Discipline of Geriatrics

About the Discipline

The aims of the department are to provide training for undergraduate and postgraduate medical students and other allied health care workers, provide a centre of excellence for the assessment and management of the older person with multi-system disease, undertake research in the area of ageing and perform an advocacy role for the older person.

Our clinical service is based at Inkosi Albert Luthuli Central Hospital and consists of inpatient beds for the acute care of the older person with multisystem disease, a weekly outpatient clinic and monthly “Memory” and Movement Disorder Clinics.  The Memory Clinic is a multidisciplinary clinic run by the neurologists with additional input from psychiatry, psychology and social work departments.

A primary goal of the Department is to support and develop district and regional services for the care of the elderly with clear referral pathways between the different levels of the provincial health service, vertically and horizontally and to provide educational opportunities in Geriatric Medicine for all health care workers.  The Department is actively involved in the Geriatric Medicine Course held annually and trains candidates for the Diploma in Geriatric Medicine.

The department has one consultant, one senior medical officer and two registrars rotating from the general medical pool.

The Chair in Geriatrics was established in 2000, with an endowment from the Aaron Beare Family Foundation and resides in the School of Clinical Medicine.  Professor Bilkish Cassim was appointed Associate Professor/Chief Specialist and the first head of department in 2000.

The Department is actively involved in the undergraduate and postgraduate teaching programmes of the Division of Medicine and provides a clinical service at Inkosi Albert Luthuli Central Hospital.

Professor Cassim is an executive member of the South African Geriatrics Society having served as President for 2 terms 2006 – 2009, an executive member of the National Osteoporosis Foundation of South Africa and a councillor of the College of Physicians of South Africa.

Study Opportunities
The Department of Geriatrics participates in the undergraduate and postgraduate programs of the Division of Medicine.

A journal club alternating with Topic Discussions is held on Fridays at the seminar room at the Geriatrics/Rheumatology clinic at IALCH as part of the Diploma in Geriatric Medicine course.

International Collaboration
The department is a partner in the International Collaboration for the Care of the Elderly (I.C.C.E.) with the National Initiative for the Care of the Elderly (NICE), Canada. The aim of this initiative is knowledge transfer. The department has chosen the field of dementia and will work in conjunction with Dr Suvira Ramlall in establishing culturally sensitive and appropriate tools for the assessment of cognition.

Clinical Services

The clinical services are provided at Inkosi Albert Luthuli Central Hospital and includes inpatient, outpatient and consultative services.  A Geriatrics clinic (for older persons with complicated multisystem disorder) is held weekly and multidisciplinary Memory and Movement Disorders clinics led by the Department of Neurology are held monthly.

Completed

PhD:    Dr Farhanah Paruk

MMed completed:       

Dr I Naidoo

Dr P Chutterpaul

Dr J Narainsamy

Dr N Hassen

 Dr K Naidoo

Dr M Essadi

In progress

PhD : Dr S Dela

MMed  

Dr S Rauff

Dr K Naidu

 Dr G Dlamini

Dr SR Temmers

Diploma in Geriatric Medicine

Completed

 Dr L Kallideen

Dr S Mohan

Dr S Patel

 Dr Y Moola

Dr N Hassen

The main areas of research are ageing and osteoporosis.

Previous research projects include

  • The influence of socio-economic and environmental factors on the health status and quality of life in older persons in the Inanda, KwaMashu and Ntuzuma areas funded by SANPAD (The South Africa Netherlands research Programme on Alternatives in Development).
  • A comparison of the demographic profile, risk factors, outcomes and health care costs in geriatric patients with and without osteoporotic hip fractures in the public health sector in the eThekwini Municipality. Funded by an unrestricted educational grant from Servier Pty. Ltd and the University of KwaZulu-Natal

Ongoing projects

  • The incidence of osteoporotic hip fractures in South Africa and the development of gender and ethnic specific FRAX® models for South Africa. This is a multicentre study conducted in KwaZulu-Natal, Gauteng and Western Cape. The study was funded by a SIR grant from the South African Medical Research Council and a Competitive Grant from UKZN.
  • Fractures E3: The epidemiology, economic impact and ethnography of fragility fractures in Sub-Saharan Africa. This is a multinational study (to be conducted in SA, The Gambia and Zimbabwe) funded by the Wellcome Trust Grant and led by Professor Celia Gregson from the University of Bristol, UK.
  • Musculoskeletal functional ability in three diverse sub-Saharan Africa populations: assessing muscle strength and function. Funded by the UK MRC and led by Professor Kate Ward (U Southampton). 

 

Current postgraduate students

MMED

Dr F Dawood

Topic: An evaluation of the acceptability of the Assessment of Clinical Competency and Oral Structured Case Based Examination for the Fellowship of Physicians (South Africa) during the COVID-19 pandemic

Dr N Shandu

Topic: The clinical and serological profile and management of patients with Systemic Sclerosis in South Africa: a single centre experience

PhD

Dr S Dela

Topic: The incidence of osteoporotic hip fractures in South Africa and the development of gender and ethnic specific FRAX® models for South Africa

Dr Y Madela

Topic: The prevalence of, and clinical risk factors for, frailty and self-reported falls in the older population living in peri urban and rural KwaZulu Natal, South Africa (SA).

Dr B Mbanjwa

Topic: Prevalence, Risk Factor, and Impact of Knee and Hip Osteoarthritis in Urban and Rural South African Populations

Outreach programmes include:

  • Continuing medical education programmes for medical and allied health workers.
  • Clinical support for non-governmental organisations e.g. The Association for the Aged (TAFTA) and the Bessie Makatini Foundation

Protocols and Standard Operating Procedures

Academic Staff

Support Staff

Contact Details

Name Position Contact Number Email
Prof Bikish Cassim Acting HoD (031) 260 4246
Mr Sphelele Percival Sishi Administrator 031 260 4537 sishis3@ukzn.ac.za