Diagnose cognitive impairment with clinical authority

If you're a PA or NP seeing older adults in practice, you already know the feeling: a patient's family mentions that "something seems off," the patient themselves deflects or minimizes, and you're holding a 15-minute appointment and a clinical picture that doesn't quite resolve. You document your concern, order a TSH, and make a follow-up. But you leave the room not entirely sure you caught what you needed to catch.\n\nThat uncertainty is not a reflection of your competence. It's a reflection of how inadequately most training programs — PA school, NP programs, and even most CME — prepare clinicians for the genuine complexity of geriatric cognitive assessment. Dementia subtyping, MCI diagnosis, validated screening instrument selection, collateral-source interviewing, reversible cause workup, ICD-10 specificity, medico-legal documentation — these are taught in fragments, if at all. This school exists to put all of it together, systematically, in a format built for clinicians who are already in practice and need frameworks that transfer directly to patient care.\n\nWhat I've built here is the curriculum I wish had existed earlier in my clinical work with older adults: evidence-based, precise, and organized the way a clinician actually thinks through a cognitive case. We start with the foundational neuroscience — what aging actually does to cognition, and where the line is between normal and pathological. We move through structured history-taking, hands-on screening tool mastery, and a rigorous diagnostic workup module that covers labs, neuroimaging, and polypharmacy review. Then we tackle the parts most courses skip: documentation that's defensible, coding that's compliant, and management plans that hold up across time.\n\nI want to be honest with you about what this school is and isn't. It's not a shortcut, and it won't hand you a simple algorithm. Cognitive assessment done well requires clinical judgment — and that's what we're building here, together. But it is a rigorous, structured, collegial deep-dive that will give you language, tools, and frameworks you can use in your next cognitive encounter.\n\nIf you're ready to walk into every cognitive visit with diagnostic confidence and clinical authority, I'm glad you're here. Let's get to work.