Introduction to the Integrated Geriatrics and Palliative Medicine Fellowship
|
|
- Alannah Cannon
- 6 years ago
- Views:
Transcription
1 Introduction to the Integrated Geriatrics and Palliative Medicine Fellowship Helen Fernandez, M.D., MPH Professor Fellowship Director, Geriatrics and Co-Director, Integrated Geriatrics and Palliative Care Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai
2 Acknowledgements Original concept and proposal to ABIM Incredible work from Dr. Nathan Goldstein, Dr. Robert Arnold and Christine Ritchie They identified overlaps and opportunities to seek about dual training
3 Disclosures None I am a Mets Fan
4 Objectives Review clinical importance for collaboration of geriatrics and palliative care Discuss educational imperative for integrated geriatrics and palliative care trainees Explain the ABIM/AAFP Pilot Integrated Geriatrics and Palliative Medicine Fellowship
5 Geriatrics and Palliative Care Needs 80% of Medicare beneficiaries have more than one chronic progressive medical condition These patients are the most likely to see their doctor, to be hospitalized and to die Most physicians now care for older individuals with multiple chronic progressive illnesses Fields are already working together to create shared agendas for areas of overlap (e.g. AGS-AAHPM collaboration)
6 Care For the Seriously Ill at the Turn of the Century (2000) Unprecedented gains in life expectancy: exponential rise in number and needs of Americans living with serious illness Cause of death shifted from acute sudden illness to chronic disease Untreated physical symptoms Unmet patient/family needs An unresponsive health care system facing enormous and increasing expenditures
7 GERIATRICS AND PALLIATIVE CARE WHAT IS THE RELATIONSHIP?
8 Specialty Based Care GERIATRICS PALLIATIVE CARE Morrison, S.
9 Morrison, Sean Patient Centered Care Well Older Adults Cancer Gait Disorders Stroke Preventive care Advanced Organ Failure Stable chronic dx Chronic Critical Illness Geriatric syndromes Frailty Peri-operative care Dementia Osteoporosis AIDS TBI Cancer (<65) Genetic/ Developmental Disorders Pediatric Oncology Cystic Fibrosis
10 Similarities Structure Emphasis on the interdisciplinary team Workforce issues Education Some shared competency domains Some overlap in the population served Courtesy of Dr. Christine Ritchie
11 Similarities Clinical Clinical care of older adults with serious illness and complex care needs Comprehensive and holistic care across continuum Attention to psychosocial needs Addresses the patient, family and loved ones as one unit requiring care Emphasis on the provision of care by an interdisciplinary team Courtesy of Dr. Christine Ritchie
12 Geriatrics and Palliative Care So, not only do professionals caring for older adults need to know about palliative care, palliative care specialists also need to know about issues that are specific to this aging population such as pharmacokinetic of medications, geriatrics syndromes as well as administrative and clinical issues associated with long term care facilities.
13 Current State of Training Geriatrics and palliative medicine fellowships are both clinically-focused one-year programs They do not allow enough time to provide trainees with educational or research skills By not adequately preparing young physicians to enter academic medicine, we limit their ability to improve the health care system for older adults with serious and chronic illness
14 Educational Need To meet the needs of this growing population more educators and researchers in geriatric palliative care are needed to build models of care, train the clinicians of the future, and be institutional change agents 1 palliative medicine MD for every 1,700 people with serious illness Only 7029 certified geriatricians
15 Clinical Requirements Trainees will demonstrate clinical competency in both geriatrics and palliative medicine over 16 months To do this we will take advantage of overlapping requirements Ambulatory care experiences will focus on older patients with chronic progressive illness
16 ABIM/AAFP Competency Based Integrated Geriatrics and Palliative Care Fellowship In 2011, ABIM approved an exception to the traditional individual geriatrics and palliative care In 2012, ABIM/AAFP approved Competency Based Integrated Fellowships In 2014, University of Texas at San Antonio was approved as a second pilot site
17 Examples of Overlapping Rotations Rotation Core Geriatrics Skills and Knowledge Core Palliative Care Skills and Knowledge Comment Inpatient Geriatrics Management of geriatric syndromes; complex medical management of older adults Communication about goals of care Medical care focused on decreasing the burden of illness Core requirement for geriatrics certification and emphasizes how the two fields are integrated at the patient s bedside. Home Care Management of frail older adults with complex medical problems and functional disability Continuing conversations about goals of care; knowledge of systems to assure symptom control and safety while patient at home Home care patients are older individuals with chronic complex disease. Balances keeping patients at home while maintaining the highest quality of life. Sub-Acute Rehab Management of complex, older, medically ill patients in the immediate postacute-hospitalization phase Management of pain and other symptoms, conversations about transition management and goals of care Patients need continued post-hospital management. Uncontrolled symptoms lead to decreased ability to participate in rehab. Transition discussions for patients that don t meet rehab goals.
18 Rotation Core Geriatrics Skills and Knowledge Core Palliative Care Skills and Knowledge Comment Geriatric Psychiatry Management of psychiatric symptoms in older adults Management of psychiatric symptoms in older adults Managing psychiatric symptoms in older adults is a core element of both geriatrics and palliative care. There is significant overlap between the two fields in terms of treating depression and delirium. Long-Term Care Management of chronic medical conditions in older patients with decreased functional ability Assuring benefits of treatment outweigh burdens; management of pain and other symptoms in the longterm care setting. Management of chronic medical conditions while assuring that the benefits of treatments outweigh burdens. Demonstration of how the two fields are integrated in the longterm care setting.
