The program provides a well-supervised experience at a sufficient level for the resident to acquire all of the competencies of a physician with qualifications in the field of Geriatric Medicine. The program is conducted by an accredited residency program in Internal Medicine.
Clinical experience includes opportunities to manage elderly patients with a wide variety of medical problems on an inpatient and outpatient basis.
Geriatric medicine residents are given the opportunity to provide both primary care and consultation for patients in acute, ambulatory, community, and long-term care settings in order to understand the interaction of natural aging and disease as well as the techniques of assessment, therapy, and management.
Additionally, residents are given the opportunity to care for persons who are generally healthy and require primarily preventive health care measures.
The program includes an emphasis on:
- the physiology of aging
- the pathophysiology that commonly occurs in older persons
- atypical presentations of illnesses
- functional assessment
- cognitive status and affective assessment
- concepts of treatment and management in both acute and long-term care settings, as well as in the community and in the home
Attention is also directed to the behavioral aspects of illness, socioeconomic factors, and ethical and legal considerations that may impinge on medical management. Practice-based learning and systems-based practice are highly emphasized.
Although the emphasis of the program centers on the care of older persons, geriatric medicine residents are expected to maintain their basic primary skills during the course of this training. To facilitate this, fellows spend at least one-half day per week in a continuity of care experience in the resident’s primary discipline.