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Our Geriatric Advanced Practice Provider (APP) Fellowship is a 12-month program created to address a national shortage of geriatric specialists and improve the quality of specialized geriatric care. The program is designed to equip physician assistants and nurse practitioners with specialized skill sets to assist older patients preserve their function while managing multiple geriatric syndromes. Geriatric fellows are exposed to a variety of patient populations in both inpatient and outpatient settings that include: an urban Level I trauma hospital, metropolitan satellite hospitals, home care, inpatient specialty sites, skilled nursing facilities and ambulatory clinics. These clinical encounters provide fellows with hands-on patient care, specialized skills training, collaboration with other specialties and a network of clinical and educational resources.

Hallmarks in this program include mastering the ability to assess, prioritize and coordinate patient-centered care for individuals with multiple comorbidities. The program is structured to develop and strengthen proficiencies while increasing competence alongside an interdisciplinary team of well-rounded healthcare providers. Through an integrated approach to care, fellows work within a team of physicians, advanced clinical practitioners, nurses and other specialists toward a goal of providing optimum senior care while addressing quality of life for both the patient and the family throughout the course of treatment.

The fellowship experience is comprised of a core curriculum, weekly didactic sessions, direct patient care, specialty rotations, simulation training, journal club and case presentations. This comprehensive post-graduate approach offers the advantage of a guided learning experience and direct patient care within a protected learning environment, which increases provider confidence and awards a smooth transition to practice. Completion of this exceptional fellowship affords graduates the expertise necessary to deliver comprehensive care; helping patients and their families to cope with the uncertainties associated with complex illness and symptom management.

Fellowship Objectives
  • Understand and practice a geriatric model of care
  • Improve provider-patient relationship
  • Implementation of treatment
  • Facilitate transitions of care
  • Document the complexity of work and bill appropriately

Medical Specialty Rotations
  • Skilled nursing and assisted living facilities
  • Memory care
  • Home care/Transitional care
  • Continuing care retirement communities
  • Geriatric emergency room
  • Inpatient trauma service
  • Geriatric oncology
  • Ambulatory memory and geriatric clinics
Team Learning Discussion Topics
  • Goals of care
  • Nutrition
  • Diabetes
  • Osteoporosis
  • Dementia/Delirium
  • Palliative care/Hospice
  • Spiritual care assessment