
Course Director: Linda P. Fried, MD, MPH Co-Director: Paulo H. M. Chaves, MD, PhD Karen J. Bandeen-Roche, PhD Michelle C. Carlson, PhD Thomas Glass, PhD Tamara Harris, MD, MS Jay Magaziner, PhD, MSHyg Qian Li Xue, PhD - To understand the public health import of an aging population.
- To define the health-related issues, content and methodology that form a basis for studies of populations of older adults, both population-based and clinical research.
- To define the constellation of changes associated with aging that make health issues for older persons important or unique. Specifically to consider major health outcomes associated with aging; to consider the role of chronic disease and comorbidity, as well as biologic changes of aging, in health risk, health outcomes and health concerns that are associated with aging; how to assess disability; and the relationship between disease and disability in older individuals.
- To become familiar with major observational and interventional studies on these concerns in older populations.
- To consider how the biology of aging and the health problems of older adults necessitate modifying health outcome and prevention goals and methodologic approaches to studying older adults.
- To understand the opportunities for prevention and health promotion in an aging population.
- Understand the basis for differentiating normal physiologic from pathologic aging, and the role of both in health outcomes of the elderly.
- Understand the import of specific diseases of aging, in terms of their illness burden and their contribution to disability.
- Understand the changes in disease presentation with aging and their import for study of illness in older populations.
- Understand the definition, import and risk factors for geriatric conditions, including frailty and falls.
- Understand the import of disability and dependency associated with aging.
- Understand the concepts and import of compression of morbidity and active life expectancy.
- Understand the scientific basis for prevention in the elderly.
- Understand the level of scientific evidence currently existing in each of these areas and major unanswered questions.
- Understand the substantive and methodologic issues of the epidemiology of aging.
- Understand the broad study design and analytic issues that result from characteristics of older populations.
- Understand the interface of epidemiology of aging with clinical care and research on health services and health policy.
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