Geriatrics-Internal Medicine Pathway

DOM_-_R3

Length of training: 4 years

Setting: University Hospitals Case Medical Center, Louis Stokes Cleveland Veteran Affairs Medical Center

Description and defining characteristics: We are currently offering a combined, four-year, geriatrics/internal medicine pathway with an immersive geriatric experience that cuts through the entire training (as opposed to one month exposure during an intern year). As a trainee in internal medicine, you will find that more than 50 percent of all hospital admissions account for patients who are 65 and older. In addition, more than 2/3 of a patient mix in outpatient practices is made of older patients. Geriatrics-Internal Medicine pathway provides the critical knowledge and focused training for treating older population that residents encounter most often. By giving a wide exposure to geriatrics from the first year of training, our residents become well-rounded physicians and develop the necessary skills to efficiently decode complex older patients.

This pathway includes standard internal medicine rotations with a focus on geriatrics and specific inpatient and outpatient geriatric rotations. In this track residents develop a geriatrics research project that they carry out through their residency training and into fellowship. At the conclusion of four years, residents would be eligible to sit for both the Internal Medicine and Geriatrics Boards.

Residents are not bound to pursuing geriatrics in their subspecialty training and may choose to apply to any other internal medicine fellowship after completing this pathway (nephrology, cardiology, gastroenterology, etc.) However, those residents that want to specialize in geriatrics receive the critical advantage of being certified as a medical director through the final year of training in the pathway and their first year of geriatric fellowship training. Residents enrolled in the pathway are fast tracked in geriatric medicine fellowship program, if they choose it as their career goal.

Sample Schedule: Please note that the schecule may change during the training and is only provided as a sample overview.

PGY 1 PGY 2 PGY 3 PGY 4
6 blocks wards/ICU 4-5 blocks wards/ICU 3-4 blocks wards/ICU 1 block wards
1 block inpatient rehab 1block inpatient geriatrics/consults 1 block inpatient geriatrics/consults 2 blocks rehab medicine
1 block palliative care 1 block outpatient geriatrics 1 block neurobehavioral care 2 blocks inpatient geriatrics/consults
1 block inpatient geriatrics/consults 1 block inpatient rehab 1 block geropsychiatry 1 block outpatient geriatrics
1 block ambulatory 1 block palliative care 1 block inpatient rehab 1 block palliative care
1 block elective 1 block ambulatory 1 block hospice/house calls 1 block nursing home
1 block vacation 2 blocks elective 1 block ambulatory 3 blocks elective
1 block vacation 2 blocks elective 1 block vacation
1 block vacation

This e-mail address is being protected from spambots. You need JavaScript enabled to view it