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End-of-Life Care Curriculum

End-of-Life Care Curriculum. Melanie Johnson, MSII Wake Forest University School of Medicine. Outline. Overview of current curriculum at WFUSM Improving the curriculum My plan of action For 2003-2004 For 2004-2005 and beyond. Overview of current curriculum.

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End-of-Life Care Curriculum

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  1. End-of-Life Care Curriculum Melanie Johnson, MSII Wake Forest University School of Medicine

  2. Outline • Overview of current curriculum at WFUSM • Improving the curriculum • My plan of action • For 2003-2004 • For 2004-2005 and beyond

  3. Overview of current curriculum

  4. Wake Forest University/Baptist Medical Center& Hospice and Palliative Care CenterOVERVIEW: • Medical School Curriculum • HPCC Medical Director & Staff of WFUBMC • MS Is • Lecture to whole class and then small group discussion of the issues raised • MS IIs • Lecture and small groups • MS IIIs • (Now) 32 hours during Ambulatory Medicine rotation Dr. Richard Stephenson WFUBMC

  5. Current MSI & MSII Schedule • Lectures and small group discussions • Small groups consist of • 2 professors (1 M.D. and 1 Ph.D.) • Topics include but are not limited to: • Hospice and Palliative Care • Communicating Bad News • Advance Directives

  6. MSIII Rotation (2002) • Every Wednesday during Ambulatory Medicine • All MSIIIs (9 or 10 each month) • H&P, POC, Eval form, and “Reflection Paper” • Favorite, “most meaningful” rotation Dr. Richard Stephenson WFUBMC

  7. Current MSIII Schedule Dr. Richard Stephenson WFUBMC

  8. Interns 3 to 5 Half days Practical review of the Medicare Hospice Benefit Who qualifies & what do they get Pain 101 and 201 (opioids) Rounds Admissions 3rd year residents electives Some didactics Lots of direct patient care Project Teaching First-responder for consults at WFU/BMC House calls Fellows elective Geriatric, Hem/Onc, General IM Everything 3rd year Resident does plus… Research a topic More of a role in teaching Presentation to hospice clinical staff Fellowship in Hospice and Palliative Care being implemented this academic year Medical interns, residents and fellows… Dr. Richard Stephenson WFUBMC

  9. Improving the Curriculum

  10. Goals: • Bridge the gap between the first 2 years of med school and the 3rd year rotation • Allow opportunities for students to have direct exposure to hospice and palliative care before the 3rd year rotation • Enhance communication skills • Enhance knowledge of the psychosocial aspects of hospice and palliative care

  11. Improving 1st and 2nd year • Incorporate additional lectures into the following classes • Doctor Patient Relations • Medicine as a Profession • Suggested lecture topics: • Cultural Sensitivity • Spirituality • Grief and Bereavement • Family counseling/conferences

  12. Outcomes MSIII Rotation Evals 2001 (1= no opportunity to learn…5= outstanding opportunity) Dr. Richard Stephenson WFUBMC

  13. MSIII Rotation Evals 2001 (cont) Dr. Richard Stephenson WFUBMC

  14. Improving the 3rd year • Suggested lectures • Hydration and IV use • Physiology of dying • Ethical Issues • Physician assisted suicide • Withdrawing and withholding care • Dealing with personal feelings • Debriefing exercises • Small group discussions • Journaling

  15. My plan in action…

  16. for 2003-2004 • Spread the word • Distribute brochures in student mailboxes • E-mail the entire student body • Post signs on bulletin boards • Lunch meeting/information session • Overview of hospice and palliative care • Background information • Video “To Live until I die” • Need for awareness and education • Sign up sheet to become volunteers • For interested students • Train them to become volunteers at the Kate B. Reynolds Hospice Home • Will be assigned a patient and will follow the patient and family throughout the dying process • Provide shadowing with the interdisciplinary team

  17. for 2003-2004 cont… • Forming Partnerships • With SNMA to increase African American and other minorities awareness of hospice and palliative care in Winston-Salem, NC • With the Geriatric Interest Group • With AMSA to implement the “Death and Dying” component at WFUBMC

  18. Plan for 2004-2005 & beyond… • To integrate several lectures into the 1st and 2nd year courses • Apply for funding from WFUBMC to form a special interest group • Hold extensive monthly seminars and workshops • Promote group activities and additional volunteer experiences.

  19. The end…. Questions? Comments? Suggestions?

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