Fellowship Year Curriculum

Swedish Medical Center Geriatric Medicine Fellowship 2016

Summary of Clinical Rotations

  • 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.
  • Family Medicine Outpatient Clinic – Fellows have family medicine clinic on either Tuesday or 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.
  • Acute Inpatient Care – Fellows spend 6 months per year on the inpatient service, caring for our panel of geriatric patients and the patients of Providence ElderPlace. 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.
  • Post Acute Care –Fellows spend one half-day per week at WCC throughout the year, providing both post-acute and long-term care. At Mt St Vincent, fellows participate in post-acute care as members of the Swedish Residential Care Team, this happens every Tuesday for two months.
  • Long-Term Care – Fellows see patients weekly in our two local nursing homes, Kline Galland and Washington Care Center. 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.
  • 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.
  • Geropsychiatry –Fellows have an intensive month working with Dr. Hisam Goueli at Northwest Geropsychiatry where they will work on an inpatient psychiatry unit which includes electroconvulsive therapy.
  • Providence Hospice –fellows rotate with the home care RNs and therapists, and work together with Dr. Lee Burnside.
  • Neurology – Fellows work at the Movement Disorders Clinic at the Swedish Neuroscience Institute, under the direction of Dr. Susie Ro and Dr. Jennie Witt.
  • Palliative Medicine – Fellows spend a month as a member of the Swedish inpatient Palliative Care Consult team.
  • 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.
  • Residential Care Team (Post-Acute Care) – Fellows spend one month learning post-acute care on the Swedish Residential Care Team, under the direction of Dr. James Lin. This will occur at two local facilities.
  • Wound Clinic – Fellows rotate at the Swedish Wound Care Clinic learning the management of chronic non-healing wounds.
  • Academic Project – Produce a piece of academic writing, or an academic presentation, or both.

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 attend monthly sessions at the VA with UW geriatrics and palliative medicine fellows, as part of the Professional Development Series conducted by Dr. Elizabeth Vig.
  • 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.

  • Fellows deliver didactics presentations every three months to the residents of SFM – First Hill and SFM – Cherry Hill.
  • Fellows present once a year at the Swedish Grand Rounds – Complex Case Series to an audience of community physicians.
  • Fellows present once a year at the Alvin J Thompson Memorial M&M Lecture Series at Swedish, to an audience of hospitalists, specialists, and residents.
  • 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 complete an independent Quality Improvement project that meets their ABFM Maintenance of Certification Part IV requirement.

Contact us with  any questions:

Program Coordinator
Liz Stahl
liz.stahl@swedish.org
206.215.2602 

Geriatric Medicine Program Director
Carrie Rubenstein, MD

For more information: Geriatrics