Introduction to the Practice of Medicine – I
End of Life Content
- Moral Reasoning Small Group Case of an 83 year old man with longstanding diabetes mellitus and peripheral vascular disease who presents with ischemia and infection of his leg. After informed consent, the patient elects not to undergo a potentially “life-saving” amputation. Discussion points include a patient having a right to refuse treatment and changing goals of care from “cure” to “palliation”.
- Chaplain-Mentor program: Students spend time with two chaplains for two hours each during patient/family care. Death or life-threatening illnesses may be encountered during the experience
Assessment
End of Life Curriculum Goals and Objectives Addressed
Goals and Objectives Addressed within Curriculum
Goal #1 Medical Knowledge
Students must demonstrate knowledge about the medical aspects of death and dying, as well as the skills and attitudes necessary to use this knowledge effectively as a physician.
- death is a natural part of the life cycle
- the concepts and philosophy of palliative care
Goal #3 Professionalism
Students must demonstrate a combination of knowledge, skills, attitudes, and behaviors necessary to function as a member of the health care team caring for the dying.
- reflect on personal and professional experiences around death and loss
Goal #4 Patient Care
Students must use their knowledge, skills, and attitudes to provide patient care at the end of life that is appropriate, effective and sensitive to the psychological, sociologic, cultural and spiritual aspects of death and dying.
- Identify the multiple determinants of suffering: physical, psychological, social, cultural and spiritual
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