Fellowship Year Curriculum
Swedish Medical Center Geriatric Medicine Fellowship 2022-2023
Summary of Clinical Rotations
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Inpatient Geriatric Consultations – Fellows spend 6 months per year on the inpatient service, providing
inpatient geriatric consultations. They also provide geriatric teaching
and supervision to the Swedish - First Hill family medicine residents
(Green Team) and are in turn supervised by our geriatrics faculty. This
is a longitudinal experience and happens concurrently with other rotations.
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Acute Rehabilitation – Fellows spend one month on the Acute Rehabilitation Unit at Swedish-Cherry
Hill, under the supervision of the Swedish physiatrists. This rotation
includes both inpatient and outpatient experiences.
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Family Medicine Outpatient Clinic – Fellows have family medicine clinic on Friday mornings at Swedish
Family Medicine. Precepting is done by the regular faculty preceptor of
the morning, who discusses and examines patients as necessary, and reviews
and co-signs all chart notes.
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Geriatric Assessment and Consultation Clinic – Thursday mornings, fellows participate in the Geriatric Assessment
and Consultation clinic under the direction of our geriatric faculty and
with Pharmacy residents, Social Worker, and Psychology Grad Students.
They perform in-depth evaluation of complex patients, both their own continuity
patients, and those referred from other physicians. This is a longitudinal
experience, and happens concurrently with other rotations, and has pivoted
to offer virtual visits in addition to in-person.
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Geriatric Outpatient Clinic – Monday afternoons, fellows have a geriatric continuity clinic
at Swedish Family Medicine. They perform in-depth evaluation of complex
patients, both their own continuity patients, and those referred from
other physicians. This is a 12-month longitudinal experience and happens
concurrently with other rotations.
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Home Visits – Fellows conduct home visits on their patients in patient homes,
adult family homes, and assisted living facilities. We have just launched
our Swedish Geri Fellows @Home primary care at home program and are building
this service.
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Long-Term Care – Fellows see patients two afternoons weekly at Caroline Kline Galland
Home. They manage a busy panel of their own patients and help with the
care of the long-term care patients belonging to our resident physicians.
This is a longitudinal experience and happens concurrently with other
rotations.
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Neurology – Fellows work at the Movement Disorders Clinic at the Swedish Neuroscience
Institute, under the direction of Dr. Pravin Khemani and Cognitive Neurologist
Dr Nancy Isenberg and Neuropsychologist, Ariana Tart-Zevin.
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Palliative Medicine – Fellows spend a month as a member of the Swedish inpatient Palliative
Care Consult team, including time with ambulatory Palliative Care.
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Hospice –fellows rotate with the home care RNs and therapists and work together
with the team at Kline Galland Hospice.
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Post-Acute Care– Fellows spend one month learning post-acute care at Kline Galland Home
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Geriatric Psychiatry - Fellows spend one month working with the inpatient geriatric psychiatry
team at Northwest Hospital.
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Wound Clinic – Fellows rotate at the Swedish Wound Care Clinic learning the management
of chronic non-healing wounds.
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Bone Health and Pain Clinic – Fellows rotate with osteoporosis specialist and with the team at Swedish
Pain Clinic for exposure to specialty approach to these issues.
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Iora Health and Providence ElderPlace- Fellows rotate at these value-based care programs to gain insight into
different models of care delivery for older adults.
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Elder Abuse MultiDisciplinary Team - Fellows serve on this consult service and learn about how to approach
Elder Abuse and mistreatment in the context of community experts
Summary of Faculty Development/Leadership Training
- Fellows act as Preceptor in the family medicine clinic once per week. They
are paired with a faculty supervisor.
- Fellows teach and supervise family medicine residents on the inpatient
service throughout the year.
- Fellows attend weekly Faculty Meetings at the residency and are invited
to all faculty-development sessions.
- Fellows are invited to attend faculty development sessions at the University
of Washington, including the UW FMRN Webinar Series.
- Fellows participate in hospital committees, including the Patient Safety
and Quality Committee sponsored by the GMEC.
Summary of Fellows’ Scholarly Work
- Fellows are expected to produce an academic project during their fellowship:
either a formal CME presentation, or a piece of academic writing, or both.
Fellows typically present at some or all of the following venues.
- Fellows deliver didactics presentations every three months to the residents
of SFM – First Hill and SFM – Cherry Hill.
- Fellows present once a year in the Fellows’ Most Difficult Case Conference
lecture series, a tele-lecture with all Geriatrics fellows from west coast
fellowships.
- Fellows have the option to present a poster, abstract, or presentation
at a national meeting, such as AGS, STFM, RPS, or AMDA.
- Fellows can complete an independent Quality Improvement project that meets
their ABFM Maintenance of Certification Part IV requirement.
- Fellows present a case at Project ECHO Geriatrics and Project ECHO Dementia
online Zoom meeting with the University of Washington.
- Fellows present, with faculty, at Geri-a-FLOAT, an educational series of
virtual meetings to deepen knowledge of geriatric medicine and to convene
future geriatricians across the globe or networking and peer support.
Contact Us
Program Coordinator
Jesse Zayas
206-215-2602
Send an email
Geriatric Medicine Program Director
Carrie Rubenstein, MD
Learn more about our Geriatric Medicine Fellowship program.
