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    Geriatric Fellowship Program

    Navigation
    • Our Fellowship Program
      • Program Administrators
      • Faculty and Staff
        • Dr. Jan Busby-Whitehead
        • Angela Bowden
        • Jena Ivey Burkhart
        • Dr. Debra Bynum
        • Christopher Church
        • Sue Coppola
        • Nancy Franusiszin
        • John Gotelli
        • Dr. Andrew Greganti
        • Dr. Laura Hanson
        • Dr. Margaret Helton
        • Dr. Michael Hill
        • Dr. Terrence Holt
        • Dr. Dan Kaufer
        • Dr. Christine Khandelwal
        • Dr. Steve Kizer
        • Dr. Ellen Roberts
          • personal statement
          • Research and Honors
        • Cherie Rosemond
        • Dr. Heidi Roth
        • Mary Roth
        • Dr. Tiffany Shubert
        • Dr. Philip Sloane
        • Fay Smith
        • Dr. Lea Watson
        • Denise Wicker
        • Dr. Gary Winzelberg
        • Yvette Hall
      • Current Fellows
        • Dr. Marvin McBride
        • Dr. Grant Williams
        • Dr. Catherine Hathaway
        • Dr. Lindsay Wilson
      • Previous Fellows
      • Policy and Procedures
        • UNC Office of Graduate Medical Education
        • Contact Information for CAH
        • Coverage Procedure
        • Discretionary Funds for Fellows
        • Patient Contact Information for Geriatric Fellows
        • UNC Office of Graduate Medical Education
      • Why UNC?
        • What UNC has to offer
        • Top Ten Reasons to pick UNC
      • How to Apply
      • Program Options
        • One Year Clinical Training
        • Two Year Academic Program
        • Three Year Research Fellowship
        • ABIM Research Track
        • Combined Geriatric/Subspecialty Training
    • Current Fellow Resources
      • Curriculum
        • Overview
          • Outline
          • ACGME requirements 2012 and NAS materials
        • Clinic
          • Curriculum and Learning Objectives
        • ACE: Inpatient Service
          • Curriculum and learning objectives
          • Giving Feedback on oral presentations
        • Palliative Care
          • Giving Bad News
          • Palliative Care Rating Scales
          • analgesic equivalent chart
          • curriculum and learning objectives
        • PMR
          • PMR curriculum
        • Memory Disorders
          • Evaluation Packet
        • Geriatric Psychiatry
          • Geriatric Psychiatry
        • Long Term Care
        • Call
          • Taking Call
          • Practice Exercises
        • Journal Club
          • Journal Club: Goals and Specifics
          • Guyatt: applying studies to older patients
        • Research/Academic Work
          • Research/Academic Work
          • National Opportunities
          • Grants and opportunities
          • QI work
        • Teaching
          • Teaching Opportunities
        • Learning Portfolio
          • Description of Learning Portfolio
        • Home visits
          • Home visits: curriculum
      • Clinic Conferences
        • 5/21/12: PPIs and Cdiff, Osteoporosis
          • PPIs, CDI, and Bisphosphanates -1.pptx
        • 5/14/12: Systematic Review of feeding options in Dementia
          • Hanson: Systematic review of feeding options in dementia
        • 4/30/2012: Treatment of UTI's
          • Treatment of UTIs in the elderly
        • 4/23/2012: Dronedarone and atrial fibrillation
          • Atrial fibrillation and Dronedarone
        • 4/15/12: CT angiography to risk stratify patients with Chest Pain
          • CT angiography to risk stratify patients in ED with chest pain
        • 4/02/2012: Hypnotics and Mortality
          • Hypnotics and Mortality
        • 2/27/2012: Testosterone replacement
          • Testosterone replacement: Emily Hawes
        • 1/30/12: Geriatric Clinical Grab Bag: bisphosphonates after 5 years, warfarin and bleeding risk, zoster vaccine
          • Geriatric Clinical Grab Bag
        • 1/23/12: Memantine in patients with Down's and Dementia
          • Lancet: Memantine in adults over 40 with Down's and dementia
          • Lancet Comment: Care of Alzheimer's dementia in patients with Down's Syndrome
          • Memantine in adults with Down's syndrome and dementia
        • 1/9/12: medicare coverage
          • Medicare coverage review: Dr. McBride
          • Summary of Medicare coverage
        • 12/19/11: Does this patient have the flu?
