Geriatrics

Students will see patients for routine and acute care in the nursing home under the supervision of the geriatric medicine fellows, a resident, and faculty in geriatrics. This nursing home experience will provide excellent training in long term care, post-acute care, and dementia care. In addition to the nursing home experience, students will:

  • Participate in home visits one half day per week;
  • See patients in the geriatric continuity clinic one morning per week at the residency family practice center;
  • Spend several sessions per week with fellows, faculty, nursing, and social work to provide comprehensive geriatric assessments in the outpatient consult clinic;
  • Spend a couple of days rounding on the inpatient consultation service with faculty; and
  • Participate in a weekly geriatric assessment team meeting, discussing complex geriatric patients with geriatric medicine faculty and neurology, nursing, and social work disciplines.

The geriatric medicine rotation will also cultivate clinical research and evaluation skills. Students are expected to work with a mentor on some type of project aimed at advancing evidence-based practice in geriatric and/or primary care such as summarizing and presenting a key article, performing a chart audit, or contributing to the development, implementation, or evaluation of a process/protocol to promote best practice in the medical community.

Students will gain a comprehensive understanding of geriatric care across settings that will include evaluation and management of geriatric syndromes (including dementia, delirium, falls and gait disorders, frailty, and incontinence), polypharmacy and pharmacotherapy in geriatric patients, health maintenance goals, and an introduction to ethical and legal issues unique to older patients. Emphasis is also placed on the experience of working in multidisciplinary teams and the use of family therapy techniques in facilitating assessment of the older patient and their caregivers.