Fellowship Year Curriculum
Swedish Medical Center Geriatric Medicine Fellowship 2022-23
Summary of Clinical Rotations
- Acute Inpatient Care – Fellows spend 6 months per year on the inpatient
service, caring for our panel of geriatric patients. They provide geriatric
teaching and supervision to the First Hill family medicine residents (Green
Team), and are in turn supervised by our geriatric faculty. They also
provide inpatient geriatric consultations. This is a longitudinal experience,
and happens concurrently with other rotations.
- 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.
- 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.
- Geriatric Assessment and Consultation Clinic – Thursday mornings,
fellows participate in the Geriatric Assessment and Consultation clinic
under the direction of our geriatric faculty. 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.
- 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.
- Home Visits – Fellows conduct home visits on their patients in patient
homes, adult family homes, and assisted living facilities. These visits
occur under the supervision of our faculty as well as local geriatrician,
Dr. Kristin Anderson.
- 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.
- Neurology – Fellows work at the Movement Disorders Clinic at the
Swedish Neuroscience Institute, under the direction of Dr. Susie Ro and
Dr. Jennie Witt.
- Outpatient care – Fellows have three clinic sessions per week at
Swedish Family Medicine: geriatric continuity clinic, family medicine
continuity clinic, and geriatric consultation clinic. This is a longitudinal
experience, and happens concurrently with other rotations.
- Palliative Medicine – Fellows spend a month as a member of the Swedish
inpatient Palliative Care Consult team.
- Hospice – fellows rotate with the home care RNs and therapists, and
work together with the team at Kline Galland Hospice.
- Residential Care Team (Post-Acute Care) – Fellows spend one month
learning post-acute care.
- Wound Clinic – Fellows rotate at the Swedish Wound Care Clinic learning
the management of chronic non-healing wounds.
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.
- Fellow 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.
-
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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Palliative Medicine – Fellows spend a month as a member of the Swedish
inpatient Palliative Care Consult team, including time with ambulatory
Palliative Care.
- Hospice –fellows rotate with the home care RNs and therapists and
work together with the team at Kline Galland Hospice.
- Post-Acute Care– Fellows spend one month learning post-acute care
at Kline Galland Home
- Geriatric Psychiatry - Fellows spend one month working with the inpatient
geriatric psychiatry team at Northwest Hospital.
- Wound Clinic – Fellows rotate at the Swedish Wound Care Clinic learning
the management of chronic non-healing wounds.
- 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.
- 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.
- 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.
