The Duke GEC strives to improve the quality of care of older adults by providing inter-professional learners with resources and experiences to enhance their ability to prevent, recognize and manage acute and chronic cognitive impairment. 



We are all striving to improve the quality of care we provide our older patients. This is hard work in this age of complex problems and even more complex systems. One key to better care is a better team. Healthcare practitioners need to work together and communicate effectively as members of interprofessional teams to solve problems. However, many practitioners have never had formal training in effective Interprofessional practice.

 Dementia Roundtable Description:

Caring for people with dementia in the community is rewarding but challenging work.  The Duke Geriatric Education Center (GEC) in conjunction with the Senior CommUnity Care of North Carolina (PACE), would like to invite providers and staff engaged in the care of persons with dementia and their families to a new educational series.  These monthly sessions will be held at the Senior CommUnity Care of NC Center located at 4022 Stirrup Drive, Suite 315 in Durham, NC 27703.  

Care of patients with or at risk for delirium requires the coordinated work of an interprofessional team.  Too often, health care professionals are educated about delirium only in the context of their own profession.  The Duke GEC seeks to change that practice.  We offer Delirium Teaching Rounds every second Friday at 12 noon.  This series of interactive, case-based conferences brings together learners of different levels from a variety of professions, including nursing, pharmacy, medicine, physical and occupational therapy, physician assistants, social wor

Featured Resources

The Confusion Assessment Method-ICU (CAM-ICU) pocket cards are intended to be downloaded and used at bedside as a guide to performing the assessment. Included are the Richmond Agitation-Sedation Scale and scoring, a figure indicating how to score the CAM, and detailed CAM instructions for assessing acute onset or fluctuating course of confusion, inattention, disorganized thinking, and altered level of consciousness. The cards are printable with two cards front and back on each page.

A 6-page summary of a 36 page guideline developed by an interprofessional group for use with long-term care residents who have developed an acute change in cognitive status or who have acutely developed problematic behavior. The full text guideline is available from the American Medical Directors Association (AMDA) for a fee. The summary is available through the National Guideline Clearinghouse located at:


This is a guide for interdisciplinary implementation of the updated Pain-Agition/Sedation-Delirium Guideleines for the ICU.

Recent News

Lisa P. Shock, MHS, PA-C offers an insigthful commentary in the July - August 2016 issue of the North Carolina Medical Journal.

Dr. Mitchell Heflin and Dr. Gwendolen Buhr participated in the poster sessions held at the American Geriatrics Society (AGS) Annual meeting held May 14 - 17, 2015 in National Harbor, MD.  Dr. Heflin presented a poster on The Dementia Roundtable: An innovative community-based interprofessional education program on caring for persons with dementias. Dr.

On April 23, 2015, an interprofessional team from the Duke University Geriatric Education Center participated in the Caregiver Education Conference, presented by the Alzheimer's NC, Inc., in Wilmington, North Carolina.  Mitch Heflin, MD, Lisa Gwyther, MSW, Cornelia Poer, MSW and Emily Egerton, PhD, presented Care Transitions: Strategies for easing changes in increased care needs as dementia progresses. 

See Conference brochure: AlzNC Wilmington 2015.pdf