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Curriculum
During the Geriatric Medicine Fellowship, longitudinal experience occurs in our teaching nursing homes and Senior Health Outpatient Program, where continuity panels of patients are cared for. Weekly, the fellow spends two half-days in the Outpatient Clinic providing primary care and consultative assessment of seniors. One half-day per week is spent in the fellow's primary discipline.
Block rotations exist in Hospice, Physical Medicine and Rehabilitation, Palliative Care, Subacute Nursing Home Care, Wound Management (to include pressure, vascular and burns), Geropsychiatry, Geriatric Neurology, and PACE (all-inclusive care of the elderly). A unique rotation, "Long Term Care," exposes the fellow to nursing home administration, quality management, and community resources in the continuum of care for the elderly. Elective time also exists in order for the fellow to concentrate in areas of interest. Home care and home visits are also incorporated into the year.
The geriatric didactic sessions include a variety of settings to cover core curricular topics. Grand rounds, seminars, case-based discussion, and evidence-based journal club occur weekly to monthly throughout The MetroHealth System. A mini-course in epidemiology and statistics rounds out the exposure for meaningful interpretation of the literature and a foundation for the development of clinical-based research.
The fellows are also encouraged to become future teachers and leaders in geriatric education. Through the year they are required to provide lectures to family practice and internal medicine residents, give practical in-services to nursing home staff, and serve as the initial preceptor in the outpatient senior health clinic to other junior learners. Presentation at the state and national geriatric level is highly encouraged.
