2024-2025 M3/M4 Course Syllabi
Family & Community Medicine
COURSE NUMBER:
06 02 01
TITLE:
Homeless Health Elective OP
Fourth-year students may arrange a two week elective to work with the programs that provide healthcare to the homeless population in Greater Cincinnati. Over the two weeks, students will work with medical, behavioral health, dental, respite and advocacy programs. A reading module will be provided and students will be expected to identify self-identified learning objective. Both of these will be discussed with faculty at a weekly journal club.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931472 (ACTING INTERNSHP-INT MEDICINE), 26931472 (ACTING INTERNSHP-INT MEDICINE), 26940373 (NEUROSCIENCE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Student must apply through UC Department of Family and Community Medicine to assess if a rotation spot is available.

o   Must enroll 6 weeks before the start date of a rotation.

o   Only one slot is available  per/month.

o   Mckenzie Breig will take the requests for rotation and confirm placements with sites:

     McMicken Clinical: Joseph Kiesler, MD - kieslehj@UCMAIL.UC.EDU

     Dental Elm St Health Ctr  - Tammy Graham- Tammy.graham@cincinnati-oh.gov

     McMicken Behavioral Health (PATH) - Megan Jones - mjones@gcbhs.com

     Clinical time with  Dr. Donovan at Respite - bob.donovan90@gmail.com

     Elective supervisor - Dr. Kiesler - joseph.kiesler@uc.edu

     Medvouc/Race Track Clinic - Student will sign-up
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
Outpatient
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 week rotation
DIRECTOR:
H. Joseph Kiesler, MD
joseph.kiesler@uc.edu
513 558 4021
MSB, 4110
ADMINISTRATIVE SUPPORT PERSON:
Mckenzie Breig
breigmi@uc.edu
+1 513 558 4020
MSB, 4304
SITE(S):
Center for Respite Care
Elm Street Dental Clinic
McMicken Behavioral Health
McMicken Health Collaborative
MedVoUC
Projects for Assistance in Transition from Homeles
Race Track Clinic
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
2 06/03/2024 - 06/14/2024 1
5 08/26/2024 - 09/06/2024 1
6 09/23/2024 - 10/04/2024 1
8 11/18/2024 - 11/29/2024 1
11 02/24/2025 - 03/07/2025 1
13 04/07/2025 - 04/18/2025 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:
8:00-5:00 PM except one night a week 6:00-9 PM (MEDVOUC and/or Race Track Clinic)
REPORT 1ST DAY:
You will receive email instructions with complete schedule and site information.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
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:
40% Attending Physician
10% Junior Resident
30% Other Faculty
20% Other Allied Health Professional(s)
FEEDBACK:
ASSESSMENT:
 We use the institutional evaluation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
1.      National Healthcare for the Homeless Clinician Network Adapting Your Practice Guidelines
2.      Baggett, Travis P. ( 07 / 2010). "The Unmet Health Care Needs of Homeless Adults: A National Study". American journal of public health (1971 ) (0090-003 6), 100 ( 7), p. 1326.
3.      Simpson, Scott A. (2007). "Medical Student-Run Health Clinics: Important Contributors to Patient Care and Medical Education". Journal of general internal medicine : JGIM (0884- 8734),  2 2  (3 ), p.  35 2.
4.      O'Connell, James J. (08/ 2010). "The Boston Health Care for the Homeless Program: A Public Health Framework". American journal of public health (1971) (0090-003 6), 100 (8 ), p. 1400.
5.        5th Edition Homeless and Low Income Resource Guide
6.      Health Care for the Homeless- What We Have Learned in the Past 30 Years and What's Next
7 .    Case of the  Homeless AAFP,  Am  Fam Physician.  2014;89 (8 ):634-640
Instructional Methods:
Fourth-year students may arrange a two week elective to work with the  programs that provide healthcare to the homeless population in Greater Cincinnati. Over the two weeks, students will work with medical, behavioral health, dental, respite and advocacy programs. A reading module will be  provided and students will be expected to identify self-identified learning objective. Both of these will be discussed with faculty at a weekly journal club.
Knowledge/Skills:
  1. Describe root causes, experiences, and realities of homelessness
  2. Summarize the history of the HCH program and governmental agencies that fund and provide oversight for those programs
  3. List core characteristics of the HCH Model of Care
  4. Identify appropriate resources and potential collaborations to assist people experiencing homelessness
  5. Identify ways to address common causes of stress in homeless services to support self and team care
  6. Describe who homelessness affects
  7. Explain two federal definition of homelessness
  8. Explain three types of homelessness
  9. List some causes of homelessness
  10. Describe the relationship between homelessness and poor health
  11. List some barriers to care for people experiencing homelessness
  12. Describe person-centered,  trauma-informed,  and recovery-oriented care
Main Course Topics :
  • Adapted clinical guidelines for treating the homeless:
  • Asthma
  • CVD disease
  • Chronic pain
  • Diabetes Mellitus
  • General Recommendations
  • HIV/AIDS
  • Reproductive Healthcare
  • Mental Health
  • Public Health Policy and Homelessness
  • Community Resources
Procedures:
  1. Identify community resources to assist those experiencing homelessness
  2. Adapt clinical practice for common medical conditions seen in primary care:
  3. Asthma
  4. High blood pressure
  5. Diabetes
  6. Depression I Mental Health I Substance Abuse
  7. Violence
  8. STI
Remediation Plan:
 Redmediation will be done on a case by case basis.

SAMPLE WEEK

Monday:
8:00AM 8:30AM Meet w/ Dr. Kiesler MCM -Review Elective
8:30AM 12:00PM Patient Care MCM
1:00PM 5:00PM Dental Clinic MCM
Tuesday:
8:30AM 12:00PM Path Mental Health Outreach
1:00PM 5:00PM Off For Reading - Evening Comp time
5:30PM 6:00PM 5:30 - 9 RTC or MEDVOUC
Wednesday:
8:30AM 12:00PM Patient Care - McMicken
2:00PM 6:00PM DIC or RESPITE
Thursday:
8:30AM 12:00PM ALT JHH w/ JK or RESPITE/MCM - RD
1:00PM 5:00PM Behavioral Health Counseling MCM
5:30PM 6:00PM 5:30 - 9 MEDVOUC
Friday:
8:00AM 12:00PM McMicken - Dr. Kiesler
1:00PM 3:00PM Community Visits
3:00PM 5:30PM Journal Discussion
SCHEDULE NOTE:

 Schedule can vary rotation to rotation.

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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