I did Geriatrics last
month as an Intern and I am elated for having this rotation earlier on in my
Residency. Topics and discussions that we had in Geriatrics were unique and
separate from rest of the rotations I did as an Intern. For example, when
seeing a patient in the clinic we automatically assume everyone is going to
live to be 100 years old. This is certainly not true however when considering
screening test it rarely comes to mind to evaluate the life expectancy of the
patient and whether the patient will be able to get the treatment if screened
positive. Also, after completing Geriatrics, I find myself evaluating patients
ADLs and IADLs not because I never learned them in medical school but I never
grasped the importance and relevance of that affecting the patient's health and
social situation. During the clinics with Dr. Hayley and Nursing home
visits with Dr. Kalender-Rich, I had opportunity to focus on issues pertaining
to geriatrics such as driving ability, dementia and incontinence. I feel like I
became more clinically astute in assessing and managing those issues.
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