University of Cincinnati College of Medicine
This small group exercise, Functional Assessment, is designed for medical students during their clinical training and is taught in a four-hour session during their family medicine clerkship. Using standardized patients, 12 to 14 students rotate each month, with all 160 students completing the rotation over the academic year. One geriatrician observes 2 students assessing one standardized patient via video-cam, and after the assessment, the students assemble to develop a care plan guided by a geriatrician. For the purposes of validating the information gleaned in the initial assessment, this exercise is followed by a demonstration interview with the patient and her daughter (who provides conflicting information) and, finally the daughter alone. This exercise is completed with a care plan based on the information gathered from the daughter, and then the students are introduced to physical and occupational therapy.
1. Describe the standard tools used in a comprehensive functional assessment. 2. Observe and use the standard tools while engaging in a functional assessment of a standardized patient. Learners should be able to: 1. Understand the importance of validating information gathered during the functional assessment with significant people who are involved in the older patient's life. 2. Outline ways in which a functional assessment can be condensed and incorporated in the clinic or office setting. 3. Describe and demonstrate the roles of the occupational and physical therapist in the care of the older patient who is experiencing physical and/or cognitive deficits. And, as a corollary know how to prescribe a consultation and/or assistive devices. 4. Define functional assessment and its influence on determining the prognosis, care planning and level of care of the older declining patient. 5. Identify the aspects of the traditional medical history that are essential components of the functional assessment.
160 Third-Year Undergrads per year for 2 years in a Medical School Class. Requires trained simulated patients and one daughter. Facilitator must be familiar with Geriatric Assessment models and methods to shorten the lengthy comprehensive assessment to match office schedules. PT and OT personnel to elaborate on their roles in assisting the elderly individual with approaches and appropriate aids.