The geriatric psychiatry fellow rotates 2-4 months of part-time work on each of two inpatient units. One is the Geriatric Psychiatry Unit (GPU) at Strong Memorial Hospital (SMH). SMH is the University of Rochester Medical Center hospital, a private non-profit general hospital with 750 medical and surgical beds, including 91 psychiatry inpatient beds. The GPU is an 11-bed unit staffed by Department faculty working closely with fellows and residents. Here the fellow spends 75% time over 2 months to learn to evaluate and provide short-term treatment for acutely ill elders with a wide range of primary and secondary psychiatric disorders, in the context of leading a multidisciplinary treatment team. The other rotation is on the Psychiatric Rehabilitation Program Geriatric Unit of the Rochester Psychiatric Center (RPC), where the fellow spends 2-4 months half-time. RPC is a New York State Office of Mental Health facility located close to the UR Medical Center, with teaching attending physicians who are Department faculty. The emphasis is on rehabilitative care as part of a transition to community or longer term residential care settings, offering the fellow the opportunity for longer-term relationships in the active treatment of severely ill older patients.
The fellow spends the equivalent of one day per week throughout the fellowship year working in the Older Adults Service, an SMH clinic located close to the UR Medical Center. Under supervision, the fellow provides evaluations and short as well as longer-term psychotherapeutic and psychopharmacological treatment for older patients with a wide variety of psychiatric conditions. The fellow also learns to collaborate with geriatric psychiatry nurse practitioners and social workers as part of an ambulatory treatment team. Collaboration with primary care providers and other aging services providers in the community to co-manage or provide outpatient consultations is also emphasized.
The fellow rotates for four months of half-time work on the SMH Inpatient Psychiatry Consultation Service. This provides the opportunity to evaluate and manage psychiatric disorders in medically ill elders, as well as supervised experience regarding related issues such as capacity determination. The fellow also has a year-long experience providing consultations at Monroe Community Hospital (MCH), a 566 bed long-term care residential facility operated by Monroe County and staffed by faculty from the University. MCH is the home of the Department's Alzheimer's Disease - Care, Research and Education (AD-CARE) Program and site of the Memory Disorders Clinic. MCH also affords additional opportunities for substantive contact with colleagues from other disciplines, because it is a major training site for the University's programs in geriatric medicine, neurology, and physical medicine and rehabilitation.
COMMUNITY AGING SERVICES
The fellow spends 6 weeks half-time at a community aging services agency, Eldersource, Inc. to learn more about the scope, composition and activities of the aging services network, allowing for collaborative work with aging services care managers and opportunities to participate as part of a multidisciplinary team accompanying care managers on home visits and collaborating to develop treatment plans that address mental health needs of aging services clients. This rotation also provides the fellow with opportunities to develop an education-focused project that can serve adults and aging services providers in the community.
OTHER CLINICAL ROTATIONS
The fellow also has rotations providing exposure to geriatric medicine, neurology, and physical medicine and rehabilitation, based at SMH and Monroe Community Hospital. In addition, two weeks on the nationally recognized SMH Palliative Care Service, provides invaluable supervised experience working with chronically ill and dying patients and their families.
Some fellows may also choose additional elective opportunites, learning more about sleep disorders, ethics, movement disorders, geriatic mental health research or other interests pertaining to geriatric psychiatry pending approval by the Program Director.
SAMPLE ONE YEAR SCHEDULE