Virtual Curriculum 2000
Sample of Medical Student Educational Activities:
The Doctor Patient Relationship: Culture and Communication Course House Call Experience - All first semester medical students experience a house call encounter with an older adult as the introduction to the Reynolds Aging Theme Curriculum. The house call programs in the Division of Geriatric Medicine, Truman Schnabel House Calls Program and the Philadelphia VAMC Home-based Primary Care (HBPC), have combined efforts to expose first year medical students to chronically disabled older adult patients who are home bound. The program helps the students understand the conditions which make independence at home possible. The visits are structured to emphasize functional assessment, identification of support systems (family, neighborhood, and community), and home environment/home safety. Students then complete short narratives to reflect on the visit.
The Doctor Patient Relationship: Culture and Communication Course Panel Experience - A 3 hour session on aging will employ a panel presentation of older adults to the entire first year class, followed by small group discussions comparing/contrasting to the house call experience. This is session will address the questions: Who are the elderly in the US? What does it mean to grow old in the US? What attitudes of professionals influence care of older adults? This session includes reading materials on demography and demographic changes, socioeconomic status, health problems, and living arrangements of older persons in the United States.
Introduction to Clinical Medicine Round Robin Experience – The Introduction to Clinical Medicine (ICM) course teaches second year students to take a medical history and perform the physical examination utilizing standardized patients (SPs) for each session. The Round Robin experience include a series of physical exam stations through which each student will rotate with the intent that students learn a new skill at each station. One of these stations is dedicated to assessing a geriatric patient with gait disturbance and another is dedicated to memory deficits.
Internal Medicine Clerkship Geriatric Assessment Experience – One of the required physical exam rounds focuses on the geriatric assessment of an older hospitalized patient covering functional status assessment, gait, and cognitive screening. A separate case-based conference discusses fall risk assessment and polypharmacy.
Surgery Clerkship Patient-Based Learning Experience - A one hour case- based session co-facilitated by a geriatrician and surgeon during the clerkship’s weekly lecture series. This session includes a co-morbidity assessment, discussion of perioperative assessment, transitional care planning of the older surgery patient and hospital care for older adults.
Family Medicine Clerkship Geriatric Palliative Care Experience – All students spend half-day experience with a hospice staff member visiting with patients. Afterwards they submit a reflective narrative about the experience.
Doctoring III Course Sites of Care Experience - Students undertake a 1.5 hour session on the alternative sites of long term care including nursing homes, continuing care communities, and assisted living. Students make elect to attend a supervised visit to a long term care site.