        • 12/12/11Once Yearly Zoledronic Acid
          • HORIZON PIVOTAL trial
          • HORIZON post fx study
          • HORIZON men vs women
        • 12/05/11: Restless Legs Syndrome
          • Restless Legs Syndrome: Review Article
        • 11/20/11: Stimulants for Apathy in Dementia
          • Overview: stimulants for treatment of apathy in dementia
        • 10/31/11: Assessment of Nutritional Status in Older patients
          • Assessment of Nutritional Status in Older patients
        • 10/24/11: Elder Mistreatment
          • Elder Mistreatment: Summary
        • 10/10/11: Driving Assessment
          • Driving assessment
        • 9/26/11: HTN Medications
          • Review of HTN Medications for older patients
          • Guidelines for HTN management
        • 9/19/11: NPH
          • NPH: Article
          • NPH: Summary notes
        • 8/29/11: Acetaminophen for OA
        • 8/22/11: Vitamin B 12 Deficiency
          • B12: oral vs IM (cochrane review)
          • B12 Deficiency: Overview
        • 8/15/11: Vitamin D
          • Vitamin D: Slides
          • Vitamin D: 2011 Endocrine Guidelines
        • 8-8-2011: Hypothyroidism in the elderly
          • Hypothyroidism: Hathaway summary sheet
        • August 1, 2011: Driving Assessment
          • presentation
          • 4 C driving assessment
          • AMA guide to driving assessment
          • AMA cases
        • July 25, 2011: Simvastatin dosing
        • July 18, 2011: Preventive Services for the Older Adult
          • COVE indicators for preventive services
          • ACP: Annual Wellness Visit
          • Medicare Quick Reference for annual wellness visit
        • July 11, 2011: Gout
          • NEJM: Gout Review
          • New drugs for Gout: Lancet 2011
          • Gout Review Slides: Ivey
        • Sarcopenia
        • 9/27/10: PSA
          • Cochrane review: prostate ca screening
          • PSA levels and age
          • PSA velocity
          • PSA screening: video tool for patient decision making
        • 9/20/10:Driving
          • Physician Guide to Driving Assessment
          • 4 C screening
          • GEC_cases_9-20-10.docx
        • 9/13/10:HTN
          • HTN over 80
          • cochrane review
          • HYVET study
        • Clinic conferences 2012
      • Fellows Conference
        • Fellows Conference Jan 2013-June 2013
          • 1-11-13: Delirium (Dr. Wilson)
          • 1-18-13: Career planning, QI, research: Dr. Hanson
          • 1-25-13: Dementia (Dr. Bynum)
          • 2-8-13: Driving Assessment (Bynum)
          • 2-22-13: Research and Academic scholarship (Hanson)
          • 3-1-13
          • 3-8-13
          • 3-15-13
          • 3-22-13: HTN in the elderly
          • 3-29-13
          • 4-5-13: Gait and balance
          • 4-12-13: Research and academic work (Hanson)
          • 4-19-13
          • 4-26-13: Research and Academic work (prepare for AGS)
          • 5-10-13
          • 5-17-13
          • 5-24-13: Research and academic work (Hanson)
          • 5-31-13
          • 6-7-13
          • 6-14-13
          • 6-21-13
          • 6-28-13: research and academic work (Hanson)
          • Fellows Conference: January 2012-July 2012
        • Fellows Conference July 2013-June 2014
          • 7-12-13
          • 7-19-13
          • 7-26-13
          • 8-2-13
          • 8-9-13
          • 8-16-13
          • 8-23-13
          • 8-30-13
          • 9-6-13
          • 9-13-13
          • 9-20-13
          • 9-27-13
          • 10-4-13
          • 10-11-13
          • 10-18-13
          • 10-25-13
          • 11-1-13
          • 11-8-13
          • 11-15-13
          • 11-22-13
          • 11-29-13
          • 12-6-13
          • 12-13-20
          • 12-20-13
