2023-2024 M3/M4 Course Syllabi
Family & Community Medicine
COURSE NUMBER:
06 01 03
TITLE:
GERI MED MULTIDSCPLN
The Geriatric Medicine Specialty Clerkship will provide students with an introduction to the basic principles of providing safe and effective care to frail older adults as part of an interprofessional team. The elective will include experiences (1) on an inpatient geriatric medicine special care unit for hospitalized older adults; (2) in an outpatient geriatric assessment clinic; (3) in community nursing homes; and (4) in a community agency for the aged/home care.
PREREQUISITES:
Must be a UC MS 4.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 wks
DIRECTOR:
Jeffrey Schlaudecker, MD
jeffrey.schlaudecker@uc.edu
584-0650
MSB, 1011
ADMINISTRATIVE SUPPORT PERSON:
Natalie Seaburn
quinnne@ucmail.uc.edu
513-558-4021
MSB, 4011
SITE(S):
Maple Knoll Village Sprngdale
Marjorie P Lee Assisted Living
VAMC
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/12/2023 - 06/23/2023 1
4 09/04/2023 - 09/15/2023 1
5 09/18/2023 - 09/29/2023 1
6 10/16/2023 - 10/27/2023 1
11 03/04/2024 - 03/15/2024 1
12 04/01/2024 - 04/12/2024 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:30 a.m. - 5:30 p.m. Monday - Friday
REPORT 1ST DAY:
See Schedule in MedOneStop and check with Natalie Seaburn, Program Coordinator. We will email students the week prior with additional instructions.

INSTRUCTION

LEARNING ACTIVITIES:
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
65% Attending Physician
10% Other Allied Health Professional(s)
25% Fellow Physician
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Geriatrics Medicine Review Syllabus (GRS) chapters provided to student for use during the rotation. Articles will be sent for reading as a part of the welcome email.
Instructional Methods:
Clinical Experience – Outpatient/Inpatient
Knowledge/Skills:
    1. Discuss the current theories of aging
    2. Discuss the normal physiology of aging
    3. Gain experience with chronically ill and terminally ill patient
    4. Describe the common diseases and problems of old age, e.g., dementia, systolic hypertension, osteoporosis, incontinence, dizziness, polypharmacy
    5. Discuss the appropriate use of health care facilities and services, including but not limited to: community-based services; day care programs; specialized living environments; acute and chronic hospital care
    6. Discuss the special clinical pharmacology considerations and some of the commonly used drugs when treating specific diseases experienced by older persons
    7. Discuss some of the more common ethical issues encountered when providing health care to older persons
    8. Discuss risk/benefit of common interventions incorporated in the care of older persons, including cost-efficient and effective decision making
    9. Discuss some of the more common interventions used to maintain function or prevent functional decline as the result of illness
   10. Access the major geriatric medicine publications, professional organizations and other sources of information related to aging and the aged
Main Course Topics :
  1. Delirium, dementia, depression
  2. Falls
  3. Geriatric assessment
  4. Healthy aging
  5. Long-term care
  6. Preventive health care
  7. Urinary incontinence
Procedures:
N/A
Remediation Plan:
Will tailor a remediation plan specific to the student if needed.

SAMPLE WEEK

Monday:
8:30AM 11:30AM Geriatric Consult Clinic
12:00PM 1:00PM Lunch
1:00PM 5:00PM Outpatient care, Maple Knoll Village (wks 1, 2, 3, 4
Tuesday:
8:30AM 11:30AM Geriatric Consult Clinic
12:00PM 1:00PM Lunch
1:00PM 5:00PM Nursing Home
Wednesday:
8:00AM 10:00AM Geriatric Conferences
10:00AM 11:00AM Geriatric Journal Club (153 HPB)
11:00AM 12:00PM GEC Intake Conference (153 HPB)
12:00PM 1:00PM Lunch
1:00PM 5:00PM Outpatient care, Maple Knoll Village
Thursday:
8:30AM 12:00PM Geriatrics/Palliative Care at VAMC
12:00PM 1:00PM Lunch
1:00PM 5:00PM Geriatric Consultation Clinic
Friday:
8:00AM 12:00PM Community Aging Network
12:00PM 1:00PM Lunch
1:00PM 5:00PM Maple Knoll Village Nursing Home
SCHEDULE NOTE:

Two to three mornings or afternoons per week students will usually be assigned to a community agency where they will engage in such activities as helping with home delivered meals, making home visits or working with Day Care personnel.  Whenever possible will accommodate special interests of the student.

 

Alois Alzheimer's Center is a long-term nursing care facility dedicated to the care of older persons who have a diagnosis of Alzheimer's disease.

 Council on Aging of Southwestern Ohio - Meet with COA staff for an overview and accompany a case manager on a home visit. 

Maple Knoll Village (MKV) is a continuing care retirement community where older persons may live independently, with some assistance, or on skilled nursing unit.  MKV is the primary geriatric medicine teaching site for fellows, residents, medical students and a variety of other learners.  An outpatient medical clinic and geriatric evaluation center is located at MKV which is staffed by University of Cincinnati geriatricians, social workers and nurses.  The director of the Office of Geriatric Medicine in the College of Medicine is the medical director of MKV and serves as the director of the Geriatric Medicine Multidisciplinary Elective - AHEC. 

Geriatric Evaluation Center (GEC) is a comprehensive evaluation service available to older persons and their families through the University Hospital Geriatric Evaluation Center located at Maple Knoll Village.  Frail, difficult to manage older persons who are experiencing interrelated medical and psychosocial problems receive a comprehensive evaluation by a physician, psychiatrist, nurse, social worker, physical therapist and/or occupational therapist and other specialists as may be indicated by the presenting problems.  A care plan is developed and communicated to the older person's family, primary care physician and other appropriate caregivers.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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