19 Traditional Fellowship Program Requirements Geriatric Program Requirements Geriatric Medicine Consultation Program Inpt Pall Care Combined Demonstration Program Rotations Inpt Geri x Home care Subacute Rehab Elect Geri Psyc Hospice LTC Out pt Ambulatory Care x x Sub-Acute Care Long-Term Care Experience Geriatric Psychiatry Elective Palliative Medicine Program Requirements Inpatient Acute Care x x Home Hospice Care x x Long Term Care x x Ambulatory Care Elective x x x x x x
20 Rotations Rotations Each block is 4 weeks (13 blocks per year) Home Care 1 Inpt PC consults (all) 3.5 Inpt Geri consult 2 MACE (inpatient geriatrics) 2 Sub-Acute Rehabilitation 1 Geriatric Psychiatry 1 Residential Hospice 0.5 Dedicated Palliative Care/Hospice Unit 2 Long Term Care 1 Ambulatory Care 1 day/week Hospice home care (VNS) 1 Other (Specify):Teaching/urgents care 1.5 Total Clinical Blocks 16 Vacation 2 Research/scholarly activity 8 Elective 0.5 Total Block Numbers 26 blocks
21 Expanded Clinical Rotations New combined geriatrics and palliative care outpatient clinic New referrals for older adults with serious chronic illness Consultative practice: pain, goals of care and nonpain symptoms Home Care Program Expand primary care patients to include hospice patients Expand our primary care and geriatrics consult service to address pain, goals of care and non-pain symptoms
22 Expanded Curriculum Combined Geriatrics and Palliative Care Journal Club Expanded Case Conference (include geriatrics and palliative care patients) Geriatrics and Palliative Care Core Topics Research curriculum Intensive Communication Skill Training Curriculum development and effective teaching curriculum Professional development (leadership, mentorship, administration, negotiation skills)
23 Evaluative Mechanisms Will combine mechanisms currently in use (e.g. written evaluations, checklists of observed behaviors, OSCEs) that will simultaneously evaluate competencies for both specialties All evaluations will be competency based Fellows must demonstrate clinical competency in all ACGME domains in both fields by the end of the 16 month clinical period before they move to the 8 months of professional development Similar evaluation materials will be used across all sites
24 Faculty Development Two faculty members work with the ABIM assessment and evaluation team to assure that evaluation mechanisms are thorough and adequately attend to each competency Faculty development assures that the local faculty are appropriately trained in the assessment of the core competencies within the fellowship program to assure reliability between evaluators
25 Advisory Panel To assure oversight and that fellows meet required competencies, we have a 6 person advisory board: Prominent clinician educator from geriatrics from outside of these institution Prominent clinician educator from palliative medicine outside these institution Representative of the American Board of Internal Medicine Meet yearly to discuss the progress of each program and review curriculum Assures cross-site standardization of curriculum and evaluative mechanisms
26 National Initiatives UT San Antonio started integrated fellowship in 2014 Yale will start integrated fellowship in 2016 UPMC approved to start in 2017 Curricular milestones in geriatrics published in 2012 EPAs in geriatrics published in 2014 EPAs in palliative medicine published in 2015 Working group aligned curriculum milestones with reporting milestones Working group collecting and developing assessment tools and convert to toolbox
27 UT San Antonio Two pre-existing fellowships Multicultural environment Ethics Curriculum Allows fellows to devote more time to QI/Research/Curricular projects
28 YNHHS Geriatrics-Palliative Care 2 Fellows Fellowship Rotate in New Haven and Bridgeport Geriatrics and Palliative Care at both sites Professional development (8 months) will focus on Health System issue
29 Benefits of Health System fellowship Fellows Complementary Hospitals: Tertiary Care & Community Hospital Multiple potential sites for rotations Collaborate with Geriatrics & Palliative Care fellows Bridgeport Hospital Fellows for slots Yale-New Haven Hospital Senior leadership very supportive of Health System fellowship Yale New Haven Health System Professional Development project
30 Leadership Curriculum Quality Improvement and patient safety training Healthcare administration Rural training Advocacy/policy training Team training Understanding and leading change
31 Acknowledgements Elizabeth Lindenberger (co-director) Advisory Committee: Robert Arnold, Christie Richie Rosanne Leipzig Sean Morrison Sandra Sanchez-Reilly Lisa Walke Laura Morrison
