Clinical Training

Structure

Key specialty areas such as a multi-specialty block, geriatric psychiatry, hospice & palliative care, physical medicine and rehabilitation, and neurology, as well as hospital-based geriatric consultations, are offered as block rotations. Other clinical experiences, such as nursing home continuity (combination of long term care and skilled nursing facility patients), assisted living facility continuity, outpatient geriatric continuity, and outpatient consultative care, are offered as longitudinal experiences. Additionally, fellows have the opportunity to select two elective experiences organized as four week block rotations.

Settings

Fellows benefit from exposure to a diverse array of health care systems and practices. In addition to numerous MaineGeneral Health–affiliated settings, fellows train at Maine Medical Center’s Pavilion 6 unit (geriatric psychiatry), Togus VA Medical Center (hospice & palliative care), New England Rehabilitation of Portland (physical medicine & rehabilitation), and Penbay Neurology.

Multidisciplinary team-based care

Fellows actively participate in the interdisciplinary Geriatric Assessment Team (GAT) meetings which occur weekly to review outpatient consults and other complex cases in the hospital, nursing home, and ambulatory settings. The GAT also reviews up to date evidence-based approaches to the diagnosis and management of geriatric related conditions, including but not limited to new research findings, resources, service updates, and trends in geriatric health care. Guests from the larger geriatric medicine community are often in attendance and the rich exchange of ideas affords fellows and faculty a vibrant learning environment.