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Victoria Hospital, Queens University Belfast, Northern Ireland;


Department of Gerodontology & Removable Prosthodontics, University of



Division of Gerodontology, School of Dental Medicine, University

of Bern, Switzerland;


Department of Community Dentistry, University of

Gent, Belgium


In 2009, the European College of Gerodontology (ECG)

published the Gerodontology undergraduate teaching guidelines.

Seven years later the ECG conducted a survey to explore the current

status of Gerodontology teaching amongst the European dental



The ECG Education Committee developed an electronic

questionnaire that was emailed to the Deans or other contact persons

in 185 dental schools in 40 European countries. The questionnaire

recorded the prevalence, contents and methodology of Gerodontology

education. Two weeks later a reminder was sent to non-respondents.


The first wave of responses included 70 dental schools from

28 European countries. Gerodontology was included in the under-

graduate curricula of 77% of the respondents and was compulsory in

61% of them. The coursewas usually offered in senior students and was

interdisciplinary; the educators included dentists, physicians, nurses

and other care providers. Lecturing was the most common educational

technique (75%), and the most common topics included medical

problems in old age, pharmacology and polypharmacy, the association

between general and oral health, nutritional and chewing problems,

xerostomia and prosthodontic management. Clinical training was

usually offered within the dental school clinics (50%) and less often in

remote locations (nursing homes, geriatric hospitals, day centers).


An increasing number of European dental schools teach

Gerodontology at the undergraduate curriculum. The study is still

ongoing, but a

worst case scenario

has to be born in mind, where

dental schools, who failed to participate in the survey, may not be

teaching in Gerodontology.


Geriatric medicine teaching in core medicine; where are we

currently and where do we need to be

C. Lisk




Barnet Hospital, Royal Free Nhs Foundation Trust, United



The United Kingdom (UK) Population is aging and it is

critical that effective geriatric medicine teaching programmes are

established to train the physician workforce to effectively care for an

ageing population. We sought to establish what Geriatric medicine

training have been established as part of the University College

London partners and Imperial teaching programmes to adequately

prepare Core medical trainees (CMT) to care effectively for an ageing



All regional teaching days from 2012 to 2016 were reviewed

looking at their Geriatric Medicine content. The content was then

assessed against the 2009 CMT curriculum from the Joint Royal

Colleges of Physicians Training Board.


15 regional teaching days in Geriatric medicine were

identified from 167 training days. Two other training days were

identified with topics pertaining to Geriatric medicine. The common-

est topics taught were delirium (7), polypharmacy (6), cerebrovascular

disease (6), falls (5) and ethical dilemmas in nutrition and end of

life (4). Syncope, dementia, incontinence, Parkinson

s disease, osteo-

porosis and fragility fractures, comprehensive geriatric assessment,

frailty and sarcopenia, mental health and capacity act and models of

care were less commonly taught. There were no sessions on elder

abuse, malnutrition, depression, hypothermia, skin care and effects of



Regional teaching programmes cover a significant

proportion of the required Geriatric medicine curriculum in Core

Medical training. However important gaps still exist and it is important

to ensure their inclusion in regional as well as local core medical

teaching programmes so that core trainees are equipped to care for the

expanding ageing population.


Prescribing cascade game

L. Mallet.

Faculty of Pharmacy, University of Montreal, Montreal, Québec,



Although associated with adverse drug events in the

elderly, prescribing cascades are often not recognized in clinical

practice. The objective of this prescribing cascade game was engage

students in learning how to prevent, detect and understand pres-

cribing cascades.


This activity was part of a 3-credit course in the geriatrics

pharmacotherapy course at the Faculty of Pharmacy at the University

of Montréal. Five different prescribing cascades that were detected

in clinical practice were used. Each cascade contained four ele-

ments (medication-side effect-medication-side effect). Students were

divided into 17 groups with two students per group. Each group

selected one card onwhich one of the elements was written; either the

name of a medication or a side effect. All 17 groups were then asked

to work together to reconstruct the five different prescribing

cascades. Once all four elements of the four prescribing cascades

were identified, they were asked to explain how these cascades took



34 students participated in the game. It took 15 minutes for

the students to get organize and reconstruct the five prescribing

cascades. In general, students appreciated this activity. The majority

mentioned that having to find the different element of the cascade

raised their awareness at the detection of future cascade.


This activity was used to understand, apply and retain

information on prescribing cascade They were able to discover the

four different elements of their respective cascade and to explain

them using pharmacokinetics, pharmacology and pharmacodynamics



Prevention of falls in the community: the role of community


A. Aspirot


, S. Candau


, N. Turgeon


, L. Mallet




Faculty of Pharmacy,

University of Montreal, Montreal,


Pharmacie Familiprix Clinique,



Faculty of Pharmacy, University of Montreal, Montreal,

Québec, Canada


Falls represent an important cause of injury in the elderly

population. It is reported that 30% of older adults (>65 years) living in

the community fall each year. Medication review has been identified

an intervention that can help reduce falls. The objectives of this study

is to develop and valide an algorithm to identify patients at risk of

falling in community setting.


The first part of this pilot project was to review the literature

and develop an algorithm to help the community pharmacist

identify patients who had a fall or were at risk of falling. The second

part was to validate this algorithm in a community pharmacy. It was

tested in elderly patients living in the community when they came

to visit their community pharmacist. The study was done during a

1-month clinical rotation by a 4th year Doctor of Pharmacy student

under the supervision of a community pharmacist


A total of 26 patients were identified using the algorithm.

All patients had a private consult in the community pharmacy. The

mean time for the consult was 38 minutes. A total of 69% of patients

had >1 antihypertensive agent, 65% had a psychotropic medication

and 15% had an opioid medication. Elderly patients had 77% of

potentially inappropriate medications as per the Beers Criteria. A

number of 25

pharmaceutical opinions

were send to the family

physician. Results of the changes made by the family physician will be



The algorithmwas easy to identify older patients that had

a fall in community setting. This project will continue next year; a fall

clinic will be implemented in this community pharmacy.

Poster presentations / European Geriatric Medicine 7S1 (2016) S29