32 Thank you. Questions?
33 History of Geriatrics and Palliative Care Training at Mount Sinai In 2003, NCI grant supported our first geriatrics-palliative care fellow By 2011, six geriatrics-palliative care fellows trained in both a traditional geriatrics and a traditional palliative care program
34 Other Evaluation Methods Patient and Family Care (Palliative Care) Multi-source feedback Clinical competency meetings Patient Care (Geriatric Medicine) Mini-Cexs ABIM Performance Improvement Module --- (ACOVE) Multisource feedback Medical Knowledge (Both) Board Certification Examinations* OSCE of geriatric syndromes and EBM ( beginning of first and second year)*
35 Other Evaluation Methods Practice-Based Learning and Improvement (Both) Clinical questions Evaluation as teachers Fellow as teachers by peers and students* In PC, AAHPM Small Group Teaching Checklist Evidence-based Journal Club; Review of Critically Appraisal Papers* (see Self evaluation Quality improvement evaluation tool Interpersonal and Communication Skills (Both) Family meeting evaluation* EPEC and Geri-talk (small group activity with trigger cases and SPs)
36 Other Evaluation Methods Professionalism (Both) Multisource feedback Monthly evaluation Clinical competency meetings AAHPM Reflective journaling self care exercise System-Based Practice (Both) Multisource feedback ACO QI measures Quality improvement evaluation tool
37 Results from Two Pilot Sites As of July 1, 2015, both sites (UTHSCSA and ISMMS) graduated 6 integrated fellows and 13 newly enrolled integrated fellows 19 abstracts and poster presentations at national meetings Completed 15 professional training programs in communication skills, curriculum development and teaching curriculum 100% of graduates have pursued academic careers
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations Kyle Allen, DO Medical Director Institute for Senior and Post Acute Care Summa Health System
More informationUND GERIATRIC MEDICINE FELLOWSHIP CURRICULUM HOSPICE AND PALLIATIVE CARE
LOCATION SITE: HOSPICE OF THE RED RIVER VALLEY CONTACTS ATTENDING FACULTY: Tricia Langlois, M.D. Tricia.Langlois@hrrv.org Michelle Cooley, FNP-C Michelle.Cooley@hrrv.org SITE CONTACT: Brenda Iverson Brenda.Iverson@hrrv.org
More informationGUIDELINES FOR POST PEDIATRICS PORTAL PROGRAM
GUIDELINES FOR POST PEDIATRICS PORTAL PROGRAM Psychiatry is a medical specialty that is focused on the prevention, diagnosis, and treatment of mental, addictive, and emotional disorders throughout the
More informationOur faculty has been hand-picked for their knowledge, experience, and enthusiasm for teaching
We welcome your interest in Advocate Lutheran General Hospital s Psychiatry Residency Program. ALGH is a 638-bed teaching hospital located adjacent to Chicago on the northwest side. We proudly provide
More informationIntensive Board Review Course. Faculty. August 9-11, 2018 Hyatt Regency Minneapolis Minneapolis, MN
Intensive Board Review Course Faculty August 9-11, 2018 Hyatt Regency Minneapolis Minneapolis, MN Janet Bull, MD MBA FAAHPM Dr. Bull is the Chief Medical Officer at Four Seasons Compassion and holds a
More informationPalliative Care for Older Adults in the United States
Palliative Care for Older Adults in the United States Nathan Goldstein, MD Associate Professor Hertzberg Palliative Care Institute Brookdale Department of Geriatrics and Palliative Medicine Icahn School
More informationGeriatric Medicine Rotation. Contact Person: Dr. Lotika Pandit
Geriatric Medicine Rotation Contact Person: Dr. Lotika Pandit General Information Geriatric medicine is an integral part of the Internal Medicine Residency Program. Our faculty includes four fellowship-trained
More informationVanderbilt University Medical Center Geriatric Medicine Fellowship Program
VUMC, Geriatric Medicine Fellowship program, page 1 Vanderbilt University Medical Center Geriatric Medicine Fellowship Program The purpose of the Geriatric Medicine Fellowship Program at Vanderbilt University
More informationPalliative Care: Mission and Strategic Imperative. Sarah E. Hetue Hill, PhD Ascension Healthcare
Palliative Care: Mission and Strategic Imperative Sarah E. Hetue Hill, PhD Ascension Healthcare Ascension Palliative Care Definition Palliative Care is person-centered, holistic care delivered by an interdisciplinary
More informationBasic Standards for Residency/Fellowship Training in Geriatric Psychiatry
Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry American Osteopathic Association and American College of Osteopathic Neurologists and Psychiatrists Approved 2/2005 Revised 2/2008,
More informationLearning Objectives. Hospice Size. CoPs (cont d) The Problem: Pertinent Medicare CoPs related to Hospice Medical Directors
Session 7D NHPCO 29th Management and Leadership Conference March 28, 2014 Competency Evaluation for the Hospice Physician in Smaller or Rural Hospices Cheryl Arenella MD, MPH Associate, The Corridor Group
More information*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS:
*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS: The goal of geriatric fellowship training is to prepare fellows for competency in the following core areas: Check and record date completed
More informationThe definition and work of geriatricians in the United
EDUCATION AND TRAININGS What Is a Geriatrician? American Geriatrics Society and Association of Directors of Geriatric Academic Programs End-of-Training Entrustable Professional Activities for Geriatric
