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What's Wrong with Mom (Dad)? Chronic Care Evaluation and Management of the Older Adult (and their Caregivers) with Alzheimer's disease

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What's Wrong with Mom (Dad)? Chronic Care Evaluation and Management of the Older Adult (and their Caregivers) with Alzheimer's disease

University of Cincinnati College of Medicine
Author(s):  
Mandi Sehgal, MD, Barbara Tobias, MD, Gregg Warshaw, MD
Sponsor: 
Donald W. Reynolds Foundation
POGOe Id: 
21693
Date Posted: 
09/28/2013
Date Reviewed/Updated for Clinical Accuracy: 
06/23/2014
Ok Peer reviewed Peer reviewed
Abstract: 

“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.

Educational objectives: 

Goals:

  1. Understand the role of the family physician, patient, family and community in the chronic care of patients and their families.
  2. Identify the significant components of the geriatric assessment in an older adult with memory challenges
  3. Develop effective and empathic medical interviewing and communication skills in the diagnosis, assessment and management of AD with patients and their families.

 

Objectives:

  1. Apply the behavioral, mood and cognitive testing tools in the diagnosis and management of the older adult.
  2. Develop skills in appropriate e-communication with the chronic care patient and family
  3. Accurately interpret diagnostic cognitive testing tools in the AD patient
  4. Create a comprehensive assessment and problem list in the care of an older adult with AD.
  5. Identify medical, pharmaceutical and behavioral management challenges and strategies in the care of the AD patient and family.
  6. Identify and integrate expertise from community based interprofessional resources in the care of the AD patient and family.

 

Additional information/Special implementation requirements or guidelines: 

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. 

 

Intended learner audience: 
Discipline/specialty: 
Estimated time to complete: 
More than 3 hours
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Wednesday, February 28, 2018 - 1:57pm
Already Expired Email 1 month date: 
Friday, March 16, 2018 - 12:35am
Expired Email Date: 
Saturday, March 31, 2018 - 2:23am
Contact Person/Corresponding Author:
Gregg Warshaw, MD Gregg.Warshaw@uc.edu


Suggested Citation:
Robert Ellis, MD, Mandi Sehgal, Barbara Tobias and Gregg Warshaw. What's Wrong with Mom (Dad)? Chronic Care Evaluation and Management of the Older Adult (and their Caregivers) with Alzheimer's disease. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/productid/21693