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1Gerson Institute Proprietary and Confidential
Module II Overview: Gerson Practitioner Internship and
Residency Program
Dr. Miven Donato, DC, DPT, MT, GPC
Certified Gerson Practitioner
Clinical Instructor
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What is Telehealth?
• Definition:
“Telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration”
www.hrsa.gov/telehealth/
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Module II
• Distance-based learning format
• Online video conferencing
• Interactive screen sharing
• Live interactive instruction
• Live private feedback
• Live online tools
• Requires high speed internet access
• Requires computer with web cam, microphone and speakers
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Selection of Candidates
• Module I participants will complete a screening form for candidate selection by the Gerson Institute
• Candidate will be notified by the Gerson Institute when accepted in the Module II program
• Accepted candidates will send to the Gerson Institute their professional bio or CV (curriculum vitae)
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Intern/Resident Waiver
• Module II intern/resident will sign a waiver to release the Gerson Institute and Dr. Donato from any legal responsibility or legal claims that might arise
• Intern/Resident will maintain a valid malpractice insurance for alternative therapy in his or her local area
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Outline of Module II: 18-24 Months
• Phase 1: Telehealth Technology
• Phase 2: Internship & Residency
• Phase 3: Certification
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Practitioner Abbreviations
• GPC-CI: Certified Gerson Practitioner, Clinical Instructor
• GPI: Gerson Practitioner Intern
• GPR: Gerson Practitioner Resident
• GPCA: Gerson Practitioner Certificate Applicant
• Example of professional designation: Dr. John Doe, MD, GPR
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Clinical Competency Skills
• Broad Categories
• Patient Screening & Eligibility
• Patient Pre-Approval
• Organization
• Knowledge Base
• Clinical Management
• Case Presentation Flow
• Clinical Outcomes Reporting
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Clinical Competency Skills
• Patient Screening
• Eligibility form, Labs, Pathology or Biopsy report, Imaging
• Pre-consult interview - discussion of fee schedule, patient care/management expectations, direct communication methods
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Clinical Competency Skills
• Patient Pre-Approval (approved pt)
• Full Medical History Form
• Baseline lab order (unless current or met)
• Imaging order (unless current)
• Patient appointment
• Informed consent form signed by patient
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Clinical Competency Skills
• Organization
• Utilization of web tools, software, computer
• Documentation
• Patient application
• Patient summary report
• Initial Consult Report
• F/U Patient Information Form
• F/U Patient Report Card
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Clinical Competency Skills
• Documentation Cont’d
• Lab Analysis/Interpretation with imaging correlation
• Protocol Design/Adjustment
• Case Presentation/Report
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Clinical Competency Skills
• Knowledge Base
• Scientific Literature (or Gerson Archive) Review
• Clinical Reasoning/Judgment/Prognosis
• Peer-to-peer consult or group monthly meeting (video conference meeting)
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Clinical Competency Skills
• Knowledge Base Cont’d
• Clinical Reasoning/Judgment/Prognosis Cont’d
• Patient summary presentation
• Discussion of prognosis (9-12 month window)
• Ethical Reasoning
• Forming a clinical strategy and discussion with patient
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Clinical Competency Skills
• Knowledge Base Cont’d
• Clinical Reasoning/Judgment/Prognosis Cont’d
• Protocol Design/Plan of Care
• Concurrent care - teamwork approach
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Clinical Competency Skills
• Knowledge Base Cont’d
• Gerson Supplements & Adjuvants
• Gerson Resource - GI, HST, Coaching, Archives, Online Store
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Clinical Competency Skills
• Clinical Management
• Patient summary (include constitutional signs)
• Lab Analysis/Interpretation and Imaging Correlation
• Prognosis
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Clinical Competency Skills
• Clinical Management Cont’d
• Protocol Design and Rationale
• How to use your medical knowledge and what you learned in Gerson to create a protocol to think through and present a rationale and treatment plan
• Specific protocol, monitor, adjust
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Clinical Competency Skills
• Clinical Management Cont’d
• Utilization of supplements & Adjuvants
• Outcomes
• Bedside manner
• Patient feedback
• Healing rxn
• Toxic rxn
• HST service (sent on assignment)
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Clinical Competency Skills
• Clinical Management Cont’d
• Concurrent referrals or co-Rx
• Coordinating multi-disciplinary care
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Clinical Competency Skills
