1st annual geriatric symposium

1. 1st Annual Geriatric Symposium Lisa Killinger, DC Barry Wiese, DC Paul Dougherty, DC 1st annual geriatric symposium Three presenters: Lisa Killinger from Palmer Barry Wiese and Paul Dougherty are both from NYCC1st annual geriatric symposium Three presenters: Lisa Killinger from Palmer Barry Wiese and Paul Dougherty are both from NYCC

2. Meeting the Challenges of the Future Changes within the aging population and addresses future needs FLGEC grant Cultural competencies in caring for aging patients There were three main points to their presentation: 1st point addresses the need to address upcoming changes in our society, particularly with an aging population Secondly, they talked about a grant received by NYCC, putting some of these changes into action in the form of an experimental clinic Lastly, Lisa Killinger discussed the aging population as part of cultural diversity and the need to address the needs of the numerous cultures. The cultural diversity within the aging population is reflective of the diversity changes seen in society as a whole. This diversity calls for awareness so to effectively and competently deliver care. There were three main points to their presentation: 1st point addresses the need to address upcoming changes in our society, particularly with an aging population Secondly, they talked about a grant received by NYCC, putting some of these changes into action in the form of an experimental clinic Lastly, Lisa Killinger discussed the aging population as part of cultural diversity and the need to address the needs of the numerous cultures. The cultural diversity within the aging population is reflective of the diversity changes seen in society as a whole. This diversity calls for awareness so to effectively and competently deliver care.

3. Chiropractic and Aging Estimated 11-15% of older adults use chiropractic 1st point: meeting the upcoming changes in the aging population Current estimations are that 11-15% of older adults use chiropractic. Of those seeking chiropractic services, most seek help for musculoskeletal complaints. As baby boomers continue to age, the number of people seeking chiropractic care is expected to rise And therefore we can expect a greater number of older adults seeking care as our patients age. 1st point: meeting the upcoming changes in the aging population Current estimations are that 11-15% of older adults use chiropractic. Of those seeking chiropractic services, most seek help for musculoskeletal complaints. As baby boomers continue to age, the number of people seeking chiropractic care is expected to rise And therefore we can expect a greater number of older adults seeking care as our patients age.

4. Are we ready as a profession? Are we ready for this upcoming surge? Is geriatrics being addressed adequately in schools? Classroom education? Clinical exposure? How prepared are we as a profession in meeting this tsunami of change? We can begin by looking at the chiropractic schools. Are we adequately educating our students? Are we providing enough clinical exposure? From Cara�s presentation we can get a better picture at how well we are preparing students. The time to invest in geriatric care is overdue. This surge is already upon us as the first baby boomers, born in 1946, are already 62. So there�s no time like the present to look at what we are doing to prepare. How prepared are we as a profession in meeting this tsunami of change? We can begin by looking at the chiropractic schools. Are we adequately educating our students? Are we providing enough clinical exposure? From Cara�s presentation we can get a better picture at how well we are preparing students. The time to invest in geriatric care is overdue. This surge is already upon us as the first baby boomers, born in 1946, are already 62. So there�s no time like the present to look at what we are doing to prepare.

5. How do we proceed? Changes to make at the: Educational level Practicing physician level Educational level Integrate geriatrics into core curriculum Health education and wellness program Increased exposure to aging population Practicing physician level Post graduate seminars Strategically, need to look at making changes both at the educational level as we train future doctors as well as the level of the field doctors who are already out there. We may learn a few lessons from the medical community to see how they have coped. Curriculum ideas include �bleeding� geriatrics into other coursework, Creating health education and wellness programs to enhance �geriatric� awareness at schools and clinics Lecture based teaching has significant limits. We need to find ways to increase student exposure to older adults. This can include journal clubs, doing rounds, observing other disciplines, observing a CGA Other issues: few of facing own mortality, fear of exposure to older adults, fear of training in aging issues For field doctors, we can offer post graduate seminars, certifications or online training. Strategically, need to look at making changes both at the educational level as we train future doctors as well as the level of the field doctors who are already out there. We may learn a few lessons from the medical community to see how they have coped. Curriculum ideas include �bleeding� geriatrics into other coursework, Creating health education and wellness programs to enhance �geriatric� awareness at schools and clinics Lecture based teaching has significant limits. We need to find ways to increase student exposure to older adults. This can include journal clubs, doing rounds, observing other disciplines, observing a CGA Other issues: few of facing own mortality, fear of exposure to older adults, fear of training in aging issues For field doctors, we can offer post graduate seminars, certifications or online training.

