Home Visits

• Rotation length: 1 month + longitudinal
• Location: various adult family homes, assisted living facilities, and patient homes
• Supervising Faculty: Rubenstein and Kristin Anderson, M.D.
• Evaluation: written competency-based evaluation.

Practical Details:

	Monday	Tuesday	Wednesday	Thursday	Friday
AM	Home Visits				Home Visits
PM

Rotation Goals and Objectives:

Patient Care

• Provide continuity care to a panel of frail, home-bound elderly.
• Manage acute and chronic conditions in private homes, assisted living facilities, and adult family homes.

Medical knowledge

• Improve history and physical exam skills in a setting where diagnostic testing is not readily available.
• Recognize when patient condition should prompt transport to a higher-acuity setting.

Practice-based learning and improvement

Learn appropriate documentation and billing practices for home-based care.

Interpersonal and communication skills

Develop effective communication systems with caregivers, nurses, and family members for home-bound patients.

Communicate sensitively with patients and family members regarding advanced directives and goals of care.

Systems-based practice

Recognize the potential for home-based practice within the larger health-care system.