• Case Presentation Flow (Clinical Rounds)
• Disease summary (1-2 page)
• Patient summary (1-2 page)
• Lab Analysis/Interp (comparison)
• Imaging Correlation
• Initial or F/U Report, POC, Outcomes
• Prognosis
• Protocol Design/Adjust, Supple/Adjuv
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Clinical Competency Skills
• Clinical Outcomes Reporting
• Case presentation - PPT Presentation on live videoconference or onsite
• Case Report Submission (future)
• Gerson Newsletter (future)
• Gerson Therapy Journal (future)
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Phase 1: Outline - Telehealth Technology
• Session 1: V. Conference Software (1.5 hr)
• Session 2: Web Document Software (1.5 hr)
• Session 3: Managing Documents (1.5 hr)
• Session 4: Business Management (1.5 hr)
• Clinical Track 1: Lab Analysis/Interp (2 hrs)
• Clinical Track 2: Jurisprudence (2 hrs)
• Clinical Track 3: Ozone Therapy (2 hrs)
• Clinical Track 4: Gerson Toolbox (2 hrs)
• Clinical Track 5: Identity Crisis (2 hrs)
• Total Phase 1 Hours = 16 hrs
• Note: Does not include optional tutorial hrs
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Phase 2: Outline - Internship
• Session 1-3: Shadowing CI (6 hrs)
• Patient Assignment (30 min)
• Session 4: Intern Case Presentation (2 hrs)
• Session 5: Intern Case Presentation (2 hrs)
• Session 6: Intern Case Presentation (2 hrs)
• Session 7: Intern Case Presentation (2 hrs)
• Total Hours above = 14.5 hrs
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Phase 2: Outline - Residency
• Clinical Competency 1 (2 hrs)
• Clinical Designation Change to GPR
• Sessions 8-11: Resident Case Presentation (2 hrs)
• Total Hours above = 10 hrs
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Phase 2
• Clinical Competency 2 (2 hrs)
• Session 12: Resident Case Presentation (2 hrs)
• Session 13: Resident Case Presentation (2 hrs)
• Total Hours above = 6 hrs
• Total Phase 2 Hours = 30.5
• Total Phase 1 and 2 Hours = 46.5 hrs
• Note: Does not include optional tutorial hrs
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Phase 3: Outline - Certification
• Pre-Certification Completion
• Clinical Designation Change to GPCA
• Certification Examination (2 hrs)
• Total Estimated Education Hrs = 44.5+2 (Certification Exam) = 46.5 Hrs
• Graduation Ceremony
• Induction to Certified Practitioner Listing in Gerson website
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Phase 1
• Intro to Telehealth: 1x/wk x 4 wks (1.5 hour class)
• Session 1: Zoom, Go To Meeting, Skype
• Session 2: Documentation with Office 365, OneDrive, GP Templates
• Session 3: Creating documents, signing documents, uploading/downloading to cloud storage, sending share links
• Session 4: Business Management
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Phase 1
• Clinical Track 1: Week 5
• Advanced Lab Analysis & Interpretation (2 hour class)
• Disease Behavior
• Pattern Recognition
• Patient Symptom Correlation
• Imaging Correlation
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Phase 1
• Clinical Track 2: Week 6
• Jurisprudence (2 hour class)
• Legal Issues
• Practice Safety
• Malpractice Insurance
• International
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Phase 1
• Clinical Track 3: Week 7
• Ozone Therapy (2 hour class)
• Scientific Literature Review
• Indications
• Contraindications
• Specific protocols
• Patient instruction
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Phase 1
• Clinical Track 4: Week 8
• Gerson ToolBox (2 hour class)
• Folders
• Forms
• Vendors
• References
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Phase 2
• (13) 2-hr Clinical Rounds: Groups of 5 GPI
• 1 every month for 1st 4 sessions
• 1 every 2 months for sessions 5-8
• Internship Clinical Designation: GPI (6-12 Months)
• GPI fee schedule
• Session 1-3
• Shadowing CI
• Group Discussion/Critique
• Optional Tutorial with CI (one-on-one)
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Phase 2
• Patient Assignment
• A patient is assigned to each GPI by the CI
• GPI may request permission from CI to recruit a local patient
• Will attempt to match GPI with patient’s time zone
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Phase 2
• Sessions 4-8 (5-8 is every 2 months)
• Case Presentation by GP Interns
• 30 minutes allowed per intern
• Group Discussion/Critique
• Optional Tutorial with CI (one-on-one)
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Phase 2
• Clinical Competency Practical 1
• One-on-one with CI (2 Hrs)
• Recorded session
• Live Patient Initial Consult
• Immediate feedback from CI in private chat
• Graded by CI
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Phase 2
• Clinical Designation Change to GPR
• After Competency Practical 1
• GPR and CI confidence level increased
• GPR will be assigned more cases
• GPR can accept more local cases
• GPR fee schedule
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Phase 2
• Sessions 9-11 (once every 2 months)
• Case Presentation by GP Residents
• 30 minutes allowed per intern
• Group Discussion/Critique
• Optional Tutorial with CI (one-on-one)
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Phase 2
• Clinical Competency Practical 2
• One-on-one with CI Recorded session (2 Hrs)
• Live Patient Follow Up Consult
• Immediate feedback from CI in private chat
• Graded by CI
