ࡱ> k 'bjbjZ Z <8cb8cbESv v 8>d-L ",,,-------$/i2<-"<-,,Q- ,,- - r*T+,p9{+-g-0-(+22++2+( <-<- -2v B :  Learning by Living: 48 Hour Hospice Home Immersion Project Introduction: The 91ֱƵ College of Osteopathic Medicine (91ֱƵCOM) Learning by Living 48 Hour Hospice Home Immersion Project (referred to as Hospice Home Immersion Project) was piloted in December, 2014. It was designed and implemented as an Interprofessional experiential medical education learning model by the Director of Geriatrics Education and Research within the Medical Schools Division of Geriatric Medicine. The 48 Hour Hospice Home Immersion Project is based on the long standing and highly successful UNECOM Learning by Living Nursing Home Immersion Project in which medical students and other health professions students are admitted into nursing homes to live the life of an elder nursing home resident for approximately two weeks 24/7 (24 hours a day/7 days a week) complete with medical diagnoses and standard procedures of care. However, medical students immersed in the 48 Hour Hospice Home Immersion Project are active participants in patient, family and post-mortem care during the 48 hours rather than assuming the role of patient or resident. Purpose: The purpose of the Hospice Home Immersion Project is to provide second year medical students (and other health professions students) with firsthand experiences of living in the Hospice of Southern Maine (non-profit) Gosnell Memorial Hospice Home, Scarborough, ME, an 18 bed in-patient acute care environment (also referred to the ICU of hospice) to answer the question: "What is it like for ME to live in the Hospice Home for 48 hours and how does this contribute to my future as a practitioner? Rationale: Until this project, what minimal time was allocated to palliative and end of life care education at U.S. Medical Schools and specifically UNECOM was accomplished through traditional medical education methods. Often times, students learn best through experience and participation. Living in the home provides this experiential component to augment learning. Project Details: Research Design: The Hospice Home Immersion project utilizes qualitative ethnographic and autobiographic research designs, whereby a unique environment or culture (Hospice Home) is observed and experiences of the student before, during, and immediately after the immersion are reported by him/her. Data are in the form of journals; whereby each student writes notes containing both objective and subjective accounts of their processes and these notes are reviewed and responded to by Dr. Gugliucci. Reflection in action (Praxis) is at the foundation of this research. Participants: This program is intended to provide medical and health professions students in training with firsthand experience of living in the Gosnell Memorial Hospice Home to encounter introprofessional end of life and palliative care for patients and family members. Students must be in good academic standing and 21 years of age or older to be eligible. Successful first year medical school completion is required for medical students. Process: Students volunteer to conduct this research and agree to reside in the hospice home for 48 hours 24 hours a day. They complete a registration form that includes their demographic data, an essay on their interest in participating in the project, and their assumptions about end of life and hospice care. The students are oriented by Dr. Gugliucci (Project PI) and, at the time of admission, receive an onsite orientation from the Hospice Home Manager (or designee). As part of ethnographic data collection, students are required to write a journal starting 3 days prior to admission (pre-fieldwork), while living in the home (fieldwork), and for 14 days after discharge (post-fieldwork). The Gosnell Home provides a bed/room, meals, and interactions with interprofessional staff to augment learning (no cost). While the student is living in the home, Dr Gugliucci reviews student notes and maintains contact with each student during his/her stay. Daily review of students field notes is critical to ensure data collection is effective and meets qualitative research standards. It also serves in monitoring each students well being as s/he encounters this culture. At the end of the 48 hours, the students participate in a debriefing session facilitated by Dr. Gugliucci with the Gosnell/Hospice Staff a 1 hour session where students share accounts of their experiences, learning and reflections. At the close of the project (after post-field work) the Hospice Home Manager receives a copy of completed student journals. Dissemination: Students and Dr. Gugliucci review the journals and conduct content analyses for poster and oral presentations, and article publications. Dr. Gugliucci presents an infomercial on the project at each lecture and presentation she gives locally, nationally, and internationally. Two sets of aggregate data analysis* (conducted by medical students who have been awarded 91ֱƵCOM Student Research Fellowships) have been conducted utilizing NVivo Qualitative Software and these project outcomes have been presented nationally and internationally. *Hanlon, S & Packard, B, Data and Thematic Analyses: Significance of Participating in the 48 Hour Hospice Home Immersion Project, Carmen Pettapiece Student Research Fellowship Awards Mentor: Gugliucci, M, 91ֱƵCOM, 2021-22 *Ghandhari, Y, Data and Thematic Analysis: Significance of Third and Fourth Year Osteopathic Medical Students Participating in the 48 Hour Hospice Immersion Project. Research Clerkship, Mentor: Gugliucci, M, 91ֱƵ College of Osteopathic Medicine, 2021-22. The Hospice Immersion Project was recognized with the: Society of Osteopathic Medical Educators (SOME) Innovation in the Development of Enduring Medical Education Materials ~ American Association of Colleges of Osteopathic Medicine. Peer Reviewed award for the 48 Hour Hospice Home Immersion Life Altering Medical Education & Research Project, 2017. It is believed to be the only project of its kind in the US and globally. Selected Citations: Gugliucci, M, Padmanabhan, D, & Silberstein, E (August 2020) 48 Hour Hospice Home Immersion Encourages Medical Students to Broaden Their Views on Dying and Death, Journal of the American Osteopathic Association. Vol. 120, 516-523. doi: HYPERLINK "https://doi.org/10.7556/jaoa.2020.085" https://doi.org/10.7556/jaoa.2020.085 Kodela, J, Gugliucci, M, and Farrell, C (2016) End of Life Care Medical Education: 48 Hour Hospice Home Immersion Alters Students Lives. International Journal of Clinical Medicine, 7, 381-388.  HYPERLINK "http://dx.doi.org/10.4236/ijcm.2016.76041" http://dx.doi.org/10.4236/ijcm.2016.76041 Tobarran N, Byrne T, Gugliucci MR (2016) Accelerated Medical Education: Impact of a 48 Hour Hospice Home Immersion. J Gerontol Geriatr Res 5: 299. doi:10.4172/2167-7182.1000299 Gugliucci, M, Malhotra, H, & Gaul, A, (March 2015) Hospice Home Immersion Project: Advancing Medical Education. International Journal of Clinical Medicine; Special Issue: Hospice and Palliative Care, Vol.6 No.3, 158-169. doi:  HYPERLINK "http://dx.doi.org/10.4236/ijcm.2015.63021" \t "_blank" 10.4236/ijcm.2015.63021 Media Coverage: Maine Sunday Telegram, Portland ME, Reporter: Kelley Bouchard. Article Title: Hospice Project gives students rare insight into the end of life: The 91ֱƵ offers an unusually immersive care experience with patients facing death and dying. March 1, 2015.  HYPERLINK "http://www.pressherald.com/2015/03/01/hospice-project-gives-students-rare-insight-into-the-end-of-life/" http://www.pressherald.com/2015/03/01/hospice-project-gives-students-rare-insight-into-the-end-of-life/     Marilyn R. 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