hd_med.gif (15623 bytes)
crsbar.GIF (2120 bytes)

End-of-Life Curriculum (Pilot Study)

Introduction

In an effort to provide a practical, meaningful educational experience in the arena of end-of-life care, we are implementing a program that should be a positive experience for you and your patients. This program has a few, easily identifiable goals and competencies.

Ultimately, we would like you to identify a patient who has a pertinent end-of-life care issue (ie terminal cancer, anticoagulation risk, autonomy issues, etc) that you have cared for in the hospital. Subsequent to the hospital discharge, please arrange with the family for two separate visits to see the patient and family outside the hospital setting. These times can be at the Nursing Home, the patientís home, or the clinic. There is flexibility in these times and locations. Each visit should be no less than thirty minutes.

Lastly, we are asking you to reflect on this experience with a one-page paper as it shapes you in your development as a physician. Suggested topics to cover would include but are not limited to the following:

Quality of Life
Role of Hospice
Medial Economics
Palliative Care
Chronic Pain
Death and Grieving


I am sure that many of you will have creative ways to develop this experience. As such, I am happy to hear your ideas. I will have the opportunity to discuss this experience with you at the end of the clerkship in our individual meeting.


Learning Objectives


Knowledge

Identify issues pertinent to patients at the end-of-life and recognize how these issues impact their quality of life and family dynamics

Identify/Recognize the core components involved in the psychosocial process of death (Anger, Denial, Bargaining, Grieving, Acceptance)


Patient Care

Develop communication skills that facilitate patient and familiesí understanding of the dying process


Professionalism

Be respectful of essential components inherent to end-of-life care: beneficence and autonomy
 

     

  © Loyola University Chicago Stritch School of Medicine. All rights reserved.
envelope.GIF (72 bytes)
Please send questions or comments to: Matthew Fitz, M.D.
Updated: 11/2/04