Geriatric Medicine Rotations

Block Rotations

• Neurology
• Geriatric Mediine
• Orthopaedic Surgery / Podiatry
• Dermatology / Wound Care
• Geriatric Psychiatry
• Gynecology / Oncology
• Physical Medicine and Rehabilitation
• Urology
• Hospice
• Cardiology / Complementary and Alternative Medicine
• Internal Medicine Elective
  

Longitudinal Rotations

Concurrent with the block rotations listed are a number of longitudinal experiences that are provided for and required of the Geriatric Medicine Fellow.

Scholarly Activities and Research
Each fellow will develop a scholarly activity or research project along a specific timeline. The abstract or written proposal must be approved by the Program Director prior to beginning the PGY-4 year of Geriatric Medicine training. The first six months of Geriatric Medicine training should be used to complete a project in the field of Geriatric Medicine (e.g. review article, research survey, case series) appropriate for publication in a peer reviewed journal. Submission for publication is required and subsequent publication is expected. 

Long Term Care Institutional Continuity Experience
Each fellow will make Long term Care Institutional rounds one half-day a week on an assigned panel of patients during and throughout the PGY-4 year of Geriatric Medicine Fellowship training. This activity will occur at the Alexian Healthcare Center and will be directly supervised onsite by the Geriatric Medicine Program Director. Each session will involved 4 subsequent care visits, any new patient admissions that might be necessary, plus acute and preventive care.  Didactics with the Geriatric Program Director will follow teaching rounds. 

Long Term Care Non-Institutional Continuity Experience
Each Fellow will make Long term Care Non-Institutional visits and home visits periodically on patients during each month and throughout the PGY-4 year of Geriatric Medicine training. This activity will occur at the Alexian Inn (an assisted living facility) and in the homes of appropriate continuity patients assigned to the Program Director or the Geriatric Medicine Fellow at the UT Family Practice Center. These visits will be directly supervised onsite by the Geriatric Medicine Program Director. Each session will involve subsequent care visits, any new patient admissions that might be necessary, plus acute and preventive care.

Each Fellow will make rounds on patients in a comprehensive multidisciplinary geriatric day care facility 3 half-days a week during and throughout the PGY-4 year of Geriatric Medicine training. This activity will occur at the Program of All-inclusive Care for the Elderly (PACE) and will be directly supervised onsite by the Geriatric Medicine faculty. Each session will involve subsequent care visits, comprehensive geriatric assessments, any new patient admissions that might be necessary, plus acute care.  Didactics with the Geriatric Medicine faculty will follow teaching rounds. 

Ambulatory and Family Medicine Continuity Experience
Each Fellow will see his or her continuity patients from his or her assigned panel one half-day a week during and throughout the PGY-4 year of Geriatric Medicine  training. This activity will occur at the UT Family Practice Center and will be directly supervised onsite by the Family Medicine faculty and frequently by the Geriatric Medicine Program Director. Each session will average 10-12 patient visits and will involve preventive care, chronic and multi-morbid care visits, as well as acute and preventive care visits.  Additional ambulatory experiences occur at private physicians’ offices during the various block rotations. 

Faculty Development
Each Fellowt will develop a series of conference presentations along a specific timeline during the PGY-4 year of Geriatric Medicine training. Noon conference lecture presentations should occur bimonthly and total six presentations during the academic year. Opportunities will be provided to teach residents and medical students in the setting of inpatient hospital rounds, Long term Care institutional rounds, and while precepting at the Family Practice Center, among other activities and locations. Supervision in the development of academic skills will be primarily by the Geriatric Program Director and secondarily by the Family Medicine faculty. 

Practice Management and Administration skills
Each Fellow will develop an understanding of government agency regulations involving long term care and appropriate business practices that apply to the practice of Geriatric Medicine during the PGY-4 year of Geriatric Medicine training. Attendance at quality improvement team conferences, medical ethics committees, and other institution specific meetings is required and will be in a team setting with the Geriatric Medicine Program Director or other faculty present. Attendance at national conferences designed to prepare the Fellow for certification as a Medical Director (CMD) of a long term care facility is encouraged and funded but not required. Supervision responsibilities in the development of practice management and administrative will be primarily that of the Geriatric Program Director and secondarily that of the Family Medicine faculty.

Consultative Service
Each Fellow will respond to requests for consultations in the field of Geriatric Medicine for ambulatory, emergency, and inpatient hospital settings during and throughout the PGY-4 year of Geriatric Mediine training. This activity will occur at the UT Family Practice Center for ambulatory consultations and from the Emergency Department of Erlanger Medical Center for emergency care consultations. The Fellwo will be directly supervised by the Geriatric Medicine Program Director for these consultations and will share a call schedule concurrently with the Geriatric Program Director consisting of call averaging one night in six and one weekend in six. The Geriatric Medicine Fellow will take first call for rthe Emergency Department consultations involving the Family Medicine inpatient service on all patients over 65 years of age and will subsequently consult with the Geriatric Program Director. Hospital consultative services will occur on Family Medicine service inpatients at Erlanger Medical Center during the Geriatric Medicine consultation service block rotation listed above. The Fellow will be directly supervised by the Geriatric Medicine Program Director for these consultations and will share a one month block rotation on the Family Medicine inpatient service concurrently with the Geriatric Program Director.