Welcome to the Geriatric Medicine Fellowship Program at the University of Rochester. We offer a one-year ACGME accredited training program to board-eligible internists and family practitioners. Additional years of research-based training are available to qualified applicants via the T32 Research Training Grant. The fellowship is designed to fully meet the requirements of the Accreditation Council for Graduate Medical Education (ACGME) and to abide by the guidelines of the American Geriatrics Society.The fellowship is an integrated experience based at several sites: Monroe Community Hospital (teaching nursing home), Highland Hospital - Acute, Independent Living for Seniors (a PACE replication site), and the Veterans Administration Medical Center in Canandaigua and Rochester, New York.
The experience in year one is clinically focused and includes longitudinal care and neurology consultation in a nursing home setting, primary care of a cohort of frail, older adults, and comprehensive geriatric assessment at the consultative clinic at Monroe Community Hospital. Block rotations in year one include: |
Annette Medina-Walpole, M.D.
Associate Professor of Medicine
Geriatric Medicine Fellowship
Program Director
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geriatric psychiatry, rehabilitation, acute inpatient care, palliative care, Independent Living for Seniors, and home care. Fellows also participate in the educational activities of the Division including: geriatric journal club, geriatric medicine grand rounds, geriatric fellows' conference and as well as participating in the education of internal medicine housestaff and medical students.
It is our goal that by the end of twelve months of sub-specialty training the geriatric medicine fellow is fully prepared to provide primary and consultative health care to geriatric patients in both inpatient and outpatient settings. Each fellow will have at his/her command a broad body of knowledge that includes an integrative understanding of normal aging and disease models, training in biological and psychosocial aspects of normal and abnormal aging, the impact of acute and chronic physical illnesses, and the biological and psychosocial aspects of the pathology of geriatric syndromes beginning in or continuing into older age.
It is also our goal that the fellows’ training includes a multi-dimensional biopsychosocial view of assessment, treatment, and management of geriatric patients in all settings. Fellows will gain skills through a combination of supervised clinical experiences and formal didactic conferences. In addition to the requisite body of knowledge, each fellow develops leadership and interpersonal skills, professional attitudes, and practical experiences required of a geriatrician. Specific learning objectives are provided for each clinical rotation in which the fellow participates.
Annette Medina-Walpole, M.D.
Associate Professor of Medicine
Program Director, Geriatric Medicine Fellowship
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Monroe Community Hospital
MCH is a 566-bed residential health care facility providing quality long-term care to individuals with
complex or chronic health conditions.
1. Geriatric Assessment Clinic – This clinic was developed at Monroe Community Hospital to address the long-term health concerns faced by older individuals and their families. This comprehensive, interdisciplinary outpatient consultative program was one of the first of its kind in the nation, and has gained national recognition since its inception in 1980. Fellows participate in the clinic regularly throughout their fellowship and provide the medical assessment and consultative liaison service for the patients seen in the clinic. Fellows work with a team of health professionals including an attending physician, registered nurse, neuropsychologist, and social worker to thoroughly assess the health and functional ability of each individual patient by conducting a series of examinations and visits. This comprehensive process allows the team to fully understand the health care needs of each individual and their families in order to prepare a detailed customized care plan.
 2. Long-Term Care - Each fellow is assigned a panel of long-term care patients, at Monroe Community Hospital, which they will follow longitudinally with an attending physician during their tenure as a fellow. Other experiences include participation on a closed wandering/behavior unit at MCH and a respiratory unit for ventilator-dependent patients at an affiliated facility.
3. Neurology - Fellows participate in inpatient neurologic consultation at Monroe Community Hospital and outpatient consultation and neurology clinic at Monroe Community Hospital. They are involved in didactic teaching rounds with an attending geriatric neurologist.
4. Psychiatry - The Psychiatric Department at Monroe Community Hospital is world-renowned for its groundbreaking work in cognitive disorders and dementias and continues to actively participate in innovative clinical trials. Fellows participate in a two month rotation of inpatient psychiatric consultation on long-term care patients at Monroe Community Hospital as well as outpatient evaluation in the neurology and psychiatry clinic. (Their involvement is also encouraged in the ongoing research and clinical trials in Alzheimer's Disease and other dementing disorders and behavioral disturbances.)
 5. Rehabilitation - MCH is home to one of the most experienced short-term rehabilitation programs in the region providing individualized care to people with disabling conditions as result of an illness or injury. Geriatric fellows participate in a three month rotation on a comprehensive, interdisciplinary teaching service and are responsible as team members for the primary care of the patients. Fellows interact with specialists in medicine, physical therapy, occupational therapy, speech and language pathology, recreation therapy, social work, clergy, audiology, nursing, and nutrition. The treatment team is committed to restoring each patient's physical and cognitive skills, enabling him or her to be as self-reliant and independent as possible.
Highland Hospital - Acute Care for Elders (ACE) unit.
