

HCOA collaborates with other departments within BCM as well as other
institutions throughout Texas to provide education and training for research trainees,
health professions students and current healthcare professionals in geriatrics and
gerontology. The diverse education and training opportunities organized by the HCOA fall
into four broad areas: Basic Science Education and Training, Clinical Education and
Training, Continuing Education and Interinstitutional Geriatrics Initiatives.

Basic Science
Education and Training: Currently, the HCOA administers a NIA Cell and
Molecular Biology of Aging Training grant which supports the training of five predoctoral
and five postdoctoral trainees. Fifteen Baylor faculty members involved in aging related
research participate as mentors in this training program. The purpose of the grant is to
provide education and research experience in the field of aging at the molecular and
cellular level. Trainees become well versed in the background studies and theories of
aging enabling them to identify novel approaches to important questions in the field of
aging. The HCOA also sponsors the weekly Biology of Aging Seminar for researchers in all
stages of their careers. Local and visiting scientists present their original research
findings on a wide variety of topics designed to increase participants' understanding of
basic aging processes as well as applications of basic science knowledge to the major
diseases of later life.


Clinical Education
and Training: The John A. Hartford Foundation, Inc. (JAHF) of New York City
recently approved the HcoA as a designated "Center of Excellence in Geriatrics". The mission of
our Center of Excellence in Geriatrics is to train physicians to become academic
geriatricians who will provide service, training, and research to meet the needs of older
people. As a Center of Excellence, HCOA is committed to recruiting and training geriatric
fellows as either clinical educators or investigators. Trainees will be selected from a
variety of medical disciplines including medicine, family medicine, psychiatry, obstetrics
and gynecology, and rehabilitative medicine.
The Curtis and Doris K. Hankamer Foundation has provided generous
support for clinical and research fellowships in geriatrics since 1990. During this time,
six fellows have had the opportunity to explore research projects related to cell aging, a
value history instrument, characterization of SDI1, a gene related to senescence in human
cells, exercise responses in elderly patients with CHF, gene defects that cause unlimited
growth in cancer cell and the examination of the genes related to the muscular atrophy of
aging. A recent award from the foundation will enable five new fellows to gain valuable
experiences in geriatrics.
The goal of the Student Training in Aging Research (STAR) program is to
increase the number of students committed to academic careers in geriatrics and
gerontology. Medical students are recruited during their first and second years of medical
school. Graduate students are targeted their first year to do an aging-related research
project. The process involves selecting a mentor who agrees to work with the STAR students
and by submitting a written application to HCoA. The Texas Geriatric Interest Foundation
(TGIF) is an organization for medical students wanting to learn more about aging. The
primary goals are education and service. Monthly meetings, seminars, field trips,
preclinical preceptorships, and community service projects give members personal
experiences in geriatrics.
The John A. Hartford Foundation sponsored a Geriatrics in Primary Care Residency Training
Initiative in the late 1990's. The HCoA, with the Departments of Medicine and Family Medicine,
was one of seven sites in the country selected to implement
strategies for enhancing the teaching and practice of geriatrics within residency training
programs in primary care. Dr. Robert J. Luchi was the Principal Investigator. The other medical schools
receiving this award were UCLA, Harvard, Johns Hopkins, the University of Chicago, the
University of Connecticut and the University of Rochester. This effort
supported development of instructional and clinical opportunities in geriatrics for hundreds of Baylor medical
residents. Elements of the program are still on-going 5 years after
implementation.
The Self-instructional
Modules in Geriatric Medicine, a self-paced computer-based learning
tool was begun under the Geriatrics in Primary Care Training
Initiative. We are now distributing Edition 4 of this e-syllabus
covering 23 topics in geriatric medicine.


