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University of Pittsburgh Geriatric Medicine Fellowship Program

Advanced Training

Program First Year Curriculum Advanced Training
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Clinical Training
 
  • Provided by nearly 30 academic geriatricians trained at an array of premier programs
  • Many are dually trained in geriatrics as well as another subspecialty.  This allows them to provide geriatrically-appropriate consultation in areas such as falls and mobility, chronic pain, osteoporosis, dementia, depression, incontinence, and palliative care.
  • Care is delivered by our geriatric faculty across a vertically-integrated system that includes every relevant setting, from ambulatory and acute (including our own hospitalist service) to subacute and long-term, including institutional, PACE, and home.
  • Multiple integrated sites of care: nonprofit, for-profit, VA, faith-based, and non-affiliated
  • Training is based at the University of Pittsburgh Medical Center, which is annually ranked by US News and World Report as among the nation’s best hospital systems and its best health plans
 
Research Training
 
  • Advanced three year research fellowship (one clinical plus two research years) available for those wishing to pursue a clinician-investigator career path through the division’s NIH-funded T32 award, Hartford Center of Excellence or its new VA Special Fellowship training program.
  • Certificate and Masters degrees in Clinical Research with a Concentration in Aging Research through the university’s Clinical Research Training Program
  • Ranging from molecules to societies, the University has one of the nation’s largest and most diverse portfolios of aging research
  • Faculty conducts aging research in nearly every relevant area and in nearly all of the university’s 16 schools.  They also collaborate with colleagues at adjacent Carnegie Mellon University and RAND-Pittsburgh.
  • More than a dozen centers of excellence in aging-related research and training, including a “Pepper Center,” a VA GRECC, a Cancer and Aging Center, an Alzheimer’s Disease Research Center (ADRC) and a Late Life Mood Disorders Center.
 
Training Sites
 

UPMC Presbyterian
Part of the University of Pittsburgh Medical Center, UPMC Presbyterian is a large, medical school-affiliated tertiary care center located in the Oakland section of Pittsburgh. Fellows spend two 1-month rotations on the inpatient geriatric medicine hospitalist service, where they are responsible for coordinating care with the house staff teams and interacting directly with patients and their families. They will also spend time on the inpatient geriatric consultative service. Teaching, both informal and didactic, of the residents and students is an expected component of these experiences. Fellows also spend a month with the inpatient palliative care consultative service at this center

UPMC Senior Care-Benedum Geriatric Center
UPMC Senior Care-Benedum Geriatric Center, located at UPMC Montefiore, part of the University of Pittsburgh Medical Center, is a multidisciplinary ambulatory clinic designed to meet the diverse needs of the older adult population. It provides for primary and consultative medical care, psychiatric care, and social assessment for frail older adults living in the surrounding communities. Specialty clinics--which are directed by geriatricians with relevant advanced training--include continence, mobility and falls, depression, and cognitive evaluation. Fellows have a one half-day per week clinic session either at Benedum or UPMC Senior Care-Shadyside (see below) in which they provide longitudinal and consultative care under the supervision of the faculty. All fellows have a one month rotation at Benedum to reinforce the art of geriatric medicine through mentoring from various geriatricians. They also see outpatients at Benedum during their one month Geriatric Psychiatry rotation.

UPMC Shadyside
Part of the University of Pittsburgh Medical Center, UPMC Shadyside is a community-based tertiary care center, located 1.5 miles from UPMC Presbyterian. Fellows spend one month on the inpatient geriatric medicine hospitalist and consultative service, where they are responsible for coordinating care with the house staff teams and interacting directly with patients and their families. Teaching, both informal and didactic, of the residents and students is an expected component of this experience. They also have the opportunity to interact with geriatric psychiatry fellows.

