University of Cincinnati College of Medicine
“What’s wrong with Mom?” is an innovative Family Medicine Clerkship longitudinal teaching module developed by the University of Cincinnati (UC) Department of Family and Community Medicine in collaboration with the UC Division of Geriatrics, UC College of Pharmacy and the Alzheimer’s Association of Southwestern Ohio.
Students learn the evaluation and management of the older adult and caregiver with a focus on Alzheimer’s Disease. This module consists of a large group session (clerkship orientation week), a community resource fair, a standardized patient session, individualized assignments (weeks 2 & 3), and a clinical experience (week 4.) The large group session presents and reviews background information on dementia and delirium. In the standardized patient session, students interview a standardized patient and caregiver dyad and discuss initial diagnosis and management of Alzheimer’s Disease. Students receive real time feedback from the standardized dyad and observing faculty. In weeks 2 & 3, students individually receive questions from the caregiver of the patient they interviewed. These questions reflect real life challenges commonly faced by families of patients with Alzheimer’s as the disease progresses. During week 4, course faculty participate in a panel discussion with the students on their responses and follow up management of the patient and caregiver. Evaluative components consist of: online post test assessment, Standardized Patient Student Feedback (verbal and written), student email responses to caregivers, final student self assessment.
- Understand the role of the family physician, patient, family and community in the chronic care of patients and their families.
- Identify the significant components of the geriatric assessment in an older adult with memory challenges
- Develop effective and empathic medical interviewing and communication skills in the diagnosis, assessment and management of AD with patients and their families.
- Apply the behavioral, mood and cognitive testing tools in the diagnosis and management of the older adult.
- Develop skills in appropriate e-communication with the chronic care patient and family
- Accurately interpret diagnostic cognitive testing tools in the AD patient
- Create a comprehensive assessment and problem list in the care of an older adult with AD.
- Identify medical, pharmaceutical and behavioral management challenges and strategies in the care of the AD patient and family.
- Identify and integrate expertise from community based interprofessional resources in the care of the AD patient and family.
This innovative longitudinal teaching curriculum is used in the third year Family Medicine Clerkship. This is a 4- week, required rotation. Approximately 160 students complete this clerkship each year with 12-15 students on the clerkship at a time. While on the clerkship, the students rotate at either a residency, faculty, or community based family medicine site. All students come back to the medical school for Family Medicine didactic sessions every Friday during the clerkship. This geriatrics based curriculum is taught during these weekly sessions.
A detailed curriculum document is the first file in the folder above.