Medical Students
GOAL
A 3-week-elective block rotation in geriatric medicine. Students may elect a rotation in home care or nursing home care.
A Home Based Primary Care Rotation
Home Based Primary Care at Sepulveda is a model home care service, incorporating interdisciplinary team assessment and management principles to provide and enhance health care for the elderly. Students will be assigned primary care responsibilities for a panel of home bound patients, and they will make home visits with the Geriatrics Fellow and the Attending. They will attend interdisciplinary team conference weekly. They will give 1 brief talk on a Geriatric topic at the end of the rotation.
OBJECTIVES
- Knowledge of the biological psychological and social aspects of aging.
- Knowledge of the pathogenesis, natural history, differential diagnosis, evaluation, and management of common diseases and disorders in the elderly.
- Knowledge of pharmacology in developing therapeutic regimens for the elderly.
- Development of an understanding of issues unique to Home Care, Inc. timing of hospitalization, end of life care management of complex medical problems at home, caregiver stress, home safety, etc.
- Develop Clinical skills: Improving medical interviewing and physical examination with emphasis on functional assessment and approaches to assessing the elderly patient and the home.
- Improve Medical decision making: emphasis on altered presentation of disease, multiple illness cost benefit factor, rehabilitative potential and ethical issues.
- Improve doctor patient relationship, communication skills, and interaction with the elderly patient and care-givers.
- Interpretation of test: appreciation of normal parameters with aging and cost-effective use of diagnostic interventions.
- Become familiar with work-up and management of common problems of geriatric patients and in the home setting.
Academic Nursing Home
The Academic Nursing Home (ANH) at Sepulveda is a model, long term care ward, incorporating interdisciplinary team assessment and management principles to provide and enhance health care for the elderly. Students will be assigned primary care responsibilities for a panel of Nursing Home patients, and they will attend Geriatrics teaching rounds, educational conferences, interdisciplinary team rounds, and Geropsychology rounds. They will have close supervision by the Geriatrics Fellow and the Teaching Attending. They will give 1 brief talk on a Geriatric topic at the end of the rotation.
OBJECTIVES
- Knowledge of the biological psychological and social aspects of aging.
- Knowledge of the pathogenesis, natural history, differential diagnosis, evaluation, and management of common diseases and disorders in the elderly.
- Knowledge of pharmacology in developing therapeutic regimens for the elderly.
- Development of an understanding of issues unique to Nursing Home Care, Inc. tube feeding in demented patients, alternatives to use of restraints, timing of hospitalization, end of life care, etc.
- Develop Clinical skills: Improving medical interviewing and physical examination with emphasis on functional assessment and approaches to assessing the elderly patient.
- Medical decision making: emphasis on altered presentation of disease, multiple illness cost benefit factor, rehabilitative potential and ethical issues.
- Improve doctor patient relationship, communication skills, and interaction with the elderly patient.
- Interpretation of test: appreciation of normal parameters with aging and cost-effective use of diagnostic interventions.
- Become familiar with work-up and management of common problems of geriatric patients and in the home setting.
