Geriatric medicine training at Maine-Dartmouth Family Medicine Residency is specifically designed to:
- Prepare fellows for the practice of full-spectrum geriatric medicine (including but not limited to inpatient consultative care, outpatient consultative and continuity care, long-term care).
- Support the development of a specialty care knowledge base that optimizes fellows’ competency in caring for older patients.
- Promote evidence-based practice within geriatric care which includes delivery of direct patient care that is evidence-based as well as collaborative partnerships with primary and specialty care to support the development, implementation, and evaluation of evidence-based guidelines and protocols for older patients.
- Provide sufficient exposure to scholarship within geriatric medicine to prepare fellows for future practice in either clinical or academic environments.
- Instill in fellows a love of geriatric medicine and a passion for improving geriatric systems of care as clinician educators and administrators.
- Prepare fellows to serve as leaders and change agents who advocate for older adults by leading systems change and shaping health care policy.
MDFMR’s Geriatric Medicine Fellowship was accredited by the ACGME in 2003 and graduated its first fellow in 2004. We are approved for four positions and generally train two to four fellows per year.
The curriculum is devised to provide geriatric medicine fellows with comprehensive training across the continuum of care. It aims to develop competency in outpatient and inpatient consultative care as well as in the delivery of primary care to older adults in the outpatient clinic and home-based, long-term care and rehabilitative care settings.
The curriculum is structured as a combination of block and longitudinal experiences with didactic opportunities interspersed throughout.
Our geriatric medicine fellows have multiple opportunities to solidify their new knowledge-base and skills by teaching other learners. Our core family medicine program supports pre-doctoral education, so we routinely have medical students training with us. Most months a family medicine resident is rotating with our program. Fellows are expected to serve as role models and participate in the geriatric education of our learners.