End Of Life Care: the past and the future for Chicago Medical School

1
End Of Life Care the past and the future for
Chicago Medical School

• Lee Anne Jasper

2
Current Curriculum

• First Year
• Nothing
• Second Year
• Pharmacology/Introduction to Clinical Medicine
  One lecture each on pain medications and
  management. Special focus on management of
  chronic pain.

3
Primary Changes to be Made

• Formation of the Death and Dying interest group
  through AMSA
• Introduction of an Elective for Either M1s or
  M2s
• The elective will be offered spring quarter

4
Death and Dying Interest Group

• Dinner and Filling out Advanced Directives
• Writing session about death, and reading
• Set up volunteer opportunities for those
  interested with the North Chicago VA hospice

• Introduction What is hospice? Speaker from the
  North Chicago VA hospice
• Viewing and discussion of Wit
• Dr. Bubbers lecture on Geriatric Medicine
• To Live Until I Die Video

5
M1/M2 Elective (10 weeks)

• Pain management speaker (dose conversions, common
  pain meds)-Pharmacology Dept
• Ethical Cases of EOL with Dr. Tomkowiak

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M1/M2 Elective (10 weeks)

• The physician and end of life care/ the path to
  death (symptoms) - CMS faculty
• To Live Until I Die Video viewing and discussion
  with a visiting professor/ Dr. T
• Advanced Directives - CMS faculty

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M1/M2 Elective (10 weeks)

• Introduction to shadowing and volunteer
  opportunities at the North Chicago VA Hospice-
  Member of VA hospice team
• Hospice VA North Chicago
• 300 Buckley Road North Chicago, IL
  Telephone [phone] EXT 5575
• -- Students will be required to shadow with one
  or more disciplines within the hospice team for
  two sessions. Once per two weeks designated for
  classes.

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M1/M2 Elective (10 weeks)

• Alternative Medicine talk (CAM) - Regina Chen
  (from the college of Health Professions)
• Viewing of Wit and Discussion with visiting
  professor
• Dr. Bubbers lecture on Geriatric Medicine (will
  be class mtg for one of the weeks)

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Other Curriculum Changes In the first two years

• First Year
• Addition of end of life case studies to the
  ethics class
• Addition of a patient presenter who has a
  terminal disease to the ICM presentation on
  patients with disabilities
• The presentation is structured to bring up
  sensitive issues for physicians when dealing with
  patients who have special needs

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Other Curriculum Changes In the first two years

• Second Year
• Introduction to Clinical Medicine course
• Communicating Bad News workshop
• An interactive workshop for the students/ role
  playing
• A lecture on End of Life Bedside Assessment
• A look at common end of life physical symptoms

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Recruitment

• For the M1 class Introduction of both the death
  and dying group and the elective at the initial
  AMSA meeting during the first week of school.
• For the M2 class Announcement in second year
  lecture hall

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Changes for the Third Year

• The option of doing a three week rotation with a
  palliative care team in place of the ambulatory
  care rotation.

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Time to Get it Done!

• Thank you everybody for a great six weeks!!!