The clinical aspect of our training program features a variety of rotations representative of clinical opportunities for geriatricians. Settings include the Veterans Administration (VA) medical center; the University of Utah hospital and clinics; an integrated residential facility with rehabilitation, long-term care, and assisted living; and Intermountain Healthcare, an aggressive community provider.
The core of the fellowship curriculum is based on longitudinal clinical experiences that last at least the full first year. Each fellow has a continuity clinic at the VA. Dr. Philip Kithas, Chief of the VA Geriatric section, and Katherine Anderson, assistant fellowship director, supervise this clinic.
This clinic provides fairly equal exposure to general-care in older patients, demented patients, and consults for dementia and other neurological or psychiatric problems associated with aging. Fellows follow a panel of patients at the nursing home sites where the focus is on rehabilitation but also includes long-term care and hospice. The fellow also participates in administrative meetings. Dr. Carole Baraldi, the Fellowship Director and Amy Cowan, MD, supervise these experiences.
The final, longitudinal clinical experience is in home based primary care at the VA where fellows work with a good-humored team of nurse practitioners, social workers, and occupational therapists to care for homebound veterans. The fellow may customize this experience to make more or fewer home visits, according to the fellows' preference. Dr. Phil Kithas and Dr. Shaida Talebreza supervise this rotation.
There are three required six-month rotations for fellows. These include rotations through the University Geriatric Consultation Clinics with Dr. Mark Supiano, Division Chief, Dr. Carole Baraldi, and Dr. Timothy Farrell. Fellows also rotate through the Geropsychology Medical Psychiatric Clinic at the VA, which is supervised by Dr. Byron Bair, one of the nation's few certified geriatric psychiatrists.
In addition to their continuity and consult experiences, first year fellows rotate through a variety of specialty clinics relevant to the practice of geriatrics. Clinics which have proven popular are geriatric gynecology and incontinence, movement disorders, geriatric rheumatology, neurology's cognitive disorders clinic, palliative care, and general urology.
Didactic sessions are also provided by and for fellows. We review the geriatric literature and the American Geriatrics Society (AGS) Geriatric Review Syllabus once a month. The fellow attends a weekly clinical conference, case conference, and internal medicine grand rounds. Monthly conferences include geriatric Grand Rounds, research conference, and journal club. The fellow is also involved in education of medical students and residents in the monthly didactic conferences. Fellows have graduated responsibilities and independence with teaching as the year progresses.
In addition, we offer electives in the following:
- Neuro – Movement Disorder
- Cognitive Disorders Clinic
- Neuro – General Neurology Clinic
- Palliative Care Inpatient UofU
- Hospice Care Outpatient
- Wound Care
- Neuropsychological Testing
- Community Geriatric Clinics
- Infectious Disease & HIV
- Hospital Elder Life Program
- Cardiac Risk Reduction
- Faint and Falls