Continuing Education: Numerous
continuing education programs for various healthcare professionals are offered through the
HCoA. The Geriatrics Multidisciplinary Conference provides continuing education in
clinical geriatrics and gerontology to a multidisciplinary audience of faculty and staff.
The monthly conference utilizes case presentations and topic-oriented discussions to
present a comprehensive approach to a clinical disorder or issue important to effective
care of older people. The Susan A. Shekelle Program of Excellence in Clinical Gerontology
annual master class prepares professionals of all disciplines, particularly social
workers, to provide high quality, direct practice services to older people and their
families. The master class includes both didactic skills-based content and participatory
practicum experiences with current clinicians involved in geriatric practice.
The Distinguished Visiting Professor in Geriatrics and Gerontology
program supported by the Isla Carroll Turner Friendship Trust benefits a wide variety of
health professional and health professions students. Throughout the year, distinguished
scholars from leading medical institutions visit the Huffington Center on Aging and
exchange ideas with HCOA faculty as well as make presentations on current issues in aging.
By virtue of the increased practice knowledge and skills gained through this program,
health professionals are better able to serve the older adults in Texas.
The Quarterly Faculty Dinner Lectures are presented to the HCOA faculty
and faculty associates, clinical staff of the HVAMC Geriatrics & Extended Care
Services, geriatric fellows, and Hartford Key Clinical Faculty. The purpose of this
CME-accredited lecture series is to keep faculty members abreast of advances in geriatric
medical practice in a variety of areas, such as new drug therapies, infection control, new
prosthetic devices, and changes in standards for prostate and breast screening in older
people.
Since 1987, the Huffington Center on Aging, the Texas Consortium of
Geriatric Education Centers, and the University of Texas Houston Health Science Center -
Center on Aging have sponsored a free monthly "Update in Aging" series for
health care professionals, educators, and students. Speakers include faculty members from
Baylor College of Medicine, The University of Texas Houston Health Science Center and
experts from the community. Some past topics include "Ethics, Law, and
Medicine," "Touch Therapy and the Elderly," "Health Promotion
Activities for Minority Elderly," and "Genetics and Aging-Related
Diseases."
The center also coordinates a nine-week Medical Terminology course that
enables persons to better understand the language of medicine by focusing on the
derivation of medical terms in the context of the structure and function of the human
body.


Interinstitutional
Education and Training: As one of 45 GECs in the country, the Texas Consortium of Geriatric
Education Centers (TCGEC), established in October 1985 and located at HCoA, is
comprised of nine academic institutions. Dr. Robert Roush serves as Director of the TCGEC.
The members of the consortium are Baylor College of Medicine, University of North Texas,
UT-Pan American University, Texas Southern University, The University of Texas-Houston
Health Science Center, The University of Texas Medical Branch at Galveston, Texas A &
M University, University of Houston, and Texas Women's University. Member institutions
collaborate to advance the development of health professionals' capabilities to improve
the lives of older Texans, through programs, service delivery activities, and resources in
the field of aging. The TCGEC sponsors an annual Professional Development Institute and
other programs. To date, over 35,000 health professionals have attended TCGEC offerings. The TCGEC was awarded a new five-year grant
in July 2000.
The Houston Geriatric
Interdisciplinary Team Training Project (HGITT) Baylor College of
Medicine's Huffington Center on Aging was awarded a three year grant
beginning in January of 1997, to develop HGITT
- the Houston Geriatric Interdisciplinary Team Training Program. The
Huffington Center on Aging combined under its leadership the educational and
clinical training expertise of seven educational programs with six primary
care facilities to establish HGITT. There were 419 students who
received HGITT training between January 1997 and December 1999. These
students included medical residents, advanced practice nurses, masters level
social workers, pharm D students, psychology students, psychiatry residents,
and physician assistant students. Principal investigator, Nancy Wilson led
the project partners to establish continuing
HGITT training availability long after the grant had officially ended.
The HCOA Interdisciplinary Research Seminar provides a forum for
intensive interactions between basic scientists, clinicians, and educators within the
Huffington Center on Aging. The goal of these interactions is to broaden the knowledge
base in geriatrics and gerontology of all members of the center. All faculty and trainees
of the center are encouraged to attend this quarterly meeting.