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Description of Geriatrics Training Grants Approved in April 2001
Cornell University, New York, NY - $2,000,000
Cornell’s Joan & Sanford Weill Medical College is among the country’s most prestigious academic health centers. It proposes to strengthen the training in geriatrics of its approximately 440 medical students and 129 medical residents, employing problem-based cases and the use of older adults and their caregivers. All medical students will be introduced to a multi-year curriculum in geriatric medicine. All medical residents will be required to take a one-month rotation in geriatric medicine. An enhanced psychosocial curriculum and novel courses in environmental design for frail elders and geriatric psychiatry will be introduced. Special geriatric courses also will be offered to the network of 14,000 practicing physicians in the New York Presbyterian Health System.
Related information: www.cornellaging.com
Contacts: Ron Adelman, MD and Mark Lachs, MD Co-Chiefs, Division of Geriatrics and Gerontology Joan and Sanford I. Weill Medical College Cornell University New York, NY (212) 746-1729
Medical College of Wisconsin, Milwaukee, WI - $1,999,990
The
Medical College of Wisconsin is a private, freestanding medical and
graduate school originally associated with Marquette University. The
Medical College is launching a three-part initiative in geriatric
education in which approximately 800 medical students will receive a
comprehensive curriculum in geriatrics, featuring the use of "virtual
patients" in CD Rom format and the opportunity to participate in
community-based programs focused on geriatric health. A new residency
program will be launched combining geriatrics and general internal
medicine along with a geriatric fellowship program focused on preparing
geriatric clinician educators. The initiative will be led by the Chairman
of the Department of Medicine.
Contacts: G. Richard Olds, MD Chair, Department of Medicine (414) 456-6700
Edmund H. Duthie, Jr., MD Chief, Division of Geriatrics Department of Medicine (414) 384-2000, ext. 42775
Medical College of Wisconsin Milwaukee, WI
University of Hawaii, Honolulu, HI - $2,000,000
Though smaller than most mainland institutions, with only 248 medical students, the University of Hawaii’s School of Medicine is highly regarded for its strong geriatrics fellowship and research programs. It now plans to develop and implement a required curriculum in geriatrics for all four years of medical school and to institute geriatrics training in all three years of its medicine and family practice residency programs. In addition, it will develop and implement new geriatrics content for residency programs in obstetrics/gynecology, psychiatry, and general and orthopedic surgery. Also planned is an innovative continuing medical education program in geriatrics for faculty and clinicians in Hawaii. Longer-term, it is likely that Hawaii will establish the country’s fourth department of geriatrics.
Related information: www.jabsom.hawaii.edu/JABSOM/departments/intro.php?departmentid=17
Contact: Patricia Lanoie Blanchette, MD, MPH Chair, Department of Geriatric Medicine John A. Burns School of Medicine University of Hawaii Honolulu, HI (808) 523-8461
University of Iowa, Iowa City, IA - $2,000,000
Iowa has the nation’s highest proportion of citizens over the age of 85. As the state’s only allopathic medical school, the University of Iowa has committed itself to preparing its 663 medical students and 98 internal medicine and family medicine residents to care more effectively for the state’s growing population of frail elderly. The principal focus of the program will be on strengthening the infrastructure for geriatric education in primary care disciplines. The school will draw on its widely acclaimed "virtual hospital" to develop a "geriatric virtual hospital," offering web-based teaching modules on ten common geriatric syndromes and digitized lectures on 40 core geriatric topics. In addition, a one-year "mini-fellowship" program will offer a combination of intensive clinical training and distance learning to help train community-based practitioners in the principles of geriatric management.
Contact: Gary E. Rosenthal, MD Director, Division of General Internal Medicine and Geriatrics University of Iowa College of Medicine Iowa City, IA (319) 356-4241
University of Michigan, Ann Arbor, MI - $1,999,161 The
University of Michigan’s goal is that every graduating medical student
and every physician who completes residency or fellowship training will
have a meaningful educational experience in geriatrics. It will benefit
from one of the country’s outstanding geriatric fellowship and research
programs in pursuing its goal. In addition to developing and establishing
new mandatory clinical experiences, Michigan will require each student and
resident to complete a web-based geriatrics portfolio to gain and
demonstrate geriatric competence. Faculty will be trained to develop new
geriatrics training programs in such medical and surgical specialties as
obstetrics/gynecology, emergency medicine and urology. All 671 of Michigan’s
medical students and at least 140 of its residents are expected to
participate in the project.
