Rotation Name: FCM 850J: Integrative Model of Care in Family Medicine

Elective Location: Dept. of Family and Community Medicine

Duration: 2 weeks

Course Coordinator: Ava Gutierrez, dalila99@arizona.edu

Faculty: Tamsen Bassford, M.D.

Course Description: Students will be familiar with the foundational skills necessary to care for adult patients with intellectual and developmental disabilities (IDD) in a full range of residential settings. The student should develop knowledge of the physical, emotional, and social needs of adults with IDD through the aging process, and familiarity with family, work, social, and community resources available to support their goals.

Learning Objectives:

1. Become familiar with broad range of neurodevelopmental disorders, including their co-morbidities and functional impairments

2. Become familiar with the medical and behavioral features of common neurodevelopmental disorders

3. Become familiar with key support/service issues and medical terminology relevant to the field of developmental medicine

Patient Care:

Provide compassionate, competent, and comprehensive care to adults with IDD. For two patients, with the support of the health care team:

• Assemble and interpret essential and accurate information relevant to the health and function of the person with IDD

  • Assemble information from multiple sources including the patient, family, caretaker, residential, occupational and educational sources

  • Establish an etiologic diagnosis, referencing relevant information and resources

  • Perform health and function assessments, screening for specific high-risk conditions and co-morbidities

  • Conduct appropriate testing in order to identify common secondary health conditions

• Recommend healthcare services and information aimed at optimizing wellbeing and function of the person with IDD

  • Employ appropriate and individualized health screening and prevention

  • Identify opportunities for functional improvement through appropriate interventions, including assistive technology

  • Assess the impact of cognitive or physical decline on a patient’s independence and circle of support

• Counsel the person with IDD and their support persons in the diagnosis and management of their health conditions

  • Discuss with patients the etiology and progression of disease

  • Communicate a simple care plan to patients across the spectrum of cognitive abilities

  • Appropriately raise and respond to issues concerning sexual and reproductive health, when appropriate

  • Screen for and discuss prevention of sexual, emotional and physical abuse

  • Support condition self-management across the spectrum of cognitive abilities

  • Tailor health promotion and disease prevention education to individual needs of the patient.

• Collaborate with the health care team and within formal and informal support systems, to recommend a plan for person-centered care

  • Utilize a team-based, interdisciplinary approach to ensure efficient, high-quality care

  • Facilitate referrals to educational, vocational and habilitative services

The student will:

1. Complete a written comprehensive evaluation on four clinic patient patients and two home visit patients, and present to Dr. Bassford

2. Attend and participate in all activities

3. Complete a reflective essay by the end of the course

4. Complete the National Curriculum Initiative in Developmental Medicine Knowledge and Attitude Surveys at the beginning and at the end of the course.

Eligibility: Students from other U.S. LCME accredited medical schools and U.S. COCA osteopathic medical schools who are in their final year