End of Life Curriculum at MSU-CHM

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End of Life Curriculum at MSU-CHM

• Lisa McElroy

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Current EOL Curriculum

• Longitudinal
• Extending over all four years
• Integrated
• Experiences are woven throughout the curriculum
  across disciplines and content areas
• Developmental
• Subjects introduced as appropriate to students
  level of education

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Block I

• Current components
• Gross anatomy-Laboratory orientation
• IPPR-Communication about advance directives
• Creative projects
• Human development-Child development
• Aging
• Death and dying
• Basic sciences-Intro to pain, pathophysiology
• ICC-Case presentations on pain

4
Block I continued

• Components to be added
• IPPR-Expand advance directive component
• Definitions, distinctions between different
  types
• Mentor Group-Conversations about death
• Picturing Death exercise
• Creative Writing exercise
• ICC-Add case presentation on terminal illness
• Include palliative care consult

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Block II

• Current components
• SCCD-End of life and palliative care ethical
  issues
• Clinical Skills-Advanced communication skills
• Advanced pain management
• PBLs
• NMS-Advanced pain management
• Others-Pathogenesis and management of
  clinical problems

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Block II contd

• Components to be added
• Clinical Skills-Communicating bad news interview
• Mentor Group-View Wit
• Complete 5 wishes
• PBLs-Add cases that address symptom management
  at the EOL, specific to each system

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Block III-clinical years

• Current Components
• Core competencies-Pain management
• Grief and bereavement/dealing
  with death
• Family Practice rotation-Hospice module
• team meeting attendance
• home visit with nurse
• PBL sessions

8
Block III continued

• Components to be added
• Core competencies-Separating dealing with death
  from grief and bereavement
• Grief and bereavement-
• Differentiating grief from depression
• Dealing with death-
• On-line survey following first patient
  death
• Results reviewed by faculty
• Follow-up sessions PRN

9
Block III continued

• Sample Survey Questions
• Describe your feelings regarding the death of
  this patient
• Have you discussed your feelings with anyone?
• Describe your patients quality of death
• Is there anything you could have done to improve
  your patients quality of death?
• Was hospice recommended to your patient and/or
  the family prior to his/her death?