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Geriatric and Palliative Medicine - GERO 540–U

Prerequisites:

Internal Medicine or Family Medicine Clerkship

Location:

Union Memorial Hospital

Description and Goals:

During this elective, learners will be introduced to the assessment and treatment approaches in both Geriatric and Palliative Medicine patients.  This will primarily take place in the inpatient setting, with the opportunity for outpatient experiences throughout the month.  Didactic, Clinical consultation and site visits are the primary teaching methods to meet the objectives of the elective.

During a four week rotation, students and residents will have the following learning opportunities:

  • Pain Management Workshop – didactic including pain, dosing and common physical symptoms (nausea, Dyspnea and Constipation)
  • Critical Conversations Workshop- including the use of standardized patients, 360 degree evaluations (using sandwich methodology) and didactic.  Includes health care decision making, capacity, advance directives and self care.
  • Inpatient hospice and nursing home visits
  • Pre and post rotation reflective essay for self assessment opportunity to individualize the students plan
  • Ethics, Legal and evidence based practice (supporting literature given to learners at the beginning of rotation)
  • Patient clinical presentations daily with MD, Social Work, Nurse Practitioner and PharmD

At the end of this rotation, given a patient case, learners should be able to assess, discuss and provide treatment options for the Geriatric and Palliative patient.  This includes physical, functional and cognitive status, pain and symptoms, family and patient discussions regarding goals of care.  Also, to be able to discuss appropriate avenues for post acute care and follow up. 

MedStar Union Memorial Hospital (MUMH) faculty direct the rotation for MUMH internal medicine, MedStar Franklin Square and University of Maryland Family Practice residents.  In addition, learners participate in other hospital based didactic sessions, including morning report, daily residency noon conferences and weekly hospital grand rounds. 

Number of Students:

1-2

Time of Year Available:

Academic weeks 1-48

Hours:

Monday through Friday - Yes
Evenings - No
Weekends - No
Call - No

Faculty Responsible:

Christopher D. Kearney, M.D.
Chief of the Division of Palliative and Geriatric Medicine
(410) 554-2923
Christopher.D.Kearney@medstar.net  

Robert P. Ferguson, M.D.
Chief of Medicine, UMH

Administrative Contact:

Janice Robb
(410) 554-2282
Janice.robb@medstar.net  

Additional Information:

Free parking is available in the hospital garage.

 

Last Revision: February 6, 2014