          • 1-10-14
          • 1-17-14
          • 1-24-14
          • 1-31-14
          • 2-7-14
          • 2-14-14
          • 2-21-14
          • 2-28-14
          • 3-7-14
          • 3-14-14
          • 3-21-14
          • 3-28-14
          • 4-4-14
          • 4-11-14
          • 4-18-14
          • 4-25-14
          • 5-2-14
          • 5-9-14
          • 5-16-14
          • 5-23-14
          • 5-30-14
          • 6-6-14
          • 6-13-14
      • Journal Club 2012-2013
        • August 17, 2012: Palliative management of malignant effusions
          • Palliative management of malignant effusions
          • Management of malignant effusions: Marvin McBride
        • 1-25-13: Quantifying the Risk of Triple Therapy: Hebert
          • Lancet: Risk of bleeding in patients with acute myocardial infarction
          • Arch:Risk of Bleeding With Single, Dual, or Triple Therapy With Warfarin, Aspirin, and Clopidogrel in Patients With Atrial Fibrillation
          • journal club slides
          • ACP journal club: CHADS scores
        • 2-8-13: Treatment of Localized Prostate Cancer (PIVOT): Denham
          • PIVOT NEJM article
          • Radical Prostatectomy versus Observation for Localized Prostate Cancer: Slides
        • 3-1-13:
        • 4-26-13
        • 5-17-13
        • 7-12-13
        • 8-16-13
      • Journal Club 2011-2012
        • 6/15/12
        • 5/18/12
        • 4/13/12
        • 3/2/2012: Transfusion and Hip Fracture surgery
          • Transfusion post hip fracture surgery
        • 2/10/2012: ESRD and older patients and dialysis
          • Choosing not to dialyze
          • dialysis vs maximum conservative management
          • Renal replacement therapy in the elderly
        • 1/13/2012: Meta-analysis of Antipsychotic use for behavioral symptoms with dementia
          • Antipsychotic use: meta-analysis
        • 12/16/11: Hospitalizations for ADE's in the Elderly
          • NEJM 2011: hospitalizations for ADE's in the elderly
          • Summary Slides by Dr. Williams
        • 10/21/11: Antidepressants for depression in patients with dementia: HTA-SADD
          • HTA-SADD trial from Lancet 2011
        • 9/9/11: ACOVE and UI: ?Better Outcomes
        • 8/12/11: High dose Simvastatin
          • Lancet_2010_SEARCH trial
          • Slides
        • 5/20/2011: Reducing NH admissions: INTERACT
          • Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project
        • Intensity of Care at the End of Life
          • Intensity of Care at the end of life
          • Medical expenditures in last 6 months of life
        • 1/14/11:clopidogrel plus omeprazole
          • NEJM: dec 2010 clopidogrel plus omeprazole in CAD
          • slides_JC_beyea
        • 10/08/10: Dabigratan vs warfarin for afib
          • Dabigratan vs warfarin: NEJM 2009
          • dabigratan vs warfarin: Lancet 2010
          • Dabigratan vs warfarin: critical review
        • 9/10/10: afib and rate control
          • Paper: rate control with afib
        • 8/20/10: Testosterone replacement
          • Testosterone replacement
          • male menopause
          • paper: safety of testosterone
        • 7/9/10: Homocysteine
          • Homocysteine: Paper
          • Homocysteine: summary
        • 6/10/10: AAA repair
          • AAA repair: endo vs open
          • AAA repair: endovascular
          • AAA: long term
          • AAA repair: summary
        • 5/19/10: Capsaicin and PHN
          • Capsaicin and PHN
          • Capsaicin and PHN
        • 3/12/10:cognitive decline after ICU
          • Acute care and cognitive decline
          • Acute care and cognitive decline
      • Division Meetings
        • 2-15-13: Calcium supplementation: Dr. McBride
          • Calcium: too much?
