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#LeicGEM: Leicester Geriatric Emergency Medicine course (Jan '18)

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Course Information

leicester gem

#LeicGEM: Leicester Geriatric Emergency Medicine course (Jan '18)

This course is designed to enable a multidisciplinary clinical audience to develop their knowledge on whole systems approach to older peoples' care and understand and manage frailty syndromes in urgent/emergency care settings.

Course Code


Course Date

14th January 2018

Course Leader

Professor Simon Conroy

Course Fee

Course Description


1) Case Method Teaching: based on the principles of “Case Method in Practice” (Christensen Center for Teaching & Learning, Harvard Business School). It is described as a method that equips practitioners in managing uncertainty and we believe complements the principles of managing non-specific presentation in older people with multi-morbidities presenting to complex care settings such as an emergency department.


The role of the instructor is to serve as “planner, host, moderator, devil’s advocate, fellow-student and judge" (Chris Christensen). It is not dissimilar to what many doctors are already accustomed to learning through “Case Based Discussions” (CBDs) in clinical medicine although it encompasses a more holistic framework for developing metacognition.

The three basic intentions are: deliver new content; challenge students’ assumptions; create an opportunity for participants to learn about themselves.


2) Case Discussions: brief talks to summarise evidence-based management for frailty syndromes. Each case approx. 45 mins each (approx. 4.5 hrs total):

  • A confused older person being managed by an FY2 at 2 am on the gastroenterology ward as he is “ATSP”. Focus: delirium management.
  • An old lady had a fall in the garden, was admitted to acute medicine and is being reviewed by the acute medicine ST6. Focus: falls.
  • An old lady has come in with abdominal pain. She has a history of osteoporosis, increasing back pain and immobility and has been seen by the Nurse Practitioner. Focus: managing polypharmacy and adverse medication effects.
  • A 90-year-old man with dementia, blindness, bed-dependence, brought in with septic shock from a care home. Being seen by the ED Consultant. Focus: end of life care.
  • An old person has been brought in by family saying she passed out in church and had an episode of slurring of speech and left facial drooping. Being managed by an FY2 in the ED. Focus: syncope and TLOC.
  • An old lady has been brought by ambulance to the ED with confusion and hip pain after being found on the floor of her house. Focus: pain management and trauma assessment.


3) The Lectures: duration of each lecture is 10 mins + 5 mins for questions (approx. 1.5 hrs total).

  • Comprehensive Geriatric Assessment
  • Mobility and Continence
  • Falls, Fractures and Trauma
  • Infections and Sepsis
  • Transient Loss of Consciousness
  • Acute Confusion
  • Polypharmacy
  • Teach the Teacher


4) Breaks: Coffee x2 (15 mins each); Networking Lunch 1 hr (totalling 1.5 hrs of breaks).


5) Feedback Session: 30 mins.


6) Wrap up: 30 mins.


For more information, schedule and access to video content; go to https://em3.org.uk/leicgem


You can also stay up-to-date by following us on Twitter (@LeicGEM) or by using the hashtag #LeicGEM.


Any questions? Contact the #LeicGEM team via email: leicgem@em3.org.uk