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Challenging Patient Curriculum Guide:
Workshop and Case Materials

Residency Training Program
Department of Family Medicine
University of Virginia School of Medicine

The purpose of the attached curricula and associated assessments is to better prepare family medicine residents to meet the needs of elderly patients with multiple chronic illnesses, refugees and immigrants, and patients with chronic pain. These groups of patients comprise a growing proportion of the U.S. population and require a disproportionate share of healthcare resources. These patient populations were also specifically identified as “challenging” by residents in our program and they may be challenging to residents in other family medicine training programs as well. As a result, it is our desire to share these materials with other programs in the hopes that they might find them useful. All of the enclosed materials were developed through a Residency Training Grant from the Health and Human Services, Health Resources and Services Administration (Grant No: D58HP10323)

Curriculum modules and assessment materials for each patient population (elderly with multiple chronic illnesses, refugees and immigrants, patients with chronic pain) have been developed for residents in each of the three post-graduate years of training. These modules also reflect increasing complexity across the three years in order to parallel the developing skills of residents as they move through their training program. Curricula are structured through proposed 2-hour workshop formats. Assessments are structured via the use of standardized patients.

Curriculum and assessment modules for each patient population (by post graduate year) include the following:

  1. A step-by-step guide for instructors to enable them to teach the relevant workshop
  2. All associated handouts, references for reading material, and teaching materials associated with the workshop
  3. All needed case materials to implement the associated standardized patient case, including:
    1. Standardized patient training materials
    2. Case materials for the actual assessment
    3. Associated post-encounter checklist

 

Case Writers:

John Gazewood, M.D., M.S.P.H.
Karen Maughan, M.D.
Fern Hauck, M.D., M.S.
Catherine Casey, M.D.
Robin Hamill-Ruth, M.D.

Additional Contributors:

Anne Chapin, M.Ed.
Lisa K. Rollins, Ph.D.

We also would like to acknowledge the efforts of Carmen Villageliu in creating this website.

 

These materials were developed through a Residency Training in Primary Care Grant funded by the Department of Health and Human Services, Health Resources and Services Administration (Grant No: D58HP10323)

  1. #1 by Katherine Benson on February 7, 2018 - 8:31 pm

    Scenerios on young woman express depression

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