerial competences in medical gerontology. A certificate will be issued by the Group of Executive Board of the MEAMA after successfully conclusion of the four sessions.

The Second Course is accredited by Multimedia University-MMU-Australia. It is counted toward 16 postgraduate credits of any of the degrees offered by the University including

1- Master of Science in Geriatrics and Gerontology ( 60 credits )
2- Postgraduate Diploma in Geriatrics and Gerontology (36 credits )
3- Certificate in Geriatrics and Gerontology ( 24 credits)

Each session will grant the participant 4 credit hours of course work and participant can elect to enrol in the University to finish one of the above degrees.

The session dates and topics are:

Session 1/ : Nov 6-9, 2008 Principles of Geriatrics & Gerontology

2009
Session 2/ : Apr 2-5, 2009 Geriatric Syndromes, Conditions and
Rehabilitation
Session 3/ : Nov 6-9, 2009 Health Care Services for the Elderly

2010
Session 4/ : Apr 1-4, 2010 Pyschogeriatrics and Health Promotion

Each session will receive 30 Category 1 points - the highest category
CME/CPD credit based on reciprocal accreditation with (the QA&CPD program
of) the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural & Remote Medicine (ACRRM). The total number of credits will be calculated once the final program is out.
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Location of the course:
The first session will take place in Tripoli-Lebanon. The location of the other three sessions will be decided later between Lebanon and other locations in the Middle-East.
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Sessions details:

Details of the Sessions
Full Program will be circulated later

Second Postgraduate Course - Session 1 , April 3 - 6, 2008
Principles of Geriatrics & Gerontology

Demography Epidemiology of ageing

Epidemiology, Gender differences
Population projections, expected/projected
Prevalence and incidence of diseases/disorders present & Future
Heterogeneity of the older population.

Ageing process and physiology of ageing.

 

Age related changes in systems/organs
The nature of ageing
Consequences of ageing
Difference between chronological and biological ageing
Theories of ageing

Impairment, disability and handicap

An understanding of the concepts and their implications for an ageing population.

Prescribing drugs

Appropriate prescribing and adherence
Pharmacokinetics and pharmacodynamics in old age
Polypharmacy
Under-prescribing
Drug interactions

Principles of Modern Geriatrics

Geriatric Assessment including:
Medical, affective, cognitive, functional status, social support, economic, and environmental.

Assessment instruments
MMSE , ADL, IADL , RAI-instruments, care planning, CAPs, neuropsychological assessment, nutritional assessment, clinical pathways, clock test, Barthel index, GDS, Hamilton, pain scale;

Physical Examination & Diagnostics
Tests, such as up-and-go, balance tests, neurological tests, etc.
Technical imaging: MRI, etc.


Second Postgraduate Course - Session 2 , November 6 - 9, 2008
Geriatrics Syndromes, conditions and Réhabilitation

Geriatrics Syndromes & Conditions

Geriatric Giants
Incontinence
Delirium
Iatrogenesis, include consequences of hospitalization & bed rest
Falls & Fractures
Osteoporosis
Alterations in the special senses incl. hearing & vision impairment incl. functional
Failure to thrive
Immobility and gait disturbances
Pressure Ulcers
Sleep Disorders

Other important Conditions
Cancer in the elderly : Prostate, Breast
Cardiac: CHF/Ischemic heart diseases/CVS surgery
Stroke
Malnutrition
Pressure ulcers
Fecal impaction,
Postural hypotension
Dizziness/Syncope
Pre-operative assessment

Rehabilitation

General principles of geriatric rehabilitation, including those applicable to patients with orthopaedic, rheumatologic, cardiac, and neurological impairments. These principles should include those related to the use of physical medicine modalities, exercise, functional activities, assistive devices, environmental modification, patient and family education, and psychosocial and recreational counseling .


Second Postgraduate Course - April 2 - 5, 2009
Health Care Services for the Elderly

Community interface

Community supports and their appropriate use
Appropriate use of residential care for elderly people
Community resources, prevention of institutionalization

Ethical Issues

Advance Directives
Limitation of treatment, competency, guardianship
Wills and durable power of attorney
Decision-Making Capacity
Euthanasia, Assisted Suicide
Health Care Rationing
Palliative care & Pain Management
End-of-Life Care

Cultural aspects

Participants should be familiar with the influence of culture and ethnicity on the aging process, health and disease perception, and access to medical care

Health Care System

Health Care Financing : Mechanisms and Implications
Health services issues, health settings, health systems
WHO, country health policies
Home care/community care/general practitioners/nursing home care/community services/primary health care
Needs assessment for services
Quality of care, quality indicators

Abuse & Neglect

Institutional Abuse
Physical abuse
Abuse and neglect of elderly, mentally frail people
Abuse, neglect and the Complaints system
Social services 'Response to Abuse and neglect'
Acute care vs Chronic care- where is the government heading with elderly care?


Second Postgraduate Course - Session 4, November 6 - 9, 2009
Pyschogeriatrics and Health Promotion

Psycho Geriatrics

Psychopathology, including:
Dementia
Affective disorders
Psychotic disorders, anxiety disorders,
Responses to medical illness, and substance abuse.
Under-reporting of symptoms and illnesses
Sexuality and aging
Suicide
Home safety
Adaptation to care in alternative living situations,
Social isolation, social support, caregivers burden

Atypical presentation

Diseases that are especially prominent in the elderly or that have different characteristics in the elderly, including neoplastic, cardiovascular, neurologic, musculoskeletal, metabolic, and infectious disorders.

Health promotion

Primary prevention
Exercise, nutrition, vaccination etc
Secondary Prevention
Age appropriate screening & detection
Tertiary prevention strategies
Rehabilitation &ch emoprophylaxis


Research teaching and research projects for the participants
This will start from the first session and conclude in the last session

Research

A basic understanding of research design and research methodologies related to geriatric medicine, including critical evaluation of medical literature.

One aspect of research teaching is to make the participants get involved in one project during the two year period. In the previous course the group were involved in working with RAI instruments which was interesting. We will follow the same in the coming course with some modifications.

 
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