More informationGeriatric Medicine I) OBJECTIVES
Geriatric Medicine I) OBJECTIVES 1 To provide a broad training and in-depth experience at a level sufficient for trainees to acquire competence and professionalism required of a specialist in Geriatric
More informationPALLIATIVE CARE PALLIATIVE CARE FOR THE CANCER PATIENT OBJECTIVES. Mountain States Cancer Conference November 2, 2013
PALLIATIVE CARE FOR THE CANCER PATIENT Mountain States Cancer Conference November 2, 2013 Jean S. Kutner, MD, MSPH Gordon Meiklejohn Endowed Professor of Medicine OBJECTIVES To apply evidence regarding
More informationGeriatric Neurology Program Requirements
Geriatric Neurology Program Requirements Approved November 8, 2013 Page 1 Table of Contents I. Introduction 3 II. Institutional Support 3 A. Sponsoring Institution 3 B. Primary Institution 4 C. Participating
More informationAGS 2018 ANNUAL MEETING SCHEDULE-AT-A-GLANCE. Wednesday, May 2, 2018
AGS 2018 ANNUAL MEETING SCHEDULE-AT-A-GLANCE Wednesday, May 2, 2018 Time Session Room Track PRE-CONFERENCE SESSIONS (additional fee) 7:00 AM 5:30 PM Hospital Elder Life Program (HELP) Asia 4 7:30 AM 1:00
More informationPalliative Medicine: Program Description
Program Description: Palliative Medicine: Program Description Palliative Medicine was recently approved as a subspecialty by the Royal College of Physicians and Surgeons of Canada (RCPSC). The Subspecialty
More informationAn Innovative Curriculum for Interprofessional Training in Palliative Care
An Innovative Curriculum for Interprofessional Training in Palliative Care Jason Malcom, LCSW Ryan Weller, LCSW Department of Veterans Affairs VA Portland Health Care System March 13, 2018 Timeline 2001:
More informationSubspecialty Milestones Summit
Subspecialty Milestones Summit February 11-12 2008, 2009 American Board of Internal Medicine All rights reserved. The NAS Charge Develop Subspecialty Milestones by 2014 2008, 2009 American Board of Internal
More informationnicheprogram.org 2016 Annual NICHE Conference Care Across the Continuum 1
Meeting the Palliative Care Needs of Older Hospitalized Patients: Nursing is Doing It! Susan M. Lee, PhD, RN, CNP Senior Nurse Scientist, NICHE Coordinator, Brigham and Women s Hospital, Boston, MA, Palliative
More informationProgram Directors Meeting Pediatric Endocrine Society Baltimore, MD
Program Directors Meeting 2016 Pediatric Endocrine Society Baltimore, MD Agenda General Announcements Match Update Workforce Data Changes in ACGME Program Requirements Entrustable Professional Activities
More informationAGS 2018 ANNUAL MEETING SCHEDULE-AT-A-GLANCE. Wednesday, May 2, 2018
AGS 2018 ANNUAL MEETING SCHEDULE-AT-A-GLANCE Wednesday, May 2, 2018 Time Session Track PRE-CONFERENCE SESSIONS (additional fee) 7:00 AM 5:30 PM Hospital Elder Life Program (HELP) 7:30 AM 1:00 PM Fellowship
More informationBreaking Down the Problem: Physician Perspectives
Breaking Down the Problem: Physician Perspectives Dean Bajorin, MD, FACP Co-Chair, ASCO Workforce Advisory Group Institute of Medicine National Cancer Policy Forum Ensuring Quality Cancer Care through
More informationUniversity of California, San Francisco CURRICULUM VITAE. Nancy Dudley, RN, PhD
University of California, San Francisco CURRICULUM VITAE Nancy Dudley, RN, PhD PERSONAL INFORMATION Home 884 Carmel Avenue Los Altos, CA 94022 (H) 650 949-0926 (C) 650 575-3440 email: nancy.dudley@ucsf.edu
More informationHandbook for Postdoctoral Fellows at The Menninger Clinic
Handbook for Postdoctoral Fellows at The Menninger Clinic 2017-2018 Chris Fowler, Ph.D., director of Psychology Patricia Daza, PhD, director of Psychology Training 1 Overview The psychology discipline
More informationLEVELS OF NICHE IMPLEMENTATION. Stage 2: Progressive Implementation
LEVELS OF NICHE IMPLEMENTATION *Required element Stage 1: Early Stage 2: Progressive Stage 3: Senior Friendly Stage 4: Exemplar Dimensions Guiding Principles The institution has a mission statement that
More informationA Population Health Approach to Palliative Care
A Population Health Approach to Palliative Care Steven Pantilat, MD Professor of Medicine Kates-Burnard and Hellman Distinguished Professor in Palliative Care Director, and Palliative Care Quality Network
More informationChanging the Face of Palliative Care in Oncology Practice
Changing the Face of Palliative Care in Oncology Practice Karin Porter-Williamson MD Associate Professor of Medicine Medical Director Palliative Care Services KU Hospital Amy Velasquez RN BSN OCN Allen
More informationDepartment of Geriatrics. Annual Report Larry Lawhorne, M.D. Professor and Chair
Department of Geriatrics Annual Report 2016 Larry Lawhorne, M.D. Professor and Chair For the period including January 1, 2016 December 31, 2016 1Statement from the Chair The Department of Geriatrics was
More informationTHE BROOKDALE DEPARTMENT: A NATIONAL LEADER
GERIATRICS AT MOUNT SINAI Inaugural Newsletter Fall/Winter 2018 THE BROOKDALE DEPARTMENT: A NATIONAL LEADER T he Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai is a national
More informationPalliative Care and IPOST Hospital Engagement Network June 5, Palliative Care
Palliative Care and IPOST Hospital Engagement Network June 5, 2012 Jim Bell, MD Medical Director St. Luke s Palliative Care and Hospice Palliative Care The interdisciplinary specialty that focuses on improving
More information2/12/2016. Disclosure. Objectives. The Hospice Medical Director: What Should They Be Doing?
