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. The elective experience can be modified to students’ particular educational goals, both in terms of reading and activities during the elective.
COMPETENCIES: To fully comprehend the 5Ms and apply to patients in interprofessional manner: Mind, Mobility, Medications, Multicomplexity, and Matters Most. To develop skills to address the following: medication management, cognitive/affective/behavioral health, complex/chronic illnesses, palliative/end-of-life care, patient safety, care transitions, ambulatory care for older adults.
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, all of whom have special expertise in the care of older patients. Students will also participate in weekly scheduled didactics, journal clubs/case conferences. 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:
- UIH Geriatrics Clinic: This is located in the near south side of the city and will provide outpatient clinic experience for care of the older adults. Students will learn how to conduct a comprehensive geriatric assessment, functional assessment, and advanced care planning. Core concepts including the 5M’s, time to benefit, polypharmacy, and goals of care will be reviewed. Students are expected to attend clinic up to 2-3 half-days per week.
- The teaching nursing homes affiliated with the University of Illinois around the Chicagoland area: Students will be rounding with attending physicians, fellows, and residents up to three half-days per week. Students are expected to find their own mode of transportation to these sites, which can range up to 12 miles from UIC; carpool options are occasionally available. Students will learn how to distinguish between various post-acute care facilities and the nuances of nursing home care.
• Jesse Brown Veterans Administration Medical Center: Students will participate in outpatient clinic, telehealth clinic, and home based primary care (HBPC).
• UIH Home Health Team: Students will be accompanying a home health team that typically comprises of physician or advanced nurse practitioner to patients’ homes around the Chicagoland area.
ASSESSMENT: Students will be given feedback on the rotation based on clinical performance. Knowledge and skills acquired in this rotation will be judged in relation to student-based educational goals and objectives.
To inquire about scheduling this elective, please contact Angie Fanuke, Internal Medicine Sub-I/Elective Coordinator at firstname.lastname@example.org.
Program Number: ELEC 615
Location: UI Health/JBVA
Program Director: Vania Leung, M.D.
Coordinator: Milan Albakri Micou
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 (includes Nursing Home, Home based primary care, and respite)
Total Hours /Week: 40
KEY WORDS: Geriatric Medicine, Geriatrics, Gerontology, chronic illness, assessment, home visits.