Geriatric Medicine Fellowship

Program Description

Geriatric Medicine Fellowship Clinical Training Program

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Thomas Caprio, M.D.
Assistant Professor of Medicine,
Division of Geriatrics & Aging
Program Director,
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.

  1. 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.
  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 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.)
  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 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.

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 center locations.

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 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.

 

Current Fellows

Geriatric Medicine Fellows 2013 -2014

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Adina Jucan, DDS

Dr. Adina Jucan will be will be entering her 2nd year of fellowship training in the field of Geriatric Dentistry as part of the interdisciplinary geriatric fellowship program.  Dr. Jucan grew up an attend school in Romania, including completion of a doctorate in dental surgery prior to her work as a dentist and dental sales representative in Romania and in the United States.  She then joined the University of Rochester Eastman Institute for Oral Health in 2009.  She completed the Advanced Education Program in General Residency at the Eastman Institute in 2011 and the General Practice Residency Program in Dentistry this year.  She has presented and published her own work in the area of dental implants and distinguished herself as a skilled clinician and researcher.  During her first year of fellowship training she distinguished herself with conference presentation focusing on dental education at both the American Geriatrics Society and the State Society on Aging of New York. This past summer she matriculated to the Warner School of Education at the University of Rochester to pursue a Master’s in Health Profession Education degree.  In recognition of her achievements and her commitment to an academic career, Dr. Jucan was named a Hartford Scholar for this next academic year through the John A. Hartford Center of Excellence at the University of Rochester.

Timothy Holahan, DO

Dr. Timothy Holahan completed his undergraduate training in biology at Niagara University prior to his medical school training at the Lake Erie College of Osteopathic Medicine. He then joined the Internal Medicine Residency program at SUNY Buffalo where he also served as chief resident.  Tim developed a strong interest in palliative care, worked extensively with the faculty at the Center for Hospice and Palliative Care in Buffalo, and he was a co-author on several publications related to the use of ketamine and pentobarbital for symptom management. In 2012 he became the first recipient of a 2-year Hearst Foundation Fellowship in Hospice/Palliative Medicine and Geriatric Medicine at the University of Rochester.  Dr. Holahan is completing his palliative care fellowship at the end of June 2013 and is joining the Geriatric Medicine Fellowship as of July 1st of this academic year.

Claudia Gonzalez, MD

Dr. Claudia Gonzalez grew up in Mexico City and 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.  Dr. Claudia Gonzalez will be joining the Geriatric Medicine Fellowship program by November of this academic year following the conclusion of her palliative care fellowship training.

Allison Magnuson, DO

Dr. Allison Magnuson will be returning to the geriatric fellowship program in August 2013. Allison completed a 3 month block of training in geriatrics from July through September 2012, and then returned to complete her oncology fellowship training for the remainder of the academic year.  She now returns to us for the geriatric medicine program as a full time geriatrics fellow. Dr. Magnuson received her undergraduate training at the University of Rochester in neuroscience.  She then attended medical school at the University of New England College of Osteopathic Medicine. She then completed Internal Medicine Residency at the University of Connecticut were she was recognized as “Intern of the Year,” served as Chief Resident, and was the recipient of the Garibaldi Humanitarianism in Medicine Award in 2010. She then returned to the University of Rochester to pursue fellowship training in Medical Oncology.  Dr. Magnuson’s interest is in the field of Geriatric Oncology and will complete combined fellowship training in both disciplines as a Geriatric Oncology fellow. She has already achieved national recognition for her work and research publication in the field of geriatric oncology.  Allison plans on staying in Rochester following graduation to join the University of Rochester Geriatric Oncology program through the Wilmot Cancer Center.

Noman Afzal, MBBS

Dr. Noman Afzal grew up in Karachi, Pakastan and attended Dow Medical College in Pakistan prior to coming to the United States.  He joined the Psychiatry Residency program at the Albany Medical Center, also serving as chief resident of the program for 2012-2013.  Dr. Afzal’s professional experience includes work in inpatient Gero-psychiatry as a psychiatry extern at North Shore Medical Center in Long Island, NY. He has done prior work as a medical interpreter and completed work as a medical officer and house officer in medical clinics in Pakistan prior to residency training. Noman has presented several projects and case studies related to geriatric psychiatry at national conferences and has active research projects.  Dr. Noman Afzal will be joining the program as a Geriatric Psychiatry fellow as part of the interdisciplinary geriatric training program.  Dr. Afzal joins the Geriatric Psychiatry Fellowship program as of July 1st this academic year.

Sarah Garigen, MD

Dr. Sarah Garigen completed her undergraduate education at RIT in biotechnology and conducted pharmaceutical vaccine research. During the Summer of 2004 she served as a Teaching Assistant for a Johns Hopkins University program for talented youth interested in science.  Dr. Garigen then went on to graduate from the SUNY at Buffalo medical school. Her work as a student in Buffalo at the VA Geriatric Evaluation and Management Clinic and on home visits strongly influenced her decision to pursue the geriatric fellowship training.  In 2007, she completed a geriatrics summer internship in Buffalo and worked cardiac research projects focusing on CT angiography to predict management options for coronary artery disease. Sarah then joined the Internal Medicine residency program at the University of Rochester in 2010. During her residency she continued to conduct research focusing on preventive cardiology.  Dr. Garigen joins the Geriatric Medicine fellowship program as of July 1st this academic year.

Amy Becker, MD

Dr. Amy Becker completed her undergraduate training in Biology at SUNY Geneseo and conducted vaccine research projects as a student.  Dr. Becker went on to complete her medical school training at SUNY Buffalo.  Her interests in geriatrics training could be identified back to the Summer of 2007 when she was participating in a Geriatric Summer Externship program in Buffalo.  Amy went on to win multiple awards during medical school for outstanding achievements in anatomy, physiology and microbiology.  She then joined the Internal Medicine residency program at the University of Rochester. 

 

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

Fellowship commencing:

July 2013 - ALL POSITIONS FILLED NO LONGER ACCEPTING APPLICATIONS

July 2014 - ALL POSITIONS FILLED NO LONGER ACCEPTING APPLICATIONS

July 2015 - Accepting Applications

Additional Information about University of Rochester Fellowship:

Graduate Medical Education

Links of Interest

 

Get In Touch

Division of Geriatrics & Aging
Phone: 585.760.6352

Geriatric Medicine Fellowship Program
Phone: 585.760.6353

Click Here to get more information