|Inpatient geriatric medicine service||2-4 weeks|
|Geriatric orthopedics consult service||2-3 weeks|
|Physical medicine and rehabilitation (inpatient and outpatient specialty clinics)||8 weeks|
|Hospice and palliative care||4 weeks|
|Behavioral neurology clinic||4 weeks|
|Outpatient geriatric medicine primary care clinic||4 weeks|
|Home-based geriatric consults (block)||3 weeks|
|Movement disorders clinic||2 weeks|
|Wound clinic||2 weeks|
|Community nursing home (Samaritan Bethany in Rochester, Minnesota)||Longitudinal|
|Home-based geriatric consultation team||Longitudinal|
See the full block schedule.
Longitudinal care experiences
All fellows serve a panel of patients in the ambulatory continuity clinic one half day a week throughout their training. Nursing home practice and periodic home visit blocks are also built into the continuity experience.
There is a wide array of elective opportunities, which fellows can customize to develop the skills needed for their individualized career path.
- Geriatric cardiology
- Geriatric dermatology
- Endocrinology with focus on bone disorders
- Gastrointestinal motility clinic
- Sleep medicine
- Complementary and integrative medicine
- Care Transitions Program
- Palliative Care Homebound Program
- Geriatrics Boot Camp
- Olmsted County Adult Protective Services
The fellowship's core curriculum consists of weekly didactic lecture series organized into four modules — cognitive impairment, geriatric syndromes, management of chronic disease in the elderly, and palliative and end-of-life care — delivered by interdepartmental staff as well as guest speakers from subspecialty departments.
Additional components include board preparation lectures, monthly journal club discussions, Most Difficult Case conferences, regional and national conference opportunities, and partnerships with community resource programs.
The curriculum, in addition to clinical training, is designed to support all fellows for board preparation, solidify knowledge in current geriatric literature, and develop robust practical skills in the management of complex geriatric medical and social needs.
Journal club meetings are held monthly in collaboration with the Palliative Medicine and Geriatric Psychiatry fellows to critically review recent articles in the geriatric literature.
Fellows have dedicated trip time available to participate in annual regional and national conferences. Abstract and poster presentations contributions are encouraged at:
- Mayo Clinic Annual Update in Geriatric Medicine
- Society for Post-Acute and Long-Term Care Medicine
- American Geriatrics Society
- Minnesota Medical Association
Most Difficult Case conference
The Most Difficult Case conference is a multicenter knowledge sharing and teaching collaboration through program networking following the Wisconsin Star Method.
Throughout the training program, fellows work closely with community partners to provide high-quality, safe care to older adults in the community.
- Olmsted County Adult Protective Services
- Home health care agencies
- Rochester Senior Center
- Adult day care programming
- Local hospice agencies
First year. All geriatric fellows have the opportunity to perform research in the first year of fellowship. Often, this includes case-based presentations, reviews of the literature and observational (cohort and case-control) studies.
Fellows are given the opportunity to present their work at the AMDA — Society for Post-Acute and Long-Term Care Medicine annual conference, Minnesota Medical Directors Association annual conference, and American Geriatrics Society annual meeting.
In addition, all fellows are expected to obtain bronze certification in quality analytics and perform a quality improvement project. Fellows can obtain further research skills through the Mayo Clinic Center for Clinical and Translational Science (CCaTS).
Second year. This is considered an academic year. Fellows can augment their research skills through formalized training in clinical research. This training can include the Postdoctoral Certificate Program or Postdoctoral Master's Degree Program through Mayo Clinic CCaTS. Other opportunities include training in public health (Master of Public Health) through the University of Minnesota.
For those with previous research training, a further year of research can be offered through direct mentorship.