University of Wisconsin
School of Medicine and Public Health

Curriculum

Rotations

Subspecialty Clinics

  • Two 2-month rotations in both the UW and VA systems 
  • Explore different geriatrics specialty clinics with expert clinicians and interdisciplinary colleagues in nursing, physical therapy, social work, pharmacy, and neuropsychology
  • Experiences may include:
    • Memory Assessment
    • Falls
    • Osteoporosis
    • Geriatric Psychiatry
    • Many more tailored experiences are available based on your individual interests

Acute Care for Elders

  • Three 1-month rotations at University Hospital
  • Work in a fast-paced interdisciplinary team environment where physicians, advance practice nurses, a social worker, pharmacist, physical therapist, and health psychologist collaborate to optimize care for hospitalized older adults
  • Address numerous topics in geriatric medicine, including:
    • Delirium
    • Behavioral and psychological symptoms of dementia
    • Decisional capacity 
    • Falls
    • Polypharmacy
    • Social/caregiver issues
    • Perioperative management, etc.

Nursing Home and Rehabilitation

  • One 1.5-month rotation in both the UW and VA systems
  • Work with nursing home medical directors, advanced practice providers, and facility nurses, social workers, and therapy providers to deliver post-acute and long term care to older adults in area facilities
  • Experiences include:
    • Performing transition visits upon admission to and discharge from a skilled nursing facility 
    • Seeing nursing home residents with acute concerns
    • Understanding the role and responsibilities of a nursing home medical director in both a community nursing home and a VA Community Living Center (CLC)
    • Becoming acquainted with performance metrics that the Centers for Medicare and Medicaid Services track to measure facility quality, and more!

Palliative Care and Hospice

  • One month with the VA palliative care inpatient consultation service and two weeks with an area community hospice agency
  • Work with palliative care physicians, nurses, and social workers in the hospital and community
  • Experiences include:
    • Developing skills to engage in difficult conversations with patients and families
    • Caring for patients with serious illnesses, difficult to control symptoms, or who are near the end of life
    • Working alongside interdisciplinary team members to provide comprehensive end-of-life care
    • Understanding hospice eligibility criteria and payment structure, and more!

Community and Home Care

  • One month with the UW Home-based Primary Care (HBPC) team, along with UW and VA-based services that assist in care delivery for homebound and recently hospitalized older adults
  • Work with physicians, nurses, social workers, and therapy providers to deliver comprehensive care for older adults with complex medical problems who are in living in the community
  • Experiences include:
    • Participation in team meetings and development of skills to perform home visits with HBPC patients
    • Didactic series covering home visits from both a regulatory and logistical perspective
    • Opportunities to work with a local home health agency to understand care delivery in the home health arena
    • Introduction to transitional care programs that seek to reduce unnecessary rehospitalizations in the post-acute setting
    • Participation in a novel VA-based telemedicine program aimed at bringing geriatric medicine expertise to older veterans living in rural communities
    • Opportunity to perform a home visit on one of your Geri-PACT primary care patients, and more!

Elective

  • One month (may be divided into two half-month blocks) in UW- or VA-based activities
  • Explore areas of personal interest in the field of geriatrics and gerontology
  • Options include:
    • A research project in the field of aging with one of the many division faculty who are clinician-scientists or basic scientists
    • An educational project related to geriatrics education
    • Additional exposure to clinical experiences in geriatric subspecialties or fields pertinent to the practice of geriatric medicine, and more!
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Acute Care for Elders service at University Hospital

 

Longitudinal Experiences

Geriatrics Patient Aligned Care Teams (Geri-PACT)

  • Twelve months with a VA-based primary care panel where you work with our expert physician educators in geriatrics primary care as well as nursing, pharmacy, and social work colleagues to care for some of the most complex elderly veterans

UW-based Continuity Clinic

  • Nine months with a UW-based ambulatory clinical experience in an area of interest
  • Choose a primary care geriatrics experience or select from one of the many geriatrics subspecialty clinics the University has to offer

Nursing Home Continuity Practice

  • Twelve once-monthly visits to an area community nursing home with a geriatrician who specializes in long term and post-acute care
  • Follow long-term–care residents and post-acute residents, collaborating with on-site advanced practice providers and facility staff
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Geriatrics clinic

 

Didactics

Geriatric Medicine Core Lecture Series

  • Tuesday mornings at 7:30 am
  • Year-round series of lectures focused on key topics in geriatric medicine led by area content experts

Geriatrics Interprofessional Conference Series

  • Tuesdays at noon
  • Series of lectures over nine months covering new developments and best practices in geriatrics and gerontology
  • Regular offerings include:
    • Geriatric Medicine Grand Rounds
    • Alzheimer’s Disease Research Center Seminar Series
    • Geriatrics Journal Club
    • Clinical-Pathological Correlate Series

Geropsychology Colloquium

  • Alternating Mondays at 3:00 pm
  • Year-round series of case-based discussions focusing on topics in mental health among older adults

Fellows Most Difficult Case Conference

  • Once-monthly national teleconference on the first Wednesday of the month
  • Year-round series of case-based discussions regarding management of a complex older adult patient

Department of Medicine Grand Rounds

  • Fridays at 8:00 am through the academic year (view Grand Rounds archives)
  • Weekly offering from September through June that covers new developments and best practices in general internal medicine and internal medicine subspecialties

Additional Opportunities

The Department of Medicine Global Health Pathway offers opportunities for fellows from all specialties to engage in global health didactics, research, and a clinical elective.