The Hospice Medical Director: What Should They Be Doing? Tommie W. Farrell, MD HMDCB FAAHPM Pathways at Hendrick Hospital Palliative and Supportive and Hospice Care Abilene Texas Disclosure Governing Board
More informationACGME Program Requirements for Graduate Medical Education in Internal Medicine Summary and Impact of Focused Requirement Revisions
ACGME Program Requirements for Graduate Medical Education in Internal Medicine Summary and Impact of Focused Requirement Revisions Requirement: II.A.3.b), II.B.1.b).(1).(a), II.B.3.b).(1), II.B.4.c), II.B.5.a).(2)
More informationA Career in Geriatric Medicine
A Career in Geriatric Medicine About Geriatric Medicine Geriatric medicine is an exciting and rapidly growing specialty in which the UK is a world leader. It is currently one of the largest specialties
More informationHandbook for Postdoctoral Fellows at The Menninger Clinic
Handbook for Postdoctoral Fellows at The Menninger Clinic 2018-2019 Chris Fowler, PhD, director of Psychology Patricia Daza, PhD, director of Psychology Training 1 Overview The psychology discipline became
More informationHEALTHSTREAM LIVING LABS IN ACTION
HEALTHSTREAM LIVING LABS IN ACTION A CONVERSATION WITH: Mitchel T. Heflin MD, MHS Associate Professor of Medicine, Duke University School of Medicine Eleanor McConnell PhD, RN, GCNS-BC Associate Professor,
More informationECHO in Alaska. 35th Annual Alaska Health Summit January 18, Meghan Clark and Danielle Reed
in Alaska 35th Annual Alaska Health Summit January 18, 2018 Meghan Clark and Danielle Reed Thank you to Project Echo and Dr. Kristin Sohl, University of Missouri for sharing their slides. Today s Agenda
More informationJessica Kalender-Rich, MD Landon Center on Aging, MS Rainbow Blvd, Kansas City, KS (913)
Jessica Kalender-Rich, MD Landon Center on Aging, MS 1005 3901 Rainbow Blvd, Kansas City, KS 66160 (913) 588-2610 jkalender@kumc.edu Employment July 2010-present Assistant Professor Department on Internal
More informationMayo Clinic Gynecologic Oncology Fellowship (Minnesota) Competency-based goals
Mayo Clinic Gynecologic Oncology Fellowship (Minnesota) Competency-based goals 1. PATIENT CARE (includes surgical skills) To train gynecologic oncology fellows to competency in evaluation, treatment and
More informationWhy New Thinking is Needed for Older Adults across the Rehabilitation Continuum
Why New Thinking is Needed for Older Adults across the Rehabilitation Continuum Samir K. Sinha MD, DPhil, FRCPC Director of Geriatrics Mount Sinai and the University Health Network Hospitals Assistant
More informationThe University of Tennessee Hospice and Palliative Care Fellowship Program
The University of Tennessee Hospice and Palliative Care Fellowship Program General Information The University of Tennessee Hospice and Palliative Care Fellowship Program provides comprehensive training
More informationCreating Successful and Innovative Geriatrics Clerkship Programs: Geriatrics Success Stories at UNTHSC/TCOM and UMDNJ/SOM
Creating Successful and Innovative Geriatrics Clerkship Programs: Geriatrics Success Stories at UNTHSC/TCOM and UMDNJ/SOM TCOM s 4 th Year Mandatory 1 Month Geriatrics Clerkship TCOM s Geriatrics Clerkship
More informationBOSTON UNIVERSITY MEDICAL CENTER DEPARTMENT OF MEDICINE ANNUAL REPORT SECTION OF GERIATRICS JULY 1, 2008 JUNE 30, 2009 FISCAL YEAR 2009
BOSTON UNIVERSITY MEDICAL CENTER DEPARTMENT OF MEDICINE ANNUAL REPORT SECTION OF GERIATRICS JULY 1, 2008 JUNE 30, 2009 FISCAL YEAR 2009 Overview of Education, Research, and Clinical Activities: A) Education
More informationDepartment of Geriatrics Annual Report 2012
Statement from the Chair: Highlights of 2012 Established in 2006, the Department of Geriatrics shares the school's vision of becoming a preeminent community-based medical school that advances new models
More informationMcMaster Pediatric Neurology Residency Training Program
McMaster Pediatric Neurology Residency Training Program Our Vision: About Our Program To maintain a flexible, well-rounded, life-style friendly learning environment that allows trainees to pursue a variety
More informationThe Penn Renal, Electrolyte and Hypertension Division Nephrology Fellowship Program
QUESTIONS FOR NEPHROLOGY FELLOWSHIP APPLICANTS Jeffrey S. Berns, MD The Penn Renal, Electrolyte and Hypertension Division Nephrology Fellowship Program Program Leadership and Faculty 1. How old is the
More informationRUTGERS CANCER INSTITUTE OF NEW JERSEY - ROBERT WOOD JOHNSON MEDICAL SCHOOL INTERDISCIPLINARY BREAST SURGERY FELLOWSHIP CORE EDUCATIONAL OBJECTIVES
RUTGERS CANCER INSTITUTE OF NEW JERSEY - ROBERT WOOD JOHNSON MEDICAL SCHOOL INTERDISCIPLINARY BREAST SURGERY FELLOWSHIP CORE EDUCATIONAL OBJECTIVES At the completion of Breast Fellowship training, the
More informationPracticing Palliative Care by National Guidelines. August 2018