Highland Hospital  is
a community hospital that has a long tradition of outstanding care with research and education in the biopsychosocial model and physician-patient communication. It is quickly becoming the center for the care of the hospitalized elderly with its innovative ACE Unit. Fellows have an opportunity to both learn and teach during this required rotation. Fellows also participate in peri-operative geriatric consultation and comanagement on the Geriatric Fracture Center and Palliative Care Consultation.
Independent Living for Seniors (ILS ) - a PACE (Program for All-inclusive Care for the Elderly) replication site. A PACE site provides an interdisciplinary, adult daycare centered comprehensive plan of care to nursing home eligible individuals in their own home. Most disciplines including physicians, nurse practitioners, skilled nursing, rehabilitative services, social work, pastoral care, dental care, eye care, podiatry, dietary, and aide services are offered at the three day centers.
 Veterans Administration Medical Center
Canandaigua,
NY -
The Department of Veterans Affairs has a long history of supporting geriatrics educational and research activities. The Canandaigua VA Medical Center is a 300-bed facility affiliated with the University of Rochester which provides extended care for veterans with physical and mental disabilities. The 150-bed nursing home program includes post-acute care, medical nursing home care and a 30-bed dementia unit. The Canandaigua facility and an affiliated Rochester clinic located proximal to the University and Monroe Community Hospital, also offer a variety of outpatient services. Fellows rotating through the VA have opportunities for involvement in the outpatient clinic services, palliative care services and the Home Based Primary Care programs.
The fellowship also utilizes several other sites as part of the training including Visiting Nurse Services and Highland House Calls for the home care rotation and palliative care rotation; Lifetime Health and Unity Geriatrics Associates for primary care ambulatory clinic experiences and Strong Health Geriatrics Group, Highlands at Brighton and Highlands Living Center for additional long-term care and medical directorship exposure.
Meredith Cricco M.D.
2nd Year Fellow
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Dr. Cricco completed her undergraduate education at the University of Chicago. She then studied at the University of Iceland under a Fulbright Graduate Student Fellowship, eventually enrolling in the school of medicine there. As a medical student she conducted independent research at the National Institute on Aging in 1999, examining the relationship between sleep disorders and cognitive decline in the elderly. She completed her medical education at the University of Iceland as valedictorian of her class, and then completed residency in Internal Medicine at the University of Rochester.
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| Geria Furtuna M.D. |
Dr. Furtuna completed her medical education at Iuliu Hatieganu University of Medicine and School of Pharmacy in Romania. She completed both Surgery and Medicine-Pediatric internships prior to her residency in Community and Family Medicine at Duke University Medical Center. She was the recipient of the Southeast Center of Excellence in Geriatric Medicine Resident Award. She has been in private practice for the past year at Roxboro Family Medicine and Intermediate Care in North Carolina.
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| Isaura Menzies M.D. |
Dr. Menzies completed her medical education at State University of New York Stony Brook and her residency in Internal Medicine at the University of Rochester. Prior to medical school, she obtained a B.S. from Brooklyn College-City University of New York and an MPH from Hunter College-City University of New York. She worked as a junior research fellow at Brooklyn College and an Associate Public Health Epidemiologist for the New York City Department of Health-Office of AIDS Research/HIV Serosurveys. Dr. Menzies has numerous publications and is the recipient of several awards including a Community Service Award in medical school and a Public Health Service Award.
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| Ebima Okundaye M.D. |
Dr. Okundaye completed his medical education at the University of Benin in Nigeria where he was named the Best Graduating Student and the Best Student in Medicine, Surgery and Pharmacology. He completed his residency in Internal Medicine at Mount Sinai School of Medicine, Queens Hospital Center. He has a dual interest in Geriatrics and Nephrology and has been active in research during his residency in multiple areas including the exploration of phosphodiesterase inhibitors and delay of progression of diabetic nephropathy. Dr. Okundaye has numerous publications and was the recipient of the Best Academic Resident Award.
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| Julie Yoon M.D. |
Dr. Yoon completed her undergraduate education at Cornell University (B.A.) and Upstate Medical University in Syracuse, New York (B.S. in Medical Technology). She completed an M.S. in Microbiology at Washington State University prior to her MD at Upstate Medical Center in Syracuse, New York. She completes her residency in Internal Medicine at the University of Rochester in 8/07 and will officially begin her fellowship in 9/07. She has extensive professional experience in Microbiology including publications and a teaching award. |
The application (in Word format) for a Fellowship with the Division of Geriatrics can be viewed on-screen and can be printed (if a printer is attached). Typed applications are preferred or hand-written legibly.
Applications are also accepted through the Electronic Residency Application Service (ERAS).
If you are unable to print the application, please submit a request either in writing or fax (585-760-6376) to the Fellowship Program Coordinator, Monroe Community Hospital. 435 E. Henrietta Road, Rochester, NY 14620.
Application submission dates:
Fellowship commencing
July 2007 ALL POSITIONS FILLED NO LONGER ACCEPTING APPLICATIONS
July 2008 Due September 30, 2007
Applications submitted past the due date will be considered on an individual basis. |
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