Geriatrics and Palliative Care are areas of special strength and excellence at the University of Rochester and for our residency program.
Each categorical and preliminary intern spends a two-week rotation working with a Geriatrician in his or her primary care geriatrics practice and seeing elderly patients in a variety of community-based settings and programs.
One of the two PGY2 residents rotating on the Highland Hospital floors is paired with a geriatrics attending working closely with the geriatrics service based on the Acute Care for Elders Unit. The team will also sometimes participate in consult care of patients on the Geriatric Fracture Center.
Palliative Care Experiences
Strong Memorial Hospital (SMH)
All second-year residents spend 2 weeks on the Palliative Care Service at SMH. Supervised by Palliative Care faculty and working side by side with experienced Palliative Care Nurse Practitioners and Palliative Care Fellows, residents perform Palliative Care consults on patients throughout the hospital and also participate in the primary inpatient care of patients on our state-of-the-art Palliative Care Unit. This required rotation, the first of its kind in the country, is one of our highest rated rotations every year.
All PGY1 and PGY3 residents rotate through the Emergency Department at Strong Memorial Hospital. Strong's ED is the largest in the region and a Level 1 Trauma Center.
Under the supervision of Emergency Medicine faculty members, medical residents evaluate and initiate management for adult patients with a wide variety of urgent and emergent issues ranging from sprains and strains to acute myocardial infarction, respiratory failure, and shock.
Training in the use of ultrasound guidance for invasive procedures such as central lines, paracentesis, and thoracentesis is standard in our Program. Additionally, the Program is rapidly expanding and integrating training for all Internal Medicine residents in the use of diagnostic point-of-care ultrasound (POCUS) to assist with real-time bedside clinical assessment and management. Cardiac, thoracic, and abdomen POCUS knowledge and skills are being interwoven throughout the curriculum for all Internal Medicine residents, including didactics, on-line training, small group workshops, and bedside team ultrasound rounds. For residents interested in further expanding and refining POCUS skills, an exciting elective rotation through a wide variety of ultrasound venues is available. The ultrasound elective includes hands-on experiences with very enthusiastic faculty from our Cardiology, Critical Care Medicine, and Hospital Medicine divisions as well as the Departments of Emergency Medicine, Anesthesiology, Imaging Sciences, and our First Responder Training Program.