Geriatrics Medicine Clinical Fellowship

 

Dear Applicant,

Thank you for considering the University of Wisconsin program. Our fellowship has a long and successful history of training physicians to become excellent clinicians and academicians in the field of geriatrics and aging research. It has received commendation from such organizations as the ACGME, the VA and the John A. Hartford Foundation and employs a competency-based, innovative approach for clinical education. Our combined UW and Madison VA GRECC Geriatric Program has a research portfolio, infrastructure and educational network that places it in the top tier of programs within the country. More importantly, we have a number of distinct training pathways that allow candidates the flexibility to develop into premier clinicians, clinician-investigators, clinician-educators or clinician-administrators as their personal goals dictate. We are learner-centered with an emphasis placed on interdisciplinary education. I am most proud of the calibre of teaching and professionalism of our faculty and invite you to explore our website and consider the information that follows. If at any time you would like to know more information about our fellowship, then please contact me at (608) 280-7000 or at steven.barczi@va.gov .

Sincerely,

Steve Barczi, MD

 

Basic Program Description

 

Introduction The Geriatric Medicine Clinical Fellowship is co-sponsored by the University of Wisconsin (UW) Department of Medicine and the Geriatric Research Education and Clinical Center (GRECC) at the William S. Middleton Memorial Veterans Hospital. This ACGME-accredited fellowship has successfully trained physicians in geriatrics for over 35 years. Dr. Sanjay Asthana, geriatrician and well recognized dementia scientist provides leadership for the UW/VA program. Seventeen fellowship-trained geriatricians and six PhD scientists participate in educating and mentoring fellows. This training draws upon the rich resources and faculty of the UW Geriatrics division, the Madison VA GRECC, The Hartford Center of Excellence in Geriatric Education, The UW Institute on Aging (IOA), the Wisconsin Alzheimer's Institute and the National Center of Excellence in Woman's Health. Numerous affiliations also exist with geriatric services within the community. The extensive number of scientists and clinician-scientists with active and successful research programs make this fellowship uniquely balanced between clinical care and research opportunities. Fellows are offered one year of clinical training in geriatrics that fulfills the requirements of the Accreditation Council for Graduate Medical Education and ABIM/ABFP. Distinct opportunities exist for research fellowship following this clinical fellowship year for qualified candidates.

Clinical Fellows learn to provide geriatric care in a number of different settings as both a primary care geriatrician and a consultant. The fellowship is organized with both one-month block experiences and year-long longitudinal training. Specifically, fellows complete three one-month rotations on our Acute Care for Elders Team and VA Geriatrics consult team. There are twelve weeks dedicated to our numerous geriatric specialty clinics. A one-month Dementia Care month offers time in five to six of our UW and VA Dementia and Memory Clinics, a dementia-specific assisted living site and involvement in Alzheimer's Association programming. A Community Care rotation exposes fellows to transitions of care, adult daycare, home care and quality improvement activities. The remaining three block rotations are dedicated to End-of-Life/palliative care, nursing home administration/rehabilitation, and elective time respectively.

Fellows provide primary care within a half-day per week geriatric clinic at the University and half-day in the VA Geriatric Evaluation and Management Continuity Clinic over the twelve months. The VA clinic has a unique and well-developed staffing model that incorporates combined geriatric medicine and geriatric psychiatry oversight. Fellows are assigned a nursing home staff mentor and follow nursing home patients at area nursing homes throughout the year.

The geriatric specialty clinic rotation includes time spent in the UW problem-focused clinics: Falls and Mobility (Dr. Robert Przybelski), Osteoporosis (Dr. Neil Binkley), Memory Assessment (Drs. Sanjay Asthana and Mark Sager), Geriatric Sleep Disorders (Drs. Steven Barczi, Mihai Teodorescu), UW Swallowing/Dysphagia Clinic (Dr. Nicole Pulia), Geriatric Oncology (Dr. Noelle LoConte) and Geriatric Assessment (Dr. Michael Siebers). The VA problem-oriented clinics include Gero-psychiatry (Dr. Timothy Howell), Older Women's Health (Dr. Molly Carnes), Osteoporosis (Drs. Beth Elliott and Molly Carnes), Memory Assessment (Dr. Cindy Carlsson, Amy Kind and Carey Cleason), Falls and Balance ( Dr. Robert Przybelski) and Geriatric Sleep (Drs. Steven Barczi, Mihai Teodorescu and Tim Juergens ). All clinic experiences provide opportunities to work on interdisciplinary teams.

Formal Education Numerous conferences and seminars exist affiliated with the GRECC, the Geriatric Division and the Institute on Aging. Regular didactic offerings include weekly Geriatric Journal Club, Weekly Fellows' Core Lecture, bi-weekly Gero-psychiatry Colloquium and monthly Geriatric Grand Rounds. The Biology of Aging Research Seminar and Memory Research Seminar occur twice monthly. Dr. Siebers coordinates mentoring and supervision in long-term care. Training exist in refining teaching and didactic skills through the University of Wisconsin School of Medicine and Public Health MEDAL Program. The GRECC, UW Geriatric Division and Institute on Aging sponsor and coordinate three to four regional or national conferences annually that fellows can attend without cost.

Research Opportunities Fellows are not required to conduct research activity during this one-year clinical fellowship. Interested fellows can complete a four-day Short Course in Clinical Research sponsored through the UW Clinical Investigator Preparatory Program. Historically the majority of fellows accomplish a small research project and/or a written scholarly work during this year. Pathways exist for multi-year "hybrid training" in geriatrics-palliative care, geriatrics-older women's health and geriatrics-sleep medicine. There are also 4 distinct geriatrics research fellowships affiliated with our program for those fellows who have shown an aptitude for research and who are interested in pursuing an academic career. These candidates must meet certain VA, University and Federal guidelines. Interested individuals are directed to the UW Geriatric Medicine Academic Fellowship program and will need to discuss their candidacy with Dr. Barczi.

For More Information contact:
Debra Swann at Geriatrics Division office
Phone: (608) 262-8597 Fax: (608) 263-7645
e-mail: dls@medicine.wisc.edu

The Geriatrics Division office address is:
2870 University Avenue
Suite 106
Madison WI 53705

The program director's contact information is:
Steven Barczi, MD
Madison VA GRECC (11G) 2500 Overlook Terrace
Madison, WI 53705
Phone: (608) 280-7000
e-mail: steven.barczi@va.gov