Geriatric Medicine Fellowship
Geriatric Medicine Fellowship Clinical Training Program
Thomas Caprio, M.D.
Assistant Professor of Medicine,
Division of Geriatrics & Aging
Geriatric Medicine Fellowship
The Geriatric Medicine Fellowship is a one-year ACGME accredited training program for board-eligible internists and family practitioners. The fellowship is an integrated experience based at several sites: a teaching nursing home, an Acute Care for Elders Unit (ACE) in a community hospital, a Program for All Inclusive Care for the Elderly (PACE) site, and a Veterans Administration Medical Center (VAMC). The fellowship is clinically focused and includes longitudinal nursing home care, rehabilitation, neurology consultation, primary care of outpatients, home care, and comprehensive geriatric and psychiatric assessment. Fellows also participate in the Geriatric Division's educational activities including: journal club, grand rounds, and fellows' conference, as well as participating in the education of internal medicine and family medicine housestaff, as well as medical students.
At the end of twelve months of sub-specialty training the geriatric medicine, fellows are eligible for subspecialty board certification in geriatric medicine. They are fully prepared to provide primary and consultative health care to geriatric patients in hospital, nursing home, and office settings. The fellows' training includes a multi-dimensional biopsychosocial view of assessment, treatment, and management of health problems in older adults. 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 teaching skills, professional attitudes, and practical experiences required of a geriatrician. Additional years of research-based training are available to qualified fellows.
Training and Rotation Sites
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.
- Geriatric Assessment Clinic - The program aims to maintain frail older adults in the community at the most independent level as possible through an interdisciplinary approach of comprehensive geriatric assessment. The clinic features a Geriatric Health Care Team that thoroughly evaluates the health and functional ability of older persons by examination, and interviewing both patient and family, in addition to gathering information from the primary care physician.
- 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.
- 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.
- Psychiatry - The Psychiatry 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.)
- 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 Medicine 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.
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.
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 center locations.
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 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.
Geriatric Medicine Fellows 2013-2014
Claudia Gonzalez, MD
Dr. Claudia Gonzalez grew up in Mexico City and attended medical school at the Universidad Autonoma de Guadalajara in Mexico and completed one year of an internal Medicine Residency in Mexico prior to coming to the United States to join the Internal Medicine Residency program at the Unity Health System in Rochester, NY. During residency, she was voted the best resident of the year in 2010 by the nursing staff at Unity Health System and in 2011 she received the “Resident Humanism Award” from Unity Health. Claudia also conducted a research project during residency examining decision-making in lung cancer in elderly patients and had the work published. Dr. Gonzalez developed an interest in palliative care and subsequently in 2012 joined the palliative care fellowship program at the University of Rochester. She then joined the Geriatric Medicine Fellowship in November 2013 and will complete her fellowship in October 2014.
Daniel King, MD
Dr. Dan King completed his undergraduate education at the Wesleyan University in Connecticut where he majored in East Asian Studies including Japanese Language and History, and he is conversationally fluent in Japanese. He then worked as a Coordinator for International Relations through the Japan Exchange and Teaching Program in Ishigaki City, Okinawa Japan. He completed post-baccalaureate pre-medical studies at Bryn Mawr College in Pennsylvania and then received his medical school training at the University of Rochester and was honored with the Leonard Tow Humanism in Medicine Award as a medical student. Dan subsequently joined the combined Internal Medicine and Pediatrics Residency Program at the University of Rochester. He has been the recipient of numerous awards, in addition to being an active volunteer for youth programs, hospice, and the St. Joseph’s Neighborhood Clinic. He joins the fellowship program this July 2014.
Elizabeth “Liz” Lycett, MD
Dr. Liz Lycett completed her undergraduate training at the University of Delaware where she majored in Biology and Political Science. She then went on to the University of Vermont for Medical School and then joined the University of Rochester Internal Medicine Residency Program where she served as Chief Resident this past year. Liz has served as a hospice volunteer, tutor and peer education facilitator, including serving as a Head Start education session leader, and has volunteered at the St. Joseph’s and Asbury Clinics in Rochester. She joins the Fellowship program this July 1, 2014.
Rashmi Khadilkar, MD
Dr. Rashmi Khadilkar completed her undergraduate training at Franklin & Marshall College in Lancaster, PA as a biology major and music minor. She then went on to medical school at Temple University in Philadelphia, where she also completed her internal medicine residency training and a fellowship in rheumatology. She practiced as a rheumatologist in Newark, Delaware before moving to Rochester in 2011 and joined the rheumatology practice at the Rochester General Medical Group. Rashmi developed a strong interest in the care of her older adult and seriously ill patients, motivating her to pursue further training in geriatrics and palliative care. In 2013, she was awarded a 2-year Hearst Foundation Fellowship in Hospice/Palliative Medicine and Geriatric Medicine at the University of Rochester. Dr. Khadilkar just completed her palliative care fellowship in June 2014 and is joining the Geriatric Medicine Fellowship as of July 1, 2014.
Jennifer Muniak, MD
Dr. Jen Muniak completed her undergraduate training in neuroscience at the University of Rochester where she was the recipient of the Susan B. Anthony Scholarship. Jen then went on to medical school at SUNY Upstate and joined the University of Rochester for her internal medicine residency training. She was awarded the Community Service Award from the Medical Society of the State of New York in 2010. She has practiced as hospitalist physician at Highland Hospital this past year and participated in geriatric training under the Reynolds Foundation “Next Steps” grant for hospitalists and subspecialists. She has always had a strong interest in the care of older adults and now joins the Geriatric Medicine Fellowship as of July 1, 2014.
Applying to the Program
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).
Click here to download the application
If you are unable to print the application, please submit a request either in writing to:
Geriatric Medicine Fellowship Program Coordinator
University of Rochester
Division of Geriatrics & Aging
435 East Henrietta Road
Rochester, NY 14620
or fax (585-760-6376)
Application submission dates
July 2014 - ALL POSITIONS FILLED NO LONGER ACCEPTING APPLICATIONS
July 2015 - Accepting Applications
Additional Information about University of Rochester Fellowship:
Graduate Medical Education