Home Visits

  • Rotation length: 1 month + longitudinal
  • Location: various adult family homes, assisted living facilities, and patient homes
  • Supervising Faculty: Rubenstein and Kristin Anderson, M.D.
  • Evaluation: written competency-based evaluation.

Practical Details:

  Monday Tuesday Wednesday Thursday Friday
AM

Home Visits

      

Home Visits
PM          

 

Rotation Goals and Objectives:

Patient Care

  • Provide continuity care to a panel of frail, home-bound elderly.
  • Manage acute and chronic conditions in private homes, assisted living facilities, and adult family homes.

Medical knowledge

  • Improve history and physical exam skills in a setting where diagnostic testing is not readily available.
  • Recognize when patient condition should prompt transport to a higher-acuity setting.

Practice-based learning and improvement

  • Learn appropriate documentation and billing practices for home-based care.

Interpersonal and communication skills

  • Develop effective communication systems with caregivers, nurses, and family members for home-bound patients.
  • Communicate sensitively with patients and family members regarding advanced directives and goals of care.

Systems-based practice

  • Recognize the potential for home-based practice within the larger health-care system.