UPMC Senior Care-Shadyside
Located at UPMC Shadyside, UPMC Senior Care-Shadyside is a multidisciplinary ambulatory clinic designed to meet the diverse needs of the older adult population. It provides for primary and consultative medical care, psychiatric care, and social assessment for frail older adults living in the surrounding communities. Fellows have a one half-day per week clinic session either here or at Benedum (see above) in which they provide longitudinal and consultative care under the supervision of the faculty.

Veterans Affairs Hospital, University Drive
The Veterans Affairs Hospital, University Drive is the site of the VA Pittsburgh Geriatric Research, Education and Clinical Care Center (GRECC). This multidisciplinary collaboration of clinicians, educators, and researchers serves as a focus of geriatric care within the VA setting. The Geriatric Evaluation and Management Clinic (GEM) is based here. Fellows have a one month rotation in the GEM clinic and assume the role as leader in this interdisciplinary team. Fellows spend one month in the neurology clinics here and have the opportunity to be involved with teaching on the inpatient service. In addition, fellows spend a half day per week in the pain clinic, seeing older adults with chronic pain conditions.

H. J. Heinz III VA Progressive Care Center
H. J. Heinz III VA Progressive Care Center is a sub-acute and long-term care Veterans Affair Hospital. The Home-Based Primary Care (HBPC) service, which provides comprehensive, interdisciplinary care to home-bound veterans, is based here. Each fellow spends two months in HBPC, during which they provide interdisciplinary primary care in the home environment.

Western Psychiatric Institute and Clinic
Western Psychiatric Institute and Clinic (WPIC) is part of the University of Pittsburgh Medical Center. During their one month Geriatric Psychiatry rotation, fellows round on older inpatients at WPIC. They also have a number of other experiences during their required Geriatric Psychiatry rotation as described in the Curriculum below. Under the supervision of a geriatric psychiatrist, during the rotation, fellows participate in ward rounds and patient-focused conferences, interdisciplinary nursing home rounds, outpatient evaluations, inpatient medicine-psychiatry lisason consultations, and they work closely with geriatric psychiatry fellows.

Long-Term Care
Long-term care experiences are available at multiple sites in the Pittsburgh area, including Canterbury Place, Asbury Heights, Heritage Shadyside, and Charles Morris Nursing and Rehabilitation Facility. Fellows assume the role of primary care provider for a panel of patients at one of these facilities under the supervision of one of the long-term care specialists in the division.

UPMC Mercy
UPMC Mercy, part of the University of Pittsburgh Medical Center, is a full-service community hospital located a few miles from UPMC Presbyterian. There are rehabilitation units based here where the fellows gain experience in rehabilitation medicine.

 
Didactic Teaching/Conferences and Interdisciplinary Rounds
 
  • Geriatric Medicine core lecture series
  • Division of Geriatric Medicine weekly conference (Journal club, case presentation, Geriatric Grand Rounds)
  • Geriatric Pharmacology Case Conference Summer Series
  • VA conference series (interdisciplinary clinical case conference, topic conference)
  • Department of Medicine Grand Rounds
  • Critical appraisal of the literature
  • Monthly Fellowship meetings
  • Interdisciplinary geriatric medicine-geriatric psychiatry nursing home rounds
  • Interdisciplinary home care rounds
 
Clinician Investigator Training
 
Fellows opting for the clinician-investigator track identify career goals during the clinical year and develop an individual training plan with the advice and support of one or more mentors. Many trainees enroll in the Clinical Research Training Program during their second year. After an intensive nine week summer session focused on fundamentals of research methods, each trainee pursues further didactic training, mentored research and participates in research seminars over two or more years. With support, the trainee is encouraged to develop grant writing skills and compete for multiple sources of pilot funding. Trainees are expected to present their work at local and national meetings and publish two or more first authored manuscripts. This training program is designed to prepare the candidate to be competitive for a research career grant from the NIH, VA or other sources of funding. Limited funding is available for applicants interested in clinician investigator training who are not US citizens or permanent residents.
 
Stipend
 
Fellows receive a base salary and benefits appropriate to level of training.

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