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SUNY Downstate Health Sciences University

Geriatric Fellowship Program

Geriatric Medicine Clinical Program and Curriculum

The program and curriculum comply with HRSA and ACGME requirements. The program has received ACGME certification. Certification allowed previous fellows to become eligible for geriatric certification. These include mandatory experiences in an acute care hospital, a long-term care facility, long-term non-institutional care, ambulatory care programs, and additional clinical experience such as rehabilitation units, community care for the elderly mentally retarded, comprehensive evaluation units, home visits, and consultative services. These are described in detail below.

The specific objective of the Geriatric Medicine Program is to establish a geriatrics training program in an environment aimed at providing eldercare for an ethnically and culturally diverse population of predominantly underserved patients with emphasis on continuity, coordination and comprehensiveness of that care across the biopsychosocial spectrum in both the ambulatory and inpatient, especially nursing home, settings. In addition, we will integrate into the geriatric training program an established palliative care/hospice program run by a team of qualified palliationists. This component of the fellowship will have both in-depth and broad exposure to end of life issues and permitting eligibility for a certificate of added qualification in palliative care.

The fellowship also includes rotations in subspecialties focused on issues germane to the comprehensive practice of geriatrics including geropsychiatry, physical medicine and rehabilitation, neurology, gerodentistry, audiology, optometry, podiatry, sleep disorders and opportunities for electives in areas such as geriatric rheumatology or orthopedics. Continuity of Care, the dominant clinical feature of the training program, will have two components - ambulatory and inpatient, especially Nursing Home.