Geriatrics - Fellowship Program

Goals and Objectives:
The goal of the Brown Geriatric Medicine Fellowship is to produce new leaders in geriatric medicine who will pursue faculty careers in either a clinician educator or research track; all will provide and model excellent clinical care of older persons.

Graduates of the Brown Geriatric Medicine Fellowship program will be able to demonstrate the ability to:

  • Deliver expert clinical care of ill older persons in the continuum of care, including acute care hospital, ambulatory care, long-term care, geropsychiatry, hospice, home care and rehabilitation.
  • Understand the health care delivery system relevant to older adults, including funding, long-term care, and how health policy is made.
  • Teach and develop curriculum in all settings relevant to geriatric care, and to understand administrative issues in geriatrics program development.
  • Effectively understand and participate in aging research - in basic, clinical, or health services investigations.

Selected Past Fellows:
Drs. Howard Nachamie (Harvard faculty), Ramona Rhodes (Brown, then University of Texas Southwestern faculty), Ana Tuya (Brown faculty), Rollin Wright (University of Pittsburgh faculty, Rebecca Starr (Harvard faculty), Tim Farrell (University of Utah faculty), Gary Blanchard (University of Massachusetts faculty), Anne Halli-Tierney (University of Alabama faculty), Nadia Mujahid (Brown faculty), Mriganka Singh (Brown faculty), Stephanie Chow (Brown research fellow), Sevdenur Cizginer (Brown faculty)

Duration:
The training program, as specified by ACGME, is one clinically intensive year; all fellows have the same didactic and clinical curriculum, as well as an Academic Leadership and Research Skills course. Fellows have the option of additional training; a second year emphasizes learning to teach, and scholarship to pursue a faculty career as educator-clinician. Each fellow undertakes a scholarly project in year 2. The balance between research, teaching, and administrative training emphasis in year 2 is determined individually, depending upon career goals. For fellows pursuing research-intensive careers, a 3-year program includes Masters training at Brown's School of Public Health. For more information on Brown Masters programs, please visit: http://www.brown.edu/academics/public-health/undergraduate/graduate-programs

Prerequisite Training/Selection Criteria. Preference will be given to applicants who seek faculty careers, either in research or clinical education; who have strong letters of reference; who have demonstrated excellence in residency training in Internal Medicine or Family Medicine; and whose personal statement demonstrates interest and commitment to academic geriatrics.

Faculty: Visit our faculty listing.

Sites:

  • Rhode Island Hospital
  • The Miriam Hospital
  • Philip Hulitar Inpatient Center - Home & Hospice Care of Rhode Island
  • Butler Hospital
  • Memorial Hospital of Rhode Island
  • Rheumatology Associates
  • Center for Women's Surgery
  • Steere House Nursing and Rehabilitation Center
  • EPOCH Nursing Home and Rehabilitation Center
  • Home and Hospice Care of Rhode Island
  • Veterans Affairs Medical Center
  • Tockwotton on the Waterfront
  • Center for Gerontology and Healthcare Research
  • School Street Dermatology
  • University Medicine Foundation Geriatrics Practice

    Educational Program - Basic Curriculum

    1. CLINICAL EXPERIENCE - Fellows provide direct patient care during all rotations under the supervision of a teaching attending physician.

    A. Clinical components consist of the following rotations: (Click here for sample of rotation schedule)
    • Ambulatory Primary Care: 1/2 day per week for one year
    • Nursing Home Rotation: 3 months
    • Hospice Rotation: 1.5 months
    • Inpatient Geriatric Medicine and Palliative Care Consultation: 2 months
    • Acute inpatient Rehabilitation: 1 month
    • Geriatric Psychiatry In-patient rotation: 1 month
    • Hospitalist Rotation: 0.5 month
    • Geriatric Psychiatry In-patient Consult Rotation: 0.5 month
    • Ambulatory Care Rotation: 1.5 month
    • Ambulatory Specialty Care 1/2 day per week for 1 - 2 months

      • Outpatient Gero-psychiatry
      • Dementia
      • Movement and Gait Disorders
      • Rheumatology
      • Endocrine
      • Uro-gynecology
      • Outpatient Neuropsychology

    2. RESEARCH EXPERIENCE - One-month rotation and project. Fellows meet with a research mentor one prior to the start of the month rotation and develop a plan for that month.

    3. CONFERENCE DESCRIPTIONS

    A. Case Conference:
      One geriatric medicine or psychiatry fellow is assigned every other week to present a case conference under the supervision of one faculty member from 8-9 AM on Thursday morning, following completion of the summer Fundamentals of Geriatrics series (below).

    B. Fundamentals of Geriatrics:

      For the first 10 Thursdays of the academic year beginning in July, 2 of 20 core clinical topics in geriatrics are presented in the 8-10:30 AM time period. Speakers are Brown faculty experts.

    C. Journal Club:

      One person (either attending or fellow) is assigned once a month to choose 1-2 recent and important geriatrics-relevant articles from peer-reviewed general medicine or geriatrics journals on Thursday morning from 8-9 AM. The assigned individual describes and analyzes each article. Fellows also attend once a week General Internal Medicine journal club.

    D. Advanced Geriatric Seminars:

      During the 9-10 AM session, seminars during the year cover additional topics that were not covered in the summer. Senior faculty or invited guests present topics on aging.

    E. Department of Medicine Grand Rounds are held every Tuesday.

    F. Academic Leadership and Research Skills:

      Research: Led by David Dosa, MD, MPH, faculty members cover basic concepts and strategies of clinical research in aging, directed towards the fellows; emphasis is on critical reading of the literature and quality improvement.

      Teaching Skills: Lynn McNicoll, MD, conducts a series of seminars on teaching and academic abilities for the fellows, based on the Stanford Program.

      Medical Directorship: Aman Nanda, MD, CMD, conducts a series of seminars on administrative and clinical issues related to nursing home care and medical directorship that have not been directly covered in other venues.

    Other Links:

  • http://www.chcr.brown.edu/
  • http://publichealth.brown.edu/
  • http://www.chcr.brown.edu/fellowships/
  • http://www.chcr.brown.edu/resources.html

    Interested potential applicants should contact:

      Aman Nanda, MD
      Geriatric Medicine Fellowship Program Director
      Division of Geriatrics,
      Department of Medicine, The Warren Alpert Medical School of Brown University
      c/o Rhode Island Hospital
      593 Eddy Street
      Providence, RI 02903
      Phone: 401-444-5248
      Fax: 401-444-3397
      E-mail: dbethel@lifespan.org
      Website: http://www.brownmedicine.org/geriatrics


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