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Kimberly J. Salaycik 2007 AMSA EOL Fellow

Expanding End of Life Care Education at the University of New England, College of Osteopathic Medicine. Kimberly J. Salaycik 2007 AMSA EOL Fellow. Current 1 st Year EOL Curriculum. Osteopathic Approach to Medicine Death, Dying, and Bereavement lecture 1 hour lecture

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Kimberly J. Salaycik 2007 AMSA EOL Fellow

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  1. Expanding End of Life Care Education at the University of New England, College of Osteopathic Medicine Kimberly J. Salaycik 2007 AMSA EOL Fellow

  2. Current 1st Year EOL Curriculum • Osteopathic Approach to Medicine • Death, Dying, and Bereavement lecture • 1 hour lecture • Individual experience with terminal illness & death • Emphasizes the B.O.A.T.I.N.G. concept • Spectrum of Aging lecture • 2 hour lecture • Discussion of aging, death, and dying • Forum for discussion with elders

  3. Current 2nd Year EOL Curriculum • Course on Legal and Ethical Issues in EOL care • 1 hour lecture • Covers palliative care, physician assisted suicide, euthanasia, surrogates, living wills and DNR Orders • Hospice practicum • 4 hour house visit accompanying a hospice RN

  4. 5 Phase Approach to Implementation of an EOL Curricula • To provide a learning environment where students become knowledgeable about EOL care and allow them to practice using their skills with patients. • Phase 1. Introduction to Gross Anatomy • Phase 2. Death & Medicine Lectures • Phase 3. Clinical Introduction to Hospice • Phase 4. EOL Medical Rotation • Phase 5. Establishing Continuity

  5. Phase 1. Introduction to Gross Anatomy • Emotional detachment from the cadaver • Need a humanistic understanding and deeper level of respect for those who donated their bodies • A viewing of the movie “Still Life: The Humanity of Anatomy” by Thomas Cole, PhD. Discussion to follow • Will take place on Tuesday, August 7th (2nd day of orientation). 2nd year students are also welcome to attend

  6. Phase 2. Death & Medicine Lectures • Week-long lunch lecture series featuring various presentations on EOL care. • Dean’s Letter • Day 1: What is Hospice? A forum. • Day 2: Communicating Bad News Lecture • Day 3: Life in a Nursing Home • Day 4: Pain Management Lecture • Day 5: Grief & Bereavement. A forum.

  7. Phase 3. Clinical Introduction to Hospice • Work with preceptor office to create a hospice preceptorship • Available to students as an elective in the 2nd year • Student would make regular visits with a hospice doctor while participating in providing care to terminally ill patients

  8. Phase 4. EOL Medical Rotation • Anticipated opening of Southern Maine Medical Hospice House, Scarborough, ME. Dec. 2007 • Incorporation as a 4-week, clinical rotation site in the 4th year • Work with administration to design a training program for this rotation

  9. Phase 5. Establishing Continuity • American Geriatrics Society UNECOM Student Chapter • Establish and document these 5 phases as club objectives • A first year officer position will be designed so that the information may be efficiently carried on and EOL program continuity can occur

  10. In Conclusion • Ultimate Goal: To establish a learning environment where students become knowledgeable about EOL care and allow them to practice using their skills with patients. • Questions? • Special Thanks to AMSA, VITAs Healthcare, and Dr. Marylin Gugliucci! Kimberly Salaycik KSalaycik@mail.une.edu (413) 221-8310

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