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Phase 2
• Sessions 12-13 (once every 3 months) Case Presentation by GP Residents
• 30 minutes allowed per intern
• Group Discussion/Critique
• Optional Tutorial with CI (one-on-one)
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Phase 3
• Pre-Certification Completion of Residency Program
• Checkout: must have met all necessary clinical competency checklist and voted with high confidence by Residency Faculty
• Clinical Designation Change to GPCA
• If incomplete at 24 months, can continue matriculation and join new group of residents with ala carte fees
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Phase 3
• Gerson Practitioner Certificate Applicant (GPCA)
• Completed pre-requisite to take the Certification Exam
• Gerson Institute may begin referring patients to GPCAs but their contact info is still unlisted in the Gerson website
• May have completed residency in less than 2 yrs but in-transit to take the Certification Exam
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Phase 3
• Onsite Certification (Gerson Institute)
• Day 1 (AM)
• Certification Examination (2 hrs)
• Cancer Case Presentation (60 min)
• Critique by Examining Committee
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Phase 3
• Onsite Certification
• Day 1 (PM)
• GPCA Financial Clearance
• Participant program TBA
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Phase 3
• Onsite Certification
• Day 2 (AM)
• Graduation Ceremony
• Presentation of Certificate
• Day 2 (PM)
• Graduation Celebration
• Gerson Institute Tours
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Certification Exceptions
• Possible exceptions: GPCA may elect to take the certification examination via video conferencing if unable to travel
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Gerson Therapy Clinical Journal
• Publication (future)
• Peer-reviewed
• Scholarly articles
• Research studies
• Case reports
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Tuition & Fees
• Fees are in USD currency
• Payable to the Gerson Institute: Attn 2017 Module 2
• Quarterly payments - Arranged by GI
• Tutorial Fees are paid directly to the CI (Dr. Donato)
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Tuition & Fees
• Matriculation Fee: $550
• Non-refundable
• Administrative Fee: $450
• Non-refundable
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Tuition & Fees
• Telehealth Classes (4)
• $150 x 4 = $600
• Clinical Tracks (4)
• $200 x 4 = $800
• Clinical Rounds (13)
• $260 x 13 = $3380
• Clinical Competency Practicals (2)
• $550 x 2 = $1100
• Certification Examination: $1050
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Tuition & Fees
• Tutorial Fee (payable directly to CI)
• $50 (1 hr) - if 4 or greater participants
• $100 (30-45 min) - one on one
• Annual Certification/License Fee (payable to the Gerson Institute)
• $500/yr
• First year waived
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Tuition & Fees
• Total Cost for Module 2
• Matriculation $550
• Administrative $450
• Telehealth $600 (4 x $150)
• Clinical Tracks $800 (4 x $200)
• Clinical Rounds $3380 (13 x $260)
• Clinical Competency $1100 (2 x $550)
• Certification Exam $1050
• Total = $7930
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Tuition & Fees
• Initial Payment
• Matriculation $550
• Administrative $450
• Telehealth $600 (4 x $150)
• Clinical Tracks $800 (4 x $200)
• Total = $2400 (this is the initial payment to sign on and get started)
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Tuition & Fees
• Quarterly payments of $422.50 when Clinical Rounds begin for a total of 13 Clinical Rounds totaling $3380
• Payment of $550 for each of the 2 Clinical Competency Practical is made at that time for a total of $1100
• Final payment will be the Certification Exam Fee $1050
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Intern: Patient Fee Schedule
• Intern/Resident Fees (suggested)
• Patient to pay Intern
• Initial Consult $220 USD (90 min)
• Follow up $120 USD (30-45 min)
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Resident: Patient Fee Schedule
• Intern/Resident Fees (suggested)
• Patient to pay Intern/Resident directly
• Initial Consult $295 USD (90 min)
• Follow up $150 USD (30-45 min)
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Online Service Costs
• MS Office 365 = $8/month
• Virtual Terminal Payment Service = Leaders Merchant (no fee) - US Based only
• Zoom Cloud Meeting = $10/month
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Online Service Costs
• Appointment-Plus Online Scheduling Software = $49/month or $499/yr (OPTIONAL)
• Document Templates from Gerson Institute (included in Tuition)
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Office Equipment Costs
• Desktop or Laptop Computer: $1600
• Credit Card Processor: Monthly Service
• Filing System: Filing Cabinets
• Documentation System: Personal Choice
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Office Equipment Costs
• Web Cam (if desktop does not have) $40
• Headset microphone/speaker $50
• Smart Tablet $500
• Smart Phone (most of you have already)
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Than you!
• If you have questions please direct them to Amanda Onken at aonken@gerson.org
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