Practicing Palliative Care by National Guidelines August 2018 Michol Negron, DO, MBA NYIT-COM Graduate 1995 Board Certified Family Medicine Board Certified in Hospice and Palliative Medicine Certified
More informationSpecific Standards of Accreditation for Residency Programs in Adult and Pediatric Neurology
Specific Standards of Accreditation for Residency Programs in Adult and Pediatric Neurology INTRODUCTION 2011 A university wishing to have an accredited program in adult Neurology must also sponsor an
More informationECCA Page 1
University of Michigan Hospitals and Health Centers UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Delineation of Privileges Department of Internal Medicine Division of Geriatric and Palliative Medicine
More informationEXHIBIT 3: ASSESSMENT TABLE GUIDANCE DOCUMENT
EXHIBIT 3: ASSESSMENT TABLE GUIDANCE DOCUMENT Programs seeking initial or renewal of accreditation with ABPTRFE demonstrate the extent to which they are achieving their mission by completing Exhibit 3:
More informationTHE BRITISH COLUMBIA NEUROPSYCHIATRY PROGRAM
THE BRITISH COLUMBIA NEUROPSYCHIATRY PROGRAM THE PROVINCIAL CLINICAL-ACADEMIC NEUROPSYCHIATRY PROGRAM BASED IN VANCOUVER, CANADA SEPTEMBER 16, 2016 Dr. Islam Hassan, MBChB, MMedSc, MRCP(UK), MRCPsych,
More informationBasic Standards for Residency Training in General Neurology
Basic Standards for Residency Training in General Neurology American Osteopathic Association and American College of Osteopathic Neurologists and Psychiatrists Revised 2/2003 Revised 7/2004 Revised 6/2006
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More informationAPTA EDUCATION STRATEGIC PLAN ( ) BOD Preamble
APTA EDUCATION STRATEGIC PLAN (2006-2020) BOD 03-06-26-67 Preamble The content of the Education Strategic Plan represents the specific initiatives the American Physical Therapy Association (Association)
More informationPage 1 of 6. Icahn School of Medicine at Mount Sinai Fellowship in Family Planning Program Overview
Icahn School of Medicine at Mount Sinai Fellowship in Family Planning 2016 Program Overview The Icahn School of Medicine at Mount Sinai Fellowship in Family Planning is proud to be the 28th fellowship
More informationExploring the Benefits of Both Palliative and Hospice Care
Exploring the Benefits of Both Palliative and Hospice Care David Mandelbaum, M.D. Director, Palliative Care Services Co-Medical Director, Hospice Services Franciscan Health, Indianapolis, Mooresville,
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More informationAACOM Annual Conference April 28, 2017
Transforming Clinical Geriatrics Education with Interprofessional Partnerships AACOM & AODME Annual Conference April 28, 2017 Baltimore, MD Janice A Knebl, DO, MBA, FACP Director, WE HAIL HRSA GWEP FACOI
More informationPalliative Care in the Continuum of Oncologic Management
Palliative Care in the Continuum of Oncologic Management PC in the Routine Continuum of Cancer Care Michael W. Rabow, MD Director, Symptom Management Service Helen Diller Family Comprehensive Cancer Center
More informationSTANDARDS FOR HEPATO-PANCREATO-BILIARY TRAINING. Education and Training Committee INTERNATIONAL HEPATO-PANCREATO-BILIARY ASSOCIATION 2008
STANDARDS FOR HEPATO-PANCREATO-BILIARY TRAINING Education and Training Committee INTERNATIONAL HEPATO-PANCREATO-BILIARY ASSOCIATION 2008 1.0 DEFINITIONS 1.1 Hepato-Pancreato-Biliary (HPB) Surgeon 1.2 Hepato-Pancreato-Biliary
More informationPerso An. Geri-O. Objectives: fragility fracture. AL SUPPORT. presentation.
10 th Annual Spring Conference Arizona Geriatrics Society Perso on-centered Care: An Interprofessional Panel Ana Sanguineti, MD Geri-O Ortho Hip Fracture Consult Service Banner Univer rsity Medical Center
More informationQueen s Family Medicine PGY3 CARE OF THE ELDERLY PROGRAM
PROGRAM Goals and Objectives Family practice residents in this PGY3 Care of the Elderly program will learn special skills, knowledge and attitudes to support their future focus practice in Care of the
More informationElliot Senior Specialty Services. in Greater Manchester. 138 Webster Street Manchester NH
Elliot Senior Specialty Services in Greater Manchester 138 Webster Street Manchester NH 03104 603-663-7000 Dedicated to helping seniors achieve their maximum quality of life ELLIOT SENIOR SPECIALTY SERVICES
More informationPEDIATRIC OTOLARYNGOLOGY FELLOWSHIP. B.C. Children s Hospital University of British Columbia Vancouver, B.C.
PEDIATRIC OTOLARYNGOLOGY FELLOWSHIP B.C. Children s Hospital University of British Columbia Vancouver, B.C. Program Director: Number of Positions: Dr. Neil K Chadha One per annum Next available Fellowship
More informationGERIATRIC FELLOWSHIP TRAINING MODULE: GERIATRIC PSYCHIATRY
GERIATRIC FELLOWSHIP TRAINING MODULE: GERIATRIC PSYCHIATRY CORE (AOA ACGME) Osteopathic Principles Practice 1. Describe the integration of Osteopathic principles and philosophy into the care of older adults.
