Fellowships

Geriatric Medicine Fellowship

The ACGME accredited George Washington University School of Medicine and Health Sciences Geriatric Medicine Fellowship provides one-year training and experience in an unsurpassed range of clinical settings. It promotes physician leaders with particular expertise in teaching, quality improvement and interdisciplinary team-building. Training settings include geriatrics clinics, memory disorders clinic, home care programs, inpatient rehabilitation, acute care hospital, hospice, assisted living and skilled nursing facilities. Weekly core conferences, quality improvement projects and personal mentoring prepare fellows to be expert clinicians, master teachers and medical directors.

Integrative Geriatrics Fellowship:  This track will include comprehensive training Integrative Medicine at GW and VA integrative settings.

Locations

Fellows work and learn in basic and advanced settings, assuming increased levels of responsibility over the Fellowship year.

  • Washington, DC, VA Medical Center: The VAMC has an in-depth program in Geriatrics, Extended Care, and Palliative Care.  Fellows have clinical rotations in the Geriatrics Clinic, Geriatrics and Palliative Medicine Consult Service, Community Living Center (nursing home care unit) and Inpatient Rehabilitation service, as well as Home Based Primary Care, Geropsychiatry, and ALS clinic. Seven geriatricians serve as primary faculty in collaboration with multiple interdisciplinary teams to provide a tremendous variety of clinical and academic exposure.
  • George Washington University School of Medicine and Health Sciences: Fellows work in both inpatient and outpatient settings seeing a diverse patient population. Inpatient geriatrics and palliative medicine consultation service and continuity geriatrics clinic provide invaluable opportunities to hone skills in educational and interdisciplinary leadership. A Memory Disorders Clinic sharpens skills in diagnosis and treatment of dementia and other memory disorders. Wound Care Clinic trains fellows to become experts in wound management.
  • Home Visits: Fellows gain exposure to home care through the GW Medical Faculty Associates (MFA) Medical House Call Program and the Washington DC VA Home-Based Primary Care Program
  • Capital Caring Inpatient Hospice: Fellows spend two weeks in the inpatient hospice unit of the largest regional hospice organization and gain experience in acute symptom management and end-of life care.
  • Thomas Circle Residences: Fellows provide care to residents in a continuity nursing home and assisted living practice to learn how to help patients receive needed services in the most independent setting possible. 

Didactic and Interactive Teaching

Weekly interactive conferences with faculty and fellows are held Monday afternoons at the Washington DC VA Medical Center.

Topics include:

  • Geriatric Medicine and Palliative Medicine
  • Grand Rounds
  • Palliative Care topics
  • Evidence Based Medicine Conferences
  • Just In Time Journal Club
  • Ethics Topics
  • Geropsychiatry
  • Quality Improvement Projects
  • Morbidity and Mortality
  • Skill Building
  • Geriatric Medicine topics
  • Autopsy Conferences

Other regular conferences include:

  • Weekly lunch conference at GW
  • Brown Bag Board Reviews
  • Geriatric Syndromes Conference at the VAMC
  • GW Medicine Grand Rounds
  • VA Medicine Grand Rounds
  • Weekly Life Conference at VAMC

Integrative Medicine:

All Fellows will have exposure to Integrative Medicine. A special track for up to two Fellows will include extended participation in our established GW Center for Integrative Medicine.

Scholarly Work

While a research project is not required, faculty mentorship for scholarly work is abundant. All fellows are encouraged to develop at least one project for publication or presentation at the annual meeting of The American Geriatrics Society.

Quality Improvement Projects    

Fellows are mentored by faculty to participate in Quality Improvement Projects in collaboration with interdisciplinary teams throughout the year.  

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Hospice and Palliative Medicine Fellowship 

The ACGME accredited George Washington University Hospice and Palliative Medicine Fellowship is a one year program that offers experience learning from expert faculty in varied clinical settings and prepares fellows as physician leaders, master teachers and quality improvement experts.

Fellowship Training Partners

Fellows work and learn with expert faculty across a variety of health care systems and in diverse clinical settings, including:

The George Washington University Hospital: As part of an interdisciplinary hospital-based inpatient palliative medicine consultation team serving  a diverse, urban patient population.

Capital Caring: Expert symptom management experience in the Inpatient Palliative Units and community hospice care experiences with expert hospice and palliative medicine leaders.

Washington DC Veterans Affairs Medical Center:  Inpatient and outpatient palliative medicine consultations with a focus on VA system of care, person-centered care, and the veteran experience.

National Institutes of Health: Unparalleled exposure to complementary and integrative interdisciplinary palliative medicine team in both inpatient and outpatient settings.

Children’s National Medical Center: Fellows gain pediatric palliative medicine exposure through a two-week rotation with the expert, interdisciplinary PANDA Palliative Care team in the care of infants, children, and young adults with serious illness (inpatient and outpatient consultative service).

Home Visits: GW Medical Faculty Associates (MFA) Medical House Call Program and the Washington DC VA Home-Based Primary Care Program provide experience in home-based care for seriously ill patients.

Continuity Clinic at Residences at Thomas Circle: providing primary care in collaboration with a community hospice team to residents in independent, assisted and skilled nursing levels of care.

Didactic and Interactive Teaching

Weekly interactive conferences are held Monday afternoons at the Washington DC VA Medical Center.

Topics include:

  • Fundamentals of Hospice/Palliative Medicine
  • Evidence-Based Medicine
  • Journal Club
  • Master Teacher Training
  • Quality Improvement
  • Board Review
  • Autopsy conferences

Other regularly scheduled conferences include:

  • GW palliative medicine interdisciplinary team meeting and conference
  • Department of Medicine Grand Rounds (VA and GW)
  • Life Conference (VA Weekly)

Scholarly Work

Faculty mentorship for scholarly work is abundant. All fellows develop at least one project for publication or presentation at the Annual Meeting of The American Academy of Hospice and Palliative Medicine.

Quality Improvement Projects

Fellows are mentored by faculty to participate in Quality Improvement Projects in collaboration with interdisciplinary teams throughout the year.

Eligibility Requirement

Must be board eligible or board certified physicians with backgrounds in family medicine, internal medicine, psychiatry, anesthesiology, neurology, physiatry, and emergency medicine. J1 visas sponsored only.

Medical Student Rotations

MED 342 Geriatric Medicine/Palliative Medicine

Clinical and/or research experience in the practice of geriatric medicine and/or palliative medicine, in a range of settings, including hospital, skilled and intermediate long term care facilities, congregate housing arrangements, outpatient practice, hospice and home visits. Flexible experience depending on the interest and background of the learner. Also opportunities to visit senior centers and day care facilities and work with case management team.

Course Duration: 2 or 4 weeks

Evaluation method: Clinical (subjective) evaluation; oral presentation on topic of interest.

MED402 Palliative Medicine Elective

Fourth year medical students gain clinical experience in palliative care at hospice sites, palliative care at GW Hospital, and the GW Medical Faculty Associates (MFA) outpatient palliative care clinic.