Geriatric Fellowship Training Experiences

Training Experiences
The 12-month Clinical Geriatrics Fellowship Program includes diverse training experiences in the clinical, didactic, research, and teaching arenas.  Faculty members supervise and instruct throughout these experiences with the Geriatric Fellowship Training Goals in mind.  There are clinical experiences within our Fellowship Program that may be divided into block rotations or longitudinal experiences. A brief outline of rotations and longitudinal experiences are below.

Core Block Rotations

Acute Care for the Elderly (ACE):  In this rotation, the fellow leads an inpatient interdisciplinary team, house staff, and medical students in the expert care of hospitalized older adults. 

Geriatric Core Rotation (GeriCore):  In this rotation, fellows have dedicated experiences in subacute care, geriatric psychiatry, housecalls, and geriatric ambulatory clinic.

The ACE Unit Transitional Program (ATP): The ATP focuses on how the care in the acute inpatient stay  transitions to care at home, to subacute/acute rehabilitation, or  to hospice care.  Fellows lead students and interns in visiting patients that are discharged in the Winston-Salem area

Other Block Rotations:  Other block rotation experiences include Musculoskeletal and Neurologic Rehabilitation, hospice, and interdisciplinary and professional development electives focused on the individual fellow’s educational needs.

Longitudinal Experiences
Longitudinal experiences throughout the 12-month fellowship include ½ day of Primary Care Clinic per week, ½ day of nursing home and assisted living per week, ongoing Outpatient Geriatric Consultation and Memory Assessment Clinic, housecalls, and outpatient and housecalls in Geriatric Psychiatry.

A comprehensive outline of all available clinical, didactic, research and teaching experiences is as follows:

CLINICAL EXPERIENCE

• Ambulatory Geriatrics
• Primary Care
• Memory Assessment
• Geriatric Consultations
  
• Housecalls
  • Primary Care
  • Acute Care for the Elderly (ACE) Transitional Program
    
• Long Term Care – Brookridge Retirement Community
  • Assisted Living Facility
  • Memory Enhancement Unit
  • Nursing home
    
• Rehabilitation
  • Acute Rehabilitation
  • Subacute Rehabilitation (Brookridge Retirement Community)
    
• Hospital Inpatient Care
  • Acute Care for the Elderly Unit (ACE)
    
• Hospice/Palliative Care
  • Inpatient Palliative Care Consultations
  • Kate B. Reynolds Hospice Home
    
• Geriatric Psychiatry
  • Kate Mills Snider Geriatric Outreach Psychiatry Home Care Program
    
• Interdisciplinary Experiences
  • Audiology
  • Dermatology
  • Gynecology
  • Neurology
  • Ophthalmology
  • Orthopedics
  • Otolaryngology
  • Physical/Occupational/Speech Therapy
  • Plastic Surgery/Wound Care
  • Rheumatology
  • Urology
    
• DIDACTIC EXPERIENCES
• Medical Grand Rounds
• Geriatric Grand Rounds
• Geriatrics Core Curriculum Conference
• Case Conference
• Ethics Conference
• Billing and Coding Conference
• Journal Club
  
• RESEARCH EXPERIENCE, multiple opportunities available through:
• The Claude D. Pepper Older Americans Independence Center (NIA-funded)
• The Department of Public Health Sciences
• The Geriatric Research Center (GRC)
• The Women's Health Center of Excellence
• Memory Assessment Clinic
  
• TEACHING EXPERIENCE, at multiple levels:
• Internal Medicine Residents
• Family Medicine Residents
• Medical Students
• Nurses
• Pharmacy Students
• Social Workers
• Physical/Occupational/Speech/Recreation Therapists
• Nutritionists
• Other Interdisciplinary Team Members
• Administrators
• The Public