PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Completion of all M3 Core Clerkships; M4 status
PURPOSE: In this geriatric medicine elective, students will learn about the mode of presentation of illnesses in older persons and how to assess multiple overlapping illnesses. The process and dimensions of geriatric assessment will be demonstrated, including the medical, cognitive, and functional abilities in the activities of daily living. The elective experience can be modified to students’ particular educational goals, both in terms of reading and activities during the elective.
COMPETENCIES: To recognize the nature of illness in older persons; to understand the scope of providing care for older persons.
INSTRUCTIONAL FEATURES: The student will be introduced to geriatric medicine in a variety of settings. Students will have the ability to participate firsthand in the health care of older persons interacting with attending physicians and fellows as well as specialists in pharmacology and the associated health professions, all of whom have special expertise in the care of older patients. Students will also participate in twice weekly scheduled case conferences and teaching seminars. The elective experience can be modified to students' particular educational goals both in terms of reading and activities during the elective. The settings for this program in geriatrics include:
• The teaching nursing homes affiliated with the University of Illinois. Students will make rounds and assess patients one-half day a week under the supervision of an attending physician; Students will round with a faculty member and fellow in one of the Section's teaching nursing homes. This will allow the student to participate in this unique aspect of the spectrum of care for geriatric patients.
• West Side Veterans Administration Medical Center. Students will participate in consulting rounds, outpatient clinic, home based primary care (HBPC) and the Community Living Center (CLC).
• Home Health Services: The opportunity is available for those who choose to make home visits. Home based primary care allows the student to participate in a home based program fully integrated into a multidisciplinary care team including nurses, social workers, therapists and physicians.
ASSESSMENT: Students will be given feedback on the rotation at each site based on clinical performance. Knowledge and skills acquired in this rotation will be judged in relation to student-based educational goals and objectives .
Program Number: ELEC 615
Program Director: William Barnhart, M.D., Trina Johnson (Coordinator) firstname.lastname@example.org
Duration: 4 Weeks
Night Call: No
Students Accepted: Min. 1 Max. 2
Housestaff Used as Faculty: Yes
Lectures/Conferences/Faculty Contact: 5
Laboratory/Independent Study: 0
Outpatient: 20-30 (indludes Nursing Home, Home based primary care, and respite)
Total Hours /Week: 40
KEY WORDS: Geriatric Medicine, Geriatrics, Gerontology, chronic illness, assessment, home visits.