MY GIFT BACK

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MY GIFT BACK. Richard Dunne SUNY Downstate College of Medicine MS2. Clinical Mentors. Dr. Judith Ahronheim Chief of Geriatric Medicine Dr. Marcia Gerber Associate Professor of Medicine SUNY Downstate Medical Center Brooklyn, New York. Current End of Life Education. MS1
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MY GIFT BACKRichard DunneSUNY Downstate College of MedicineMS2Clinical Mentors
  • Dr. Judith Ahronheim
  • Chief of Geriatric Medicine
  • Dr. Marcia Gerber
  • Associate Professor of MedicineSUNY Downstate Medical CenterBrooklyn, New YorkCurrent End of Life Education
  • MS1
  • Ethics of Clinical Medicine 1Fall Semester- 2 LecturesEthics- Dealt with end of life issuesComplementary and Alternative Medicine- not focused on end of life care, but talked about comfort care: acupuncture, yoga, aromatherapyCurrent End of Life Education
  • MS1 (cont.)
  • Spring Semester- Three lecturesMedical care of the frail elderlyLegal and ethical issues of DeathDeath and dying panelSmall Group DiscussionCurrent End of Life Education
  • MS2- It doesn’t get any better
  • Ethics of Clinical Medicine 2- Three LecturesEthicsCommunicating Bad NewsComplementary and Alternative MedicineCurrent End of Life Education
  • MS3
  • No specific curriculum for end of life care or palliative medicineCurrent End of Life Education
  • MS4
  • Palliative Care Elective- Four week rotation-Weekly lectures and meetings-Rounds at Downstate, VA Hospital in Brooklyn, and Calvary Hospital, the only fully accredited acute care hospital specializing in palliative medicine for cancer patients in the U.S.The Wheels Are in Motion…
  • SUNY Downstate Medical Center is in the process of creating a palliative care consult team.
  • Dr. Ahronheim(my mentor) has been trying to get an elective or summer program started before I contacted her.
  • A class wide email I sent out yielded over 20 responses from people interested in a hands-on experience in end of life and palliative care.
  • The Wheels Are in Motion…
  • The student curriculum committee as well as some faculty have been notified that most students feel that more time must be devoted to end of life issues.
  • Also, I have kept a daily journal that I plan on sharing with peers and faculty when I return to New York.
  • The Game Plan
  • Fall MS2 elective/Spring MS1 elective
  • -6 week elective-One meeting per week for 3 hours-5 to 6 students
  • Goals:
  • Gain clinical knowledge and experience in the many different aspects of End of Life and Palliative Medicine
  • The Game Plan
  • Goals (cont.)
  • -Practice Communication Skills-Students will be asked to complete a journal and participate in a writing workshop about their experiences with death to help reflect on the rotation.The Game Plan
  • Week 1
  • -Of Course, Food provided-3 Lectures:Intro to End of Life and Palliative Care, End of Life Ethical and Legal Issues: case studiesLecture on Pain Management and/or Communicating Bad News and BereavementThe Game Plan
  • Weeks 2 through 6
  • -Experiential Site Visits in different aspects of end of life careSites: 1. Palliative Rounds at SUNY Downstate Medical Center with Dr. Porosnicu, HospitalistThe Game Plan
  • Sites (cont.)
  • 2. Meeting with Ethics Consult Team at SUNY Downstate Medical Center 3. Rounds with Drs. Beal and Lours, VA NY Harbor Healthcare System, Brooklyn Campus 4. Rounds at Calvary Hospital, Brooklyn 5. Visits with VNS Hospice DocThe Game Plan
  • Wrap-up session
  • -Pick one journal entry to share with group-Reflecting on Experiences with Death Writing Project -Watch To Live Until I Die-Dinner and Popcorn providedIn Conclusion
  • End of life care is one of the most important aspects of medicine, and yet Downstate as well as many other Medical Schools do not devote enough time and effort to thoroughly cover the subject.
  • My Project should give the students what they want: Hands on Experience with Caring for the Terminally Ill
  • Special Thanks to..
  • My mentors Dr. Judith Ahronheim and Dr. Marcia Gerber
  • Students at SUNY Downstate for their input
  • AMSA and Angelia Bowman
  • Dr. Marschke, Brittany Bettendorf and all of Horizon Hospice
  • Karen Bauer for putting up with me every day
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