Uniformed Services University of the Health Sciences
Department of Medicine
4301 Jones Bridge Road, C1094
Bethesda, Maryland 20814-4799
Phone: (301) 295-2010
Fax: (301) 295-5792
Thank you for facilitating a discussion of the geriatrics home visit. At least one of your students has completed a home visit with a geriatric patient that he/she encountered earlier during the clerkship. This is not the students' first home visit with a patient ? each student has completed at least one home visit in the ICM series and will complete a second one during the Family Practice clerkship. The student has discussed many items with the geriatric patient and the patient's caregiver and has written a reflective paper on the experience. The student will submit this to you instead of one write-up.
1. To determine whether a geriatrics home visit changes student attitudes towards geriatric patients
2. To determine whether a geriatrics home visit program augments student knowledge of geriatric syndromes
Process: First, the student will identify one geriatric patient on the ward team (or in the outpatient clinical practice) during the first two weeks of the six-week clerkship. The ideal patient is one in the geriatric age range, who would benefit from a home visit according to the students' attending, resident, or the student himself/herself.
The second step is for the student to complete the geriatrics overview module on the interactive CDROM, and two to three other modules on the CDROM applicable to the patient. We will provide the CDROM to you. Extra copies are available in the clerkship office.
The student will visit the patient during the second two weeks. This follow up visit could occur in the context of a visit to a nursing home/rehab facility or could occur as a home visit.
The student will complete the Geriatrics Home Visit Write-up. This assignment takes the place of one write-up. Obviously this write-up will be quite different from the other four and should be evaluated on different criteria. The student will provide the clinical information collected during the home visit to the ward team (inpatient students) or the patient's outpatient physician (ambulatory students).
After the student turns in the write-up, debrief the student with your precepting group. This is a terrific opportunity for a student to be an "educator" because he/she may be the only student to do have done a home visit in your group. Ask them to lead the discussion, what measures they performed, and why. You may consider covering some of these discussion questions: