Landon Center on Aging Geriatric Medicine Clinics
Geriatrics Interprofessional Teaching Clinic (GITC)
Welcome to the GITC!
Please review this document and email the GITC preceptor if you have any questions.
The GITC is an unique interprofessional clinic in which you will be introduced to interprofessional team care of older adults. The clinic involves students from the Schools of Medicine, Pharmacy, Social Welfare, and Health Professions (Physical Therapy, Occupational Therapy, and Dietetics and Nutrition) along with their corresponding faculty members.
The GITC consists of the clinical experience and two associated educational experiences in which the students from each profession participate in:
· The GITC clinic: Held on Wednesday afternoons at the Landon Center on Aging Geriatric Medicine Clinic. Students care for complex, older adult patients as an interprofessional team and are supervised by interprofessional faculty members. In this interprofessional practice model, the students build upon their own professional training to work and learn together to provide excellent care to older adults as a team. In particular, the students gain an understanding of the roles of other health professions and how they can work collaboratively to optimize patient care. The faculty are the following:
o School of Medicine:
o School of Pharmacy:
o Physical Therapy:
o School of Social Welfare:
o Occupational Therapy:
o Dietetics and Nutrition:
· Interprofessional Skills Fair Sessions: These sessions complement the GITC clinical experience, as well as the other clerkship interprofessional clinical experiences. They are attended by all the clerkship students, regardless of whether they have the GITC or KCVA Assessment Clinic interprofessional clinical experience.
The sessions are held on one Thursday afternoon during the scheduled clerkship didactic sessions in the Landon Center on Aging Classroom. The sessions focus on the interprofessional approach to a geriatric case, including the sharing of tools that each profession utilizes, as well as provide time for the group of interprofessional students to network and reflect on interprofessional team care of older adults.
· Written reflections: On Friday of weeks 1 and 4, students are emailed a pre and post survey, asking them to reflect on their interprofessional clinical experiences over the past week and how those experiences impacted you. These reflections help the learners capture the thoughts, feelings, and challenges associated with interprofessional practice.
Faculty Expectations for the Students in the GITC clinic
The most important expectation is to have you work collaboratively with your fellow interprofessional learners. The idea is to learn together to work together.
Preparation for Clinic
· Prior to coming to the GITC, please review the patient schedule for the session since you need to be prepared to see any of them during the session. Think about which other professions would be helpful in the evaluation of each patient.
· Please arrive to the Geriatric Medicine clinic on the first floor of the Landon Center on Aging, by 12:30 PM to begin reviewing the patients’ charts with the team. You should have already reviewed each of the patient charts prior to coming to your GITC session. Currently, only the pharmacy learners that participate in the GITC have access to the O2 system. Therefore, you will be asked to describe to your team of interprofessional learners what you have learned about the patient’s chart and help guide them through the patient’s electronic chart.
· Place your belongings in the clinic workroom in the back. Since space will be at a premium, please don’t bring anything you do not need for the clinic.
· There is a white board with patient names listed on it. Each student will sign up to see 1-2 patients.
o Learners from the other professions will also sign up to see these patients. Learner sign-ups should be based on the needs of the patients for that encounter.
o There will be no more than 3 learners in the room with for each patient encounter. One of the learners in the room needs to be a medical student, with the other learners chosen based on the patient’s need for that encounter.
o Prior to interviewing your patient visit, perform a 5-10 minute “pre huddle” with the team that has signed up to see your patient. Since most of the other learners do not have access to 02, you will need to provide them with a quick summary of the patient and help them navigate the chart for other information that will be needed to evaluate the patient. During your “pre huddle”, be specific as to who will do what part of the history and exam.
Patient Care
o Be professional and courteous of your fellow learners, your patient and their family members.
o You will have 30 minutes to see the patient including, obtaining the history and review of systems, as well as performing a goal-directed physical exam. Please structure your interview so that the ideas and goals of the team are integrated together. There are blue clipboards with a digital clock on it to help you keep track of time.
§ At 30 minutes, you will hear a knock on the door. This signifies that you need to wrap up and move onto the “post huddle”. Please finish what you’re doing and exit the room. If you haven’t begun the physical exam by the time of the knock, go ahead and leave the room. The physical exam will then be done with the faculty after your presentation to them.
§ For your review of systems, most of it should be gained from your history. So, you may not need to go through each system during that part of the interview. That can be a big time-saver!
§ If you feel like you need orthostatic blood pressures or a Urinalysis, go ahead and let the nurse know so that they can get started. You don't have to wait for the official order from us. This will also save time.
o After coming out of the room, “post huddle” with your team for a few minutes and decide how you are going to share the patient presentation with your preceptor team.
o After discussion with the preceptor team, the medicine preceptor and the learner team will enter the room together, summarize the plan, answer any questions, and end the visit.
o Total time per patient should take no more than 1 hour.
o If you are involved in the discussion of a patient case, even if you did not see the patient yourself, you are allowed to log this patient on your patient case log.
Interprofessional Practice is the future of medicine. We look forward to working and learning with you!
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