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Geriatric Medicine Fellowship (Minnesota)

Curriculum

Geriatric physician chats with patient

Rotation schedule

The first year offers a wide range of experience with a rotation schedule that encompasses 13 areas plus electives.

Year 1

RotationLength
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
Geropsychiatry 4 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
Urogynecology 2 weeks
Wound clinic 2 weeks
Electives 13-14 weeks
Community nursing home (Samaritan Bethany in Rochester, Minnesota) Longitudinal
Home-based geriatric consultation team Longitudinal
Vacation 3 weeks

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.

Electives

There is a wide array of elective opportunities, which you can customize to develop the skills needed for your individualized career path.

Examples include:

  • Geriatric cardiology
  • Geriatric dermatology
  • Endocrinology with focus on bone disorders
  • Gastrointestinal motility clinic
  • Podiatry
  • Rheumatology
  • Sleep medicine
  • Complementary and integrative medicine

Community collaborations

  • Care Transitions Program
  • Palliative Care Homebound Program
  • Geriatrics Boot Camp
  • Olmsted County Adult Protective Services

Core curriculum

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

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.

Yearly conferences

Fellows have dedicated trip time available to participate in annual regional and national conferences. Abstract and poster presentations contributions are encouraged at:

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.

Community immersion

Throughout the training program, you will work closely with community partners to provide high-quality, safe care to older adults in the community.

Partners include:

  • Olmsted County Adult Protective Services
  • Home health care agencies
  • Rochester Senior Center
  • Adult day care programming
  • Local hospice agencies

Research training

In the first year, all geriatric fellows have the opportunity to perform research. Often, this includes case-based presentations, reviews of the literature, and observational (cohort and case-control) studies.

You are given the opportunity to present your 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, you 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).

The second year is considered an academic year. As a fellow you can augment your 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.

If you have previous research training, a further year of research can be offered through direct mentorship.