      • Important Papers
        • Afib and rate control
        • Cancer screening in the elderly
        • career development in academic medicine
        • C diff: NEJM 2008
        • cochrane review: beta blockers
        • Intensive BP control in DM: NEJM 2010
        • Letting Go: New Yorker 2010
        • low back pain
        • low yield of elective cath: NEJM 2010
        • driving assessment in dementia
        • safety of testosterone
        • HYVET 2008
        • dabigratan vs warfarin: Lancet 2010
        • Neck Pain: Med Clin N Am 2009
        • Geriatric Assistive Devices: AFP 2011
        • Apixaban versus Warfarin in Patients with Atrial Fibrillation
      • Presentations
        • Antipsychotics
        • Atrial Fibrillation
        • back and hip pain
        • Basic acid-base
        • Delirium
        • Antidepressants
        • Diabetes
        • EBM Basics
        • elder mistreatment
        • Gait and balance
        • dermatology
        • HTN
        • HTN over 80
        • hyponatremia
        • Osteonecrosis and bisphosphonates
        • Osteoporosis treatment
        • Aging Physiology
        • Small group teaching
        • Syncope
        • testing for DVT/PE
        • Urinary Incontinence
        • Falls: Tinetti
        • vertebral compression fractures
        • Vit D and falls
        • weighing risks and benefits
        • driving
      • Evaluations
        • Evaluation Process
        • 360 evaluation form
        • evaluation of attending/rotation
        • Evaluation of fellow
        • Program evaluation
        • mini-cex
        • Patient evaluation
        • Peer and professionalism evaluation
      • Schedules, Directions, and Contacts
        • Directions to Long Term Care Facilities
        • Fellows Conference: 2011-2012
        • Attending Schedule 2011-2012
      • Resources and Links
        • Memory Disorders Evaluation Packet
        • Driving Assessment
          • Guide
        • ACGME
        • ABIM
        • AGS
        • Portal of Geriatric Online Education (POGOe)
        • National Center on Elder Abuse
        • UNC Office of GME
        • ACE Service/Inpatient
        • UNC IM Housestaff
        • UNC AMION
        • UNC Palliative Care
        • Health Sciences Library
        • AGS 2011
        • Contact Information for your Area Agency on Aging
      • Geriatric Inpatient Service: Medicine A
        • Resident and Student Orientation
      • AGS Annual Meeting
      • Recognizing Effects of Fatigue and Sleep Deprivation
        • Sleep Deprivation and Fatigue: Presentation by Dr. Dinges
        • UNC GME Policy on Fit for Duty
      • Policy & Procedures
      • Faculty & Staff
    Home › Current Fellow Resources › Journal Club 2011-2012 › Intensity of Care at the End of Life
    • Current Fellow Resources
    • Curriculum
    • Clinic Conferences
    • Fellows Conference
    • Journal Club 2012-2013
    • Journal Club 2011-2012
      • 6/15/12
      • 5/18/12
      • 4/13/12
      • 3/2/2012: Transfusion and Hip Fracture surgery
      • 2/10/2012: ESRD and older patients and dialysis
      • 1/13/2012: Meta-analysis of Antipsychotic use for behavioral symptoms with dementia
      • 12/16/11: Hospitalizations for ADE's in the Elderly
      • 10/21/11: Antidepressants for depression in patients with dementia: HTA-SADD
      • 9/9/11: ACOVE and UI: ?Better Outcomes
      • 8/12/11: High dose Simvastatin
      • 5/20/2011: Reducing NH admissions: INTERACT
      • Intensity of Care at the End of Life
        • Intensity of Care at the end of life
        • Medical expenditures in last 6 months of life
      • 1/14/11:clopidogrel plus omeprazole
      • 10/08/10: Dabigratan vs warfarin for afib
      • 9/10/10: afib and rate control
      • 8/20/10: Testosterone replacement
      • 7/9/10: Homocysteine
      • 6/10/10: AAA repair
      • 5/19/10: Capsaicin and PHN
      • 3/12/10:cognitive decline after ICU
    • Division Meetings
    • Important Papers
    • Presentations
    • Evaluations
    • Schedules, Directions, and Contacts
    • Resources and Links
    • Geriatric Inpatient Service: Medicine A
    • AGS Annual Meeting
    • Recognizing Effects of Fatigue and Sleep Deprivation
    • Policy & Procedures
    • Faculty & Staff

    Program Director:
    Debra Bynum, MD
    Pager: 216-2401

    Intensity of Care at the End of Life

    Info
    Intensity of Care at the end of life
    Medical expenditures in last 6 months of life
    News
    GRS Board Question of the Week Aug 09, 2012
    GRS Board Question of the Week: 04/17/2012 Aug 09, 2011
    GRS Board Question of the Week: July 27 Jul 27, 2011
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