More informationMusculoskeletal Tumor Society Curriculum Guidelines for Clinical Fellowship Programs In Musculoskeletal Oncology
Musculoskeletal Tumor Society Curriculum Guidelines for Clinical Fellowship Programs In Musculoskeletal Oncology Preamble: The Musculoskeletal Tumor Society (MSTS) is committed to excellence in the fellowship
More informationIntroduction to the Current State of Global Health
ACGME goes Global Leader: Jacquelyn Kuzminski MD, Medical College of Wisconsin Co-Leaders: Maeesh Batra MD MPH, Seattle Children s Hospital Sabrina Butteris MD, University of Wisconsin Hospital and Clinics
More informationCONSULTATION / LIAISON PSYCHIATRY
CONSULTATION / LIAISON PSYCHIATRY Dr. Jon Hunter, MD Tel: 416-586-4800 ext. 4557 Fax: 416-586-5970 Email: jhunter@mtsinai.on.ca Jeanette Villapando Tel: 416-586-4800 ext. 8493 Fax: 416-586-8654 Email:
More informationCURRICULUM VITAE. Associate Clinical Professor of Medicine, UCSF Medical Director, Acute Care for Elders Unit, San Francisco General Hospital
CURRICULUM VITAE Name: Position: Address: Edgar Pierluissi Associate Clinical Professor of Medicine, UCSF Medical Director, Acute Care for Elders Unit, San Francisco General Hospital 1001 Potrero Avenue
More informationCasa Colina Centers for Rehabilitation: A unique physician-directed model of care that works
Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Emily R. Rosario, PhD Why is Casa Colina unique? Continuum of care offering medical and rehabilitation services
More informationADOLESCENT MEDICINE SUBSPECIALTY RESIDENCY/FELLOWSHIP PROGRAM DESCRIPTION
ADOLESCENT MEDICINE SUBSPECIALTY RESIDENCY/FELLOWSHIP PROGRAM DESCRIPTION DIVISION OF ADOLESCENT HEALTH AND MEDICINE DEPARTMENT OF PEDIATRICS BRITISH COLUMBIA CHILDREN S HOSPITAL UNIVERSITY OF BRITISH
More informationMIKE Y. JEONG, DO, MPH, CMD
MIKE Y. JEONG, DO, MPH, CMD 9811 W. CHARLESTON BLVD. SUITE 2-304 LAS VEGAS, NEVADA 89117 Answering Service (702) 464-7855 Cell phone (702) 960-9311 Fax (877) 211-3791 Email: mjeong.gma@gmail.com SUMMARY
More informationPOSITION DESCRIPTION Grade 4 Physiotherapist Physiotherapy Department
POSITION DESCRIPTION Grade 4 Physiotherapist Physiotherapy Department Date revised: June 2015 POSITION: AWARD/AGREEMENT: Grade 4 Physiotherapists Health Professionals (Public Sector Victoria) CLASSIFICATION
More informationVANDERBILT UNIVERSITY MEDICAL CENTER VA TENNESSEE VALLEY HEALTH SYSTEM GERIATRIC PSYCHIATRY FELLOWSHIP TRAINING PROGRAM ORIENTATION
VANDERBILT UNIVERSITY MEDICAL CENTER VA TENNESSEE VALLEY HEALTH SYSTEM GERIATRIC PSYCHIATRY FELLOWSHIP TRAINING PROGRAM ORIENTATION Overview Vanderbilt University VU School of Medicine VU Medical Center
More informationThe Changing Landscape of Palliative Care
The Changing Landscape of Palliative Care KAHPC 17th Annual Conference August 2015 Brian Jones Joe Rotella Elizabeth Wessels Turner West Kay Williams Why Home-based Palliative Care? Turner West, MPH, MTS
More informationUniversity of Michigan Health System Internal Medicine Residency
University of Michigan Health System Internal Medicine Residency Subacute Care Evaluation and Management Curriculum: Geriatric Evaluation and Management Unit, Community Living Center Version date: 8/2010
More informationUrology Case Conference (a.k.a. Pyelogram, IVP) Time/Location: 2nd Monday of every month at 07:00 08:30
Conferences The AUA curriculum for residency training (http://www.auanet.org/eforms/elearning/core/index.cfm) has been adopted as the official guide for training at our institution. Didactic conferences
More informationPsychiatry Resident Profile
Psychiatry Resident Profile Kimberly Williams January 2016 About me I m Kimberly Williams, a PGY-2 in psychiatry currently working in Calgary, Alberta. I did a bachelor of science degree in pharmacology
More informationMSK Rehab Definitions Framework - hip fractures Self assessment Survey Outpatient Rehab
MSK Rehab Definitions Framework - hip fractures Self assessment Survey Outpatient Rehab In response to a changing rehab landscape in which rehabilitation is offered in many different settings with variations
More informationPEDIATRIC OTOLARYNGOLOGY-HEAD AND NECK SURGERY CLINICAL FELLOWSHIP. B.C. Children s Hospital University of British Columbia Vancouver, B.C.
