Discipline of Geriatric Medicine

The Discipline of Geriatric Medicine

The Training Program will provide opportunities for the Fellow to develop Clinical Competence in the overall field of Geriatric Medicine.

  1. Current Scientific Knowledge of aging and longevity, including theories of aging, the physiology and the natural history of aging, pathologic changes with aging, epidemiology of aging populations, and diseases of the aged.
  2. Aspects of Preventive Medicine, including nutrition, oral health, exercise, screenings, immunization and chemoprophylaxis against disease.  Instruction about and experience with community resources dedicated to these activities should be included.
  3. Geriatric Assessment, including Medical, Affective, Cognitive, Functional status, Social support, economic and environmental aspects related to health; Activities of daily living: ADL; The Instrumental activities of daily living: IADL; The appropriate use of the History; Physical and Mental Examination; and laboratory results.
  4. Appropriate Interdisciplinary coordination of the actions of multiple Health Professionals, including Physicians, Nurses, Social Workers, Dieticians, and Rehabilitation experts in the assessment and implementation of treatment.
  5. Topics of special interest to Geriatric Medicine including, but not limited to cognitive impairment, depression and related disorders, falls, incontinence, osteoporosis, fractures, sensory impairment, pressure ulcers, sleep disorders, pain, senior (elder) abuse, malnutrition, and functional impairment.
  6. Diseases that are especially prominent in the elderly or that have different characteristics in the elderly, including neoplasms, cardiovascular, neurologic, musculoskeletal, metabolic, and infectious disorders.
  7. Pharmacologic problems associated with aging, including changes in pharmacokinetics and pharmacodynamics, drug interactions, overmedication, appropriate prescribing and adherence.
  8. Psychosocial aspects of aging, including interpersonal and family relationships, living situations, adjustment disorders, depression, bereavement and anxiety.
  9. The economic aspects of supporting services, including Title III of the Older Americans Act, Medicare, Medicaid, capitation and cost containment.
  10. Ethical and legal issues especially pertinent to Geriatric Medicine, including limitation of treatment, competency, guardianship, right to refuse treatment, advance directives, wills, and durable power of attorney for medical affairs.
  11. General principals of Geriatric Rehabilitation, including those applicable to patients with Orthopedic, Rheumatologic, Cardiac and Neurologic impairments.  These principles should include those related to the use of Physical Medicine, Modalities, Exercise, Functional activities, assistive devices, environmental modification, patient and family education and psychosocial and recreational counseling.
  12. Management of Patients in Long-Term Care Settings, including Palliative Care.  Knowledge of the administration, regulation, and financing of Long-Term Institutions and the continuum from Short to Long-Term Care.
  13. Research Methodologies related to Geriatric Medicine, including clinical epidemiology, decision analysis and critical literature review.
  14. Perioperative assessment and involvement in management.
  15. Iatrogenic disorders and their prevention.
  16. Communication skills with patients, families, professional colleagues and community groups, including presenting case reports, literature searches and research papers when appropriate to peers and lectures to lay audiences.
  17. The pivotal role of the Family in caring for many elderly and the community resources the (Formal Support Systems).  Required to support both Patient and Family.
  18. Cultural aspects of aging, including knowledge about demographics, health care status of older persons of diverse ethnicities, access to health care, cross-cultural assessment, and use of an Interpreter in Clinical Care.  Issues of ethnicity in Long-Term Care, relating to urban and rural older persons of various ethnic backgrounds should be covered.
  19. Home Care, including the components of a Home Visit and accessing appropriate community resources to provide care in the Home Setting.
  20. Hospice Care, including pain management, symptom relief, comfort care and End-Of-Life issues.

Salaries & Benefits

Program Curriculum

Program Curriculum

Geriatric Fellowship Curriculum, the first year. Longitudinal Curriculum...

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Discipline of Geriatric Medicine

Discipline of Geriatric Medicine

The Training Program will provide opportunities for the Fellow to...

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Salaries & Benefits

Salaries & Benefits

The hospital will include the resident in its self-insured malpractice liability program to the...

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