6. Health care is becoming integrated To survive, we must meet challenges of the future We need to train doctors in an integrated setting Are we embracing the multidisciplinary model? Another wave of the future is integrated health care. This is important especially for older adults as they frequently utilize multiple providers. As a profession, we also need to survive. If the future is integrative health care, then we too, in order to survive, must learn to evolve to meet future challenges. This would include training future doctors of chiropractic in an integrated enviroment. Another wave of the future is integrated health care. This is important especially for older adults as they frequently utilize multiple providers. As a profession, we also need to survive. If the future is integrative health care, then we too, in order to survive, must learn to evolve to meet future challenges. This would include training future doctors of chiropractic in an integrated enviroment.

7. NYCC Experimental Clinic Started in 2002 Located at a community hospital Initially began as a part time clinic, now full time Grown to involve teaching of chiropractic as well as medical students. At NYCC they started a multidisciplinary clinic. NYCC started a part time chiropractic clinic at a community hospital in 2002. It has now grown to be full time, and teaches both chiropractic as well as medical students. In 2006 NYCC received an HRSA grant (Health Resources and Services Administration), giving them funding for three years. At NYCC they started a multidisciplinary clinic. NYCC started a part time chiropractic clinic at a community hospital in 2002. It has now grown to be full time, and teaches both chiropractic as well as medical students. In 2006 NYCC received an HRSA grant (Health Resources and Services Administration), giving them funding for three years.

8. 2006 HRSA Grant Recipient Purpose of Grant: Increase awareness in chiropractic profession of needs of older adults Develop geriatric curriculum for students Curriculum includes didactic and experiential components Purpose of grant: to develop and implement a more comprehensive geriatrics training program at the chiropractic college level Funding is for three years This leads to other questions and considerations such as: Do we do other projects such as this and what would they be? Do we need extensive post grad training in geriatrics? Should we have certification or even a diplomate status?Purpose of grant: to develop and implement a more comprehensive geriatrics training program at the chiropractic college level Funding is for three years This leads to other questions and considerations such as: Do we do other projects such as this and what would they be? Do we need extensive post grad training in geriatrics? Should we have certification or even a diplomate status?

9. Cultural Competency in Caring for Aging Patients Why care? In 2006, LA�s biggest population: Hispanics Significant disparities in health and healthcare among individuals Cultural significance in elderly include: chirophobia, Modesty issues, pt compliance, co-morbidities, affordability. Other cultures are similar and have other issues such as language, family dynamics, eye contact, access to health care, etc. 3rd point: diversity within the aging population Why should we care about cultural competencies? Our world is changing and we are becoming more �global� , even in our local neighborhoods Certain groups not getting chiropractic Includes age groups, ethnicities, religious groups, socio-economic status, etc. If you look at the coasts which are ahead of their times, so to speak, they have greater diversity. This diversity hasn�t necessarily reached the middle states. In the future our population will be older, more diversified, and more urban. Understanding cultural differences can improve our relationships with our patients, and thus improve patient outcomesIn 2006, LA�s biggest population: Hispanics Significant disparities in health and healthcare among individuals Cultural significance in elderly include: chirophobia, Modesty issues, pt compliance, co-morbidities, affordability. Other cultures are similar and have other issues such as language, family dynamics, eye contact, access to health care, etc. 3rd point: diversity within the aging population Why should we care about cultural competencies? Our world is changing and we are becoming more �global� , even in our local neighborhoods Certain groups not getting chiropractic Includes age groups, ethnicities, religious groups, socio-economic status, etc. If you look at the coasts which are ahead of their times, so to speak, they have greater diversity. This diversity hasn�t necessarily reached the middle states. In the future our population will be older, more diversified, and more urban. Understanding cultural differences can improve our relationships with our patients, and thus improve patient outcomes

10. Summary Future changes challenges us to examine where we are: - Are we ready for the changes? - How do we address these changes in our schools as well as for practicing doctors?