PEDIATRIC OTOLARYNGOLOGY-HEAD AND NECK SURGERY CLINICAL FELLOWSHIP B.C. Children s Hospital University of British Columbia Vancouver, B.C. Program Director: Number of Positions: Dr. Neil K Chadha One per
More informationPalliative Approach in Dementia Care Delta Hospital Pilot Study
Palliative Approach in Dementia Care Delta Hospital Pilot Study Della Roberts, Clinical Nurse Specialist, End of Life Program Gina Gaspard, Clinical Nurse Specialist, Residential Care and Assisted Living
More informationDementia and Aging Studies
Dementia and Aging Studies MASTER OF SCIENCE Students learn about dementia, aging and caregiving to empower caregivers and foster autonomy for elders and persons with dementia. gradcollege.txstate.edu
More informationThe Role of the Medical Director in Long Term Care
The Role of the Medical Director in Long Term Care Robert P. Smith MD, CMD President WAMD 5/24/17 WAMD Topics of the Talk Discuss the role of Medical Director Discuss more specifically the medical director
More informationClinical Fellowship in Rural/Urban Geriatric Psychiatry. Department of Psychiatry McGill University. Pierre Janet Hospital Centre
Clinical Fellowship in Rural/Urban Geriatric Psychiatry Department of Psychiatry McGill University Pierre Janet Hospital Centre 12 September 2008 Location: Pierre Janet Hospital Centre 20 Pharand St Gatineau,
More informationVanessa G. BA (Hons), MSc. Post Grad Diploma Neuropsychology
Vanessa G BA (Hons), MSc. Post Grad Diploma Neuropsychology HCPC Registration No. PYL26754 DBS Registration No. 001481251441 PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification(s) Consultant
More informationBasic Standards for Fellowship Training in Addiction Medicine
Basic Standards for Fellowship Training in Addiction Medicine American Osteopathic Association and American College of Osteopathic Family Physicians American College of Osteopathic Internists American
More informationCaroline S. Blaum, MD, MS Diane and Arthur Belfer Professor of Geriatrics Director, Division of Geriatric Medicine New York University Langone
Caroline S. Blaum, MD, MS Diane and Arthur Belfer Professor of Geriatrics Director, Division of Geriatric Medicine New York University Langone Medical Center About the AGS Mission To improve the health,
More informationPostdoctoral Fellowship in Neuropsychology and Intervention
Clinical Psychology Training Programs at Brown: A Consortium of the Providence VA Medical Center, Lifespan, and Care New England Postdoctoral Fellowship Training Program Postdoctoral Fellowship Description:
More informationCOVER SHEET. Accessed from Copyright 2003 Australasian Medical Publishing Company
COVER SHEET Cairns, Will and Yates, Patsy (2003) Education and training in palliative care. Medical Journal of Australia 179:S26-S28. - reproduced with permission. Accessed from http://eprints.qut.edu.au
More informationSystemic Autoimmune Rheumatic Disease Fellowship, McGill University
Systemic Autoimmune Rheumatic Disease Fellowship, McGill University Length of Fellowship: 1 year Type of Fellowship: Clinical and Clinical Research Fellowship Director: Dr. Christian Pineau. For a complete
More informationAdvanced Drug Allergy Fellowship at the McGill University
Centre universitaire de santé McGill McGill University Health Centre Les meilleurs soins pour la vie The Best Care for Life Type of Fellowship: Clinical and Clinical Research Number of Fellowship positions:
More informationMontefiore Medical Center Palliative Care Social Work Fellowship Program
Montefiore Medical Center Palliative Care Social Work Fellowship Program The Montefiore Palliative Care Service is operated by the Department of Family & Social Medicine. Palliative care is the comprehensive
More informationWhere We Are & Where Are We Going
Where We Are & Where Are We Going Patrick J. Coyne MSN,ACHPN,ACNS-BC,FAAN,FPCN Director of Palliative Care,Medical University of South Carolina APPROXIMATELY NINETY MILLION AMERICANS ARE LIVING WITH SERIOUS
More informationThe Integration of Palliative Care into Standard Oncology Care. American Society of Clinical Oncology Provisional Clinical Opinion
The Integration of Palliative Care into Standard Oncology Care American Society of Clinical Oncology Provisional Clinical Opinion The Provisional Clinical Opinion Based on strong evidence from a phase
More informationTHE MULLER INSTITUTE FOR SENIOR HEALTH
THE MULLER INSTITUTE FOR SENIOR HEALTH Rita Leinheiser, MA Social Gerontologist Elder Life Specialist OBJECTIVES 1. Discover the components of a comprehensive community wellness program for seniors and
More informationHHS Public Access Author manuscript J Am Geriatr Soc. Author manuscript; available in PMC 2015 September 15.
Defining the Domain of Geriatric Medicine in an Urban Public Health System Affiliated with an Academic Medical Center Christopher M. Callahan, MD *,,, Michael Weiner, MD, MPH *,,, and Steven R. Counsell,
More informationGeriatric Urology Symposium Joseph Basler, PhD, MD Elizabeth Glazier, MD/MPH Beth Payne
Geriatric Urology Symposium 2009 Joseph Basler, PhD, MD Elizabeth Glazier, MD/MPH Beth Payne One might refer to urologists as the hidden providers of geriatric care, ultimately sought out by many geriatric
More informationSTATE ALZHEIMER S DISEASE PLANS: TRAINING
STATE ALZHEIMER S DISEASE PLANS: TRAINING Recommendations to better equip health care professionals and others to deal with individuals with Alzheimer s Arkansas California Colorado Illinois Iowa Integrate
More information