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Acute Inpatient Care

  • Rotation length: 6 months (longitudinal)
  • Location: Swedish Medical Center (First Hill)
  • Supervising Faculty: Rubenstein, Ainsworth, Babineau, Kazemi
  • Evaluation: Direct observation and written competency-based evaluation

Practical Details:

Monday Tuesday Wednesday Thursday Friday
AM FMS until 10AM FMS until 10AM FMS until 10AM FMS (rounds and teaching with team) FMS until 10AM FMS until 10AM
  • Each month, one fellow is assigned to the Inpatient Geriatrics Service, a sub-set of the Family Medicine Service.
  • The fellow is responsible for rounding on the patients of the Geriatrics team who have been admitted (either from clinic or the nursing home) and the hospitalized patients of Providence-Elder Place.
  • The fellow provides geriatric teaching and supervision to the First Hill family medicine residents. The fellow also provides inpatient geriatric consultations, under the supervision of our geriatrics faculty.

Rotation Goals and Objectives:

Patient Care

Provide care to geriatric patients with common, acute conditions requiring hospitalization.
Manage transitions in care, from the inpatient setting to the outpatient and sub-acute setting.
Gain expertise in providing compassionate end-of-life care.

Medical Knowledge

  • Improve knowledge of common geriatric conditions requiring hospitalization, such as infections, fractures, strokes, heart disease, and cancer.
  • Gain experience in the palliation of pain, dyspnea, nausea, constipation, and anxiety.

Practice-Based Learning and Improvement

  • Improve skills in recognizing acuity as well as in prognostication.
  • Interpersonal and communication skills
  • Provide leadership on the resident team in the care of geriatric patients.
  • Become adept at collaborative decision making with patients and families, particularly as patients reach the end of life.


  • Interact professionally with members of the interdisciplinary care team, with residents, and with attending physicians.

Systems-Based Practice

  • Understand the role of hospital medicine, as well as its limitations, in the care of frail elderly patients