Contact: Jeffrey B. Halter, MD Chief, Division of Geriatric Medicine and Director, University of Michigan Geriatrics Center University of Michigan Health System Ann Arbor, MI (734) 763-4002
University of Nebraska, Omaha, NE - $1,997,188
The
University of Nebraska’s Medical Center proposes to integrate geriatrics
into its programs to train 480 medical students, 263 residents and 420
practicing physicians annually. Particular emphasis will be placed on
improving the amount and quality of geriatric education received by
internal medicine and family practice residents and on training faculty in
geriatrics. An intranet web site will be developed to facilitate this
training. An effort also will be made to expand geriatrics training for
surgery and anesthesiology residents. The project to train practicing
physicians will focus on providing better care at the end of life. The
training of residents and of practicing physicians will be decentralized
to cover the entire state.
Contact: Jane F. Potter, MD Chief, Section of Geriatrics and Gerontology Department of Internal Medicine University of Nebraska Medical Center Omaha, NE (402) 559-9600
University of Rochester, Rochester, NY - $1,999,346
The
University of Rochester’s new "double helix" curriculum
intertwines basic science and clinical experiences in a highly
innovative, problem-based learning approach. One of its goals is to expose
all 400 of its medical students to the practice and science of geriatrics
in a comprehensive and continuous curriculum. If successful, the new
curriculum could serve as a national model. Rochester also will introduce
a special aging curricular pathway to interest medical students in
pursuing geriatrics in greater depth. Another initiative will train
community-based physicians to serve as mentors in geriatrics. Medical
residents will be involved in a home-to-hospital program that will allow
them to visit an older patient at home after a hospitalization in the
hopes of improving the residents’ skills and attitudes about discharging
patients. Rochester already is known for its strong geriatrics fellowship
and medical residency training programs and for its aging-related
research. The project will also strengthen geriatrics in four to five
surgical residency programs.
Contact: Robert M. McCann, MD Chair, Department of Medicine Highland Hospital/ University of Rochester Rochester, NY (716) 341-6771
University of South Carolina, Columbia, SC - $2,000,000
The School of Medicine at the University of South Carolina is a relatively small school, enrolling approximately 300 students, but it plays a central role in training the state’s primary care physicians, as evidenced by the fact that 76% of its graduates practice in South Carolina. The highest priority in the proposed project is to strengthen the faculty’s knowledge of geriatrics, as the first step in improving the geriatrics training of the school’s medical students and residents. Fifteen key faculty members, in gynecology, surgery, emergency medicine, internal medicine, family medicine and psychiatry, will gain protected time to develop geriatrics expertise in their respective areas. They then will be expected to apply that expertise in developing medical student and resident education modules in geriatrics. An effort also will be made to train community-based physicians, particularly in rural areas, using distance education techniques.
Related information:
http://internalmedicine.med.sc.edu/geri/geriatricsindex.htm Contact: G. Paul Eleazer, MD Director, Division of Geriatrics Department of Internal Medicine University of South Carolina School of Medicine Columbia, SC (803) 434-4330
Virginia Commonwealth University, Richmond, VA - $1,839,961
Advanced informatics and distance learning techniques will be employed by VCU’s School of Medicine to improve the training of faculty, medical students, residents and community physicians in geriatrics. CD Roms will provide interactive instruction. A web site will offer practical advice on common problems through "Geriatric Quick Consult" plus hundreds of archived seminars. The school’s 688 medical students will have a major increase in hours devoted to geriatric topics using new curricular materials, including a series of interconnected cases. Internal medicine residents will double their required involvement in geriatrics. Training for other specialties, including orthopedics, neurology, psychiatry, emergency medicine, and general surgery, will be enhanced by focusing on acute geriatric care. A new medical education effort in geriatrics will target 500 practicing physicians each year who are also community instructors for the school.
Related information: www.virginiageriatrics.org
Contact: Peter A. Boling, MD Professor of Medicine, Department of Medicine Virginia Commonwealth University School of Medicine Richmond, VA (804) 828-5323
Yale University, New Haven, CT - $2,000,000
Yale’s
goal in this project is to integrate into the education of all medical
trainees a model of care that reflects the complex nature of the needs of
the aging population and is scientifically informed, culturally sensitive
and ethically appropriate. The 400 medical students, 250 internal medicine
residents and over 300 residents and fellows in the subspecialties will be
trained to recognize the multi-factorial nature of illness in the elderly,
to elicit patient preferences and goals and to integrate these into an
appropriate plan of care. Building from its strong base in aging research
and existing resident and fellow training in geriatrics, Yale plans to
develop a case-based curriculum with multiple levels of complexity that
will integrate these concepts into medical education from the basic
sciences to continuing medical education for practicing physicians. A
web-based version of the curriculum will be developed for use at Yale and
other institutions. The Yale-Reynolds Project also will utilize a
train-the-trainer model of faculty development to further assure the
integration of these concepts into practice.
Contact: Margaret Drickamer, MD Associate Professor of Medicine Program in Geriatrics
Yale University School of Medicine
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