Long-Term Care
- Rotation length: 12 months (longitudinal)
- Location: Caroline Kline Galland Home
- Supervising Faculty: Rubenstein, Ainsworth, Babineau
- Evaluation: direct observation, chart review, written competency-based
evaluation.
- Fellows spend one half-day per week at Kline Galland, and one half-day
per week at WCC.
- Attending supervision is provided by our geriatrics faculty.
Practical Details:
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Kline Galland |
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Kline Galland |
Rotation Goals and Objectives:
Patient Care
- Provide longitudinal care to a panel of frail, institutionalized elderly
with a wide range of medical and social issues.
Medical Knowledge
- Develop expertise in the common medical conditions of the long term care
setting, including infections, dementia and behavioral disturbances, pressure
ulcers, falls, polypharmacy, and pain management.
- Recognize acuity in the LTC patient; know when and how to recommend hospitalization.
- Become expert in palliation and in providing comfort care, including care
at the end of life.
Practice Based Learning and Improvement
- Provide supervision and teaching to resident physicians in the care of
nursing home patients.
Interpersonal and Communication Skills
- Communicate sensitively and accurately with patients and families regarding
prognosis and appropriateness of aggressive medical care.
- Gain expertise in running family meetings
- Respond appropriately to the concerns of nursing staff.
Professionalism
- Interact closely and professionally with nursing home staff to provide
excellent multi-disciplinary care.
Systems-Based Practice
- Understand available practice models for the provision of long-term care.
- Supervise mid-level providers, and educate them in the practice of long
term care.
