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SOM Elective Brochure |
| Electives Type: Clinical |
| Elective Title Community Gerontology |
Course Number MEDU-4033 |
Duration/Weeks 4 |
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| Prerequisites:
Successful completion of Year 2 Additional Requirements: A genuine interest in the healthcare of elderly patients. |
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| Responsible Faculty Director: Erin Hommel, MD Other Faculty: Vinod Kaushik, MD, Maria Camacho, MD, Mukaila Raji, MD Liliana Andrade, MD |
Location to Report on First Day Rebecca Sealy, Rm. 6.606 (Dayna Compton) at 8:30am on first day of elective. Phone 409-772-1978 |
Periods Offered 1-11 including Period 12 (June), including the holiday vacation Period 13 (Dec) |
Maximum Enrollment 2 |
| Goals |
| 1. To provide the student with an experience in Geriatric Medicine: off-campus/hospital setting. 2. To learn the role of a primary care physician. |
| Objectives |
| 1. Be able to evaluate and manage elderly patients in a non-hospital based Skilled Nursing Facility. 2. Be able to evaluate and manage elderly patients in a nursing home facility. 3. Be able to evaluate and manage home-bound elderly patients in their homes. 4. Be able to evaluate and manage elderly patients in community-based outpatient clinics. |
| Type of students who would benefit from the course |
| This course would be particularly important for a student planning a career in primary care. |
| Clinical Activities (please insert estimated schedule here) | |||
| Day of Week | AM | PM | |
| Monday | Didactics | Skilled Nursing facility | |
| Tuesday | League City Geriatric Clinic | Skilled Nursing Facility | |
| Wednesday | Geriatric Clinic | Skilled Nursing Facility | |
| Thursday | Community Hospice | Libbie's Day Care for Seniors | |
| Friday | Nursing Home | House Call | |
| Saturday | |||
| Sunday | |||
| Average number of patients seen per week: 10-15 | |||
| Call Schedule: | |||
| Research Activities (please insert estimated schedule here) | ||
| Activity | Hours per Week | |
| Faculty contact time |
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| Self-directed study |
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| Data collection/analysis |
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| Other |
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| 1. Clinical Observation | ||
| A. | Where are students observed on this elective? | |
 Inpatient
service
 Ambulatory
Surgery
Standardized
patients Patients
simulators
Other |
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| B. | Frequency - How often are students observed clinically? | |
| Daily at nursing homes, skilled nursing facilities, clinics and patients' homes when on house call duty, always with a geriatric fellow or a geriatric faculty. | ||
| C. | Format - What method(s) are used to document the student's clinical performance? | |
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Daily
oral feedback
End of period
oral feedback
Written
feedbackOther |
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| 2. Oral Presentation | ||
| A. | Audience - To whom does the student present? | |
| Attending physicians and geriatric fellows | ||
| B. | Frequency / duration of presentation(s)? | |
| Daily Presentations of patients seen in House Call, Clinics and Nursing Home/Skilled Nursing facility | ||
| C. | Format - What guidelines are set for the student's presentation? | |
| Standard UTMB Internal Medicine oral format containing all components of H and P and care plans, with emphasis on activities of daily livinig functions, psychosocial issues and common geriatric syndromes such as dementia, depression and delirium, among others | ||
| D. | Assessment - Who assesses the student's presentation performance? | |
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Self-assessment
Peer
assessment
Faculty
assessment |
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| E. | Method of content selection | |
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Current
cases
Student-selected
topic
Assigned
topic |
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| 3. Written Assignment (H&P's, notes, papers, abstracts, etc.) | ||
| A. | Frequency of written assignment(s)? | |
| Daily progress notes and H&P from Monday to Friday | ||
| B. | Format - What guidelines are set for the student's written work? | |
| Subjective, Objective, followed by Assessment and Plans (SOAP) of care with emphacy on functional outcome and quality of life | ||
| C. | Length of written assignment(s)? | |
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Abstract
Annotated
bibliography
1 -
2 page paper
3+
page paper |
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| D. | Are recent references required? No If yes, how are they selected? | |
| For indepth discussion of pathophysiology and management, among others, as they relate to patients being cared for. | ||
| E. | Method of content selection - e.g. student-selected, relate to cases, etc.? | |
| Cases under discussion and assigned topics by attendings | ||
| F. | Audience - Who assesses the student’s written performance? | |
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Peer
Assessment
Faculty
Assessment
Other |
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| 4. Examination | ||
| Format | ||
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Oral
Written
multiple choice
Written
essay / short answer
OSCE Other |
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| 5. Extra Course Activities | ||
| What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)? | ||
| The students will attend Tuesday and Wednesday noon geriatric conferences and grand rounds, Thursday medicine grand rounds at noon, house call meetings and didactic lectures given by the nursing home and skilled nursing facility attendings. Students will do the written assignments of the case-based analysis of the polypharmacy in the elderly. The case-based analysis is a one-time task completed in the last week of the course. Knowledge of geriatric pharmacology is evaluated by short answers to 5 questions on appropriate drug use in the elderly. | ||
| 6. Other Modes of Evaluation | ||
| Please explain below. | ||
| Observation by faculty. Fellow report on the student's clinical skills and professionalism. Attendings will fill the evaluation forms sent from the Dept of Internal Medicine | ||