iSAGE program details

The iSAGE training program is a self-paced self-study program and has three sequential parts:

Part 1: General training in aging and end of life care (5 points). : Anticipated time for completion: 40 hours. On completion of Part 1, mini-fellows will have to complete and pass an exit assignments and quizzes.

Part 2: Ethnogeriatrics training about health of multi-cultural older Americans (2 points): Anticipated time for completion: 10 hours. Each iSAGE mini-fellow will pick a module focused on the healthcare of one of the following ethnic groups: African Americans, Alaska Natives, American Indians, Asian Indian Americans, Chinese Americans, Filipino Americans, Hawaiian and Pacific Islanders, Hispanic/Latino Americans, Hmong Americans, Japanese Americans, Korean Americans, Pakistani Americans, or Vietnamese Americans. The choice of ethnicity will depend on the population served by the learner. On completion of Part 2, mini-fellow will have to submit a structured report on the ethnic group they specialized in.

Part 3: Mini-dissertation project (3 points): Anticipated time for completion: 30 hours. Each learner will complete a small community based field project in the space of aging and end of life care. Promoting cultural sensitivity and respectful care should be a core goal of the field project. Through this project, mini-fellows should work with at least five older adults in the community. On completion of the project, mini-fellows will submit a one-page structured structured summary of their project for grading. The project summary will then be reviewed and evaluated by two experts on the usual grading scale of A+, A, A- B, B-, C, C-, D, D- and F (fail). If participants get an F, they will not get the 3 points and will have to repeat the project. Participants who secure an A+ or A will be honored by an invitation to participate in a podcast of their project. This podcast will be posted on the Stanford Successful Aging portal and serve as a source of inspiration to all the participants (current and future).

Other responsibilities: All trainees must compete a short one-year follow up program survey

Training objectives:

Participants, on completion of the iSAGE will:

a. Gain an initial understanding of the concept of Well-being and the various components of well-being in aging and end of life

b. Advocate for interventions and behaviors that promote physical and mental health, nutrition, function, safety, social interactions, independence, and quality of life for older adults and their caregivers

c. Assess specific risks and barriers to older adult safety, including falls, elder mistreatment, and other risks in community, home, and care environments.

d. Apply knowledge of the biological, physical, cognitive, psychological, and social changes commonly associated with aging.

e. Choose, administer, and interpret a validated and reliable tool/instrument appropriate for use with a given older adult to assess: a) cognition, b) mood, c) physical function, d) nutrition, and e) pain.

f. Develop verbal and nonverbal communication strategies to overcome potential sensory, language, and cognitive limitations in older adults.

g. Develop treatment plans based on best evidence and on person-centered and -directed care goals.

h. Evaluate situations where standard treatment recommendations, based on best evidence, should be modified with regard to older adults’ preferences and treatment/care goals, life expectancy, co-morbid conditions, and/or functional status.

i. Facilitate advance care planning based on older adults’ preferences and treatment/care goals, and their physical, psychological, social, and spiritual needs.

j. Communicate and collaborate with older adults, their caregivers, healthcare professionals, and direct-care workers to incorporate discipline-specific information into overall team care planning and implementation.

k. Assess caregiver knowledge and expectations of the impact of advanced age and disease on health needs, risks, and the unique manifestations and treatment of health conditions.

l. Assist caregivers to identify, access, and utilize specialized products, professional services, and support groups that can assist with care-giving responsibilities and reduce caregiver burden.

m. Know how to access and explain the availability and effectiveness of resources for older adults and caregivers that help them meet personal goals, maximize function, maintain independence, and live in their preferred and/or least restrictive environment.

n. Evaluate the continued appropriateness of care plans and services based on older adults’ and caregivers’ changes in age, health status, and function; assist caregivers in altering plans and actions as needed.

o. Serve as an advocate for older adults and caregivers within various healthcare systems and community settings and venues .

p. Know how to access, and share with older adults and their caregivers, information about the healthcare benefits of programs such as Medicare, Medicaid, Veterans’ Services, Social Security, and other public programs.

q. Provide information to older adults and their caregivers about the continuum of long-term care services and supports – such as community resources, home care, assisted living facilities, hospitals, nursing facilities, sub-acute care facilities, and hospice care.

Assessments: There will be both formative and summative assessments for all three parts of the mini-fellowship.

Part 1: Overview of aging and end-of-life: On completion of Part 1, you will have a final quizzes and assignments that you have to pass.

Part 2: Ethno-geriatrics: On completion of part 2, you will have to complete and submit a structured summary of the specific ethnic module you completed.

Part 3: Mini-dissertation: All learners will have to complete a mini-dissertation that will be a project aimed at improving the care of at least five older adults. Once mini-fellows have completed parts 1 and 2, they will receive a mini-dissertation toolkit to help them complete their project.

Certificate of completion: On successful completion (as determined by project director) of all three parts of the training, participants will receive a completion certificate. We reserve the right to determine what constitutes successful completion. Learners who do not complete all three parts of the training successfully ( as determined by the course director) will not receive any certificates.