Chronic Care Mid-end Clerkship Review Form
The four week chronic care curriculum consists of elements of rehabilitation medicine, palliative care, geriatric medicine, and chronic pain.
The goals and objectives of the chronic care disciplines should be incorporated throughout the entire WRITE experience. The WRITE lead preceptor will function as the WRITE Chronic Care site director. The chronic care component involves students delivering medical care to patients and families dealing with chronic illnesses, chronic pain, or needing palliative care as the end of life approaches.
While students will learn aspects of the clinical disciplines of rehabilitation medicine, geriatric medicine, pain management, and palliative medicine, the curriculum will also focus on integrative learning experiences to help the student understand the process of medical care from the perspective of the patient and family.
Students will be introduced to the obstacles that patients face and the resources that patients access in living with disability in their homes and communities, or dealing with dying, outside of the hospital ward or clinic visit.
Chronic Care curriculum requirements, are available at the Chronic Care Catalyst page and include required readings, logging patient visits, participation in a video curriculum, completeing an ADL assessment: completing a home visit write-up and presentation, evaluation of a patient, a write-up of a therapist observation/interview, POGO-e sessions, as well as monthly particiation in UW TelePain session (students to email Sam Galey, firstname.lastname@example.org, when they attend a TelePain, letting her know that they are a WRITE student). Telepain is a weekly audio- and videoconference consultative session bringing together interprofessional specialists with experience in managing chronic pain and community practice providers. These videoconferences include didactic presentations by the pain faculty and case presentations from providers with questions. Please read more about Telepain at http://depts.washington.edu/anesth/care/pain/telepain.
It is expected that students complete chronic care curriculum requirements throughout WRITE with a minimum goal of completing at least two assignments every four weeks.
Chronic Care Goals and Objectives
The student will be able to sensitively and effectively communicate a poor prognosis to patients and families, and provide appropriate counseling around this information using best demonstrated clinical practices.
The student will be constructively involved in a team approach to care of patients with chronic illnesses.
The student will be able to identify and perform appropriate clinical and functional assessments of patients with chronic disease, disability, and life limiting illness.
The student will be able to identify how systems of care affect the delivery of care for patients with chronic disease, disability, and life limiting illness.
The student will be able to use approaches to patients and families that support appropriate management of medical conditions outside of the hospital and clinic setting.
The student will be able to elicit and understand the patient and family's perspective on the management of medical issues, including individual preferences, cultural perspectives, and religious beliefs as they affect the perception of care.