1997 OPEN FORUM Abstracts
Disease Management Curricula
Joseph L. Rau, Tuesday, December 9, 1997.
Disease management is a complex topic with many factors. Considered from a temporal point of view, disease management includes disease prevention, acute management and follow-up or rehabilitation. Considered from a cross-sectional point of view, disease management includes etiological factors, pathology, epidemiology, prognosis and treatment. This topic is a prime example of curricular area requiring critical thinking and problem solving skills. Helping students to learn disease management skills involves a number of resources: experienced faculty able to communicate well, an involved medical director, adequate textbooks, courses, and clinical experience, and use of multimedia materials now available. Teaching disease management occurs throughout the curriculum, rather than at one point in the educational process. Some of the key factors in teaching disease management in the Georgia State University curriculum are: a pulmonary disease course, a patient assessment course, a rehabilitation and home care course, and a patient care management course. The last course occurs in the final quarter of the Senior year. Clinical rotations throughout the program provide the opportunity for experience with disease states, both pediatric and adult. All students present a case study at the end of each clinical rotation, evaluated by the clinical instructor and open to practitioners. A weekly clinical seminar (one hour) is designed for one student case presentation per session, with question and answer by faculty and fellow students. The format for this presentation is a brief review of the disease state, with an actual case study from the student's clinical rotation. Involvement by the medical director in the clinical seminar provides physician-student interaction, and invaluable physician guidance. Evaluation of disease management ability and knowledge occurs through written examinations, faculty ratings of the oral case study presentations in seminar, evaluation of the written case, and monitoring of NBRC performance, especially on the Clinical Simulation Exam.
AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.