Curriculum

Training and Rotation Sites

Monroe Community Hospital

MCH is a 566-bed residential health care facility providing quality long-term care to individuals with complex or chronic health conditions.

1. Geriatric Assessment Clinic - The program aims to maintain frail older adults in the community at the most independent level as possible through an interdisciplinary approach of comprehensive geriatric assessment. The clinic features a Geriatric Health Care Team that thoroughly evaluates the health and functional ability of older persons by examination, and interviewing both patient and family, in addition to gathering information from the primary care physician.
2. Long-Term Care - Each fellow is assigned a panel of long-term care patients, at Monroe Community Hospital, which they will follow longitudinally with an attending physician during their tenure as a fellow. Other experiences include participation on a closed wandering/behavior unit at MCH and a respiratory unit for ventilator-dependent patients at an affiliated facility.
3. Psychiatry - The Psychiatry Department at Monroe Community Hospital is world-renowned for its groundbreaking work in cognitive disorders and dementias and continues to actively participate in innovative clinical trials. Fellows participate in a two month rotation of inpatient psychiatric consultation on long-term care patients at Monroe Community Hospital as well as outpatient evaluation in psychiatry clinics. (Their involvement is also encouraged in the ongoing research and clinical trials in Alzheimer's Disease and other dementing disorders and behavioral disturbances.)
4. Rehabilitation - MCH is home to one of the most experienced short-term rehabilitation programs in the region providing individualized care to people with disabling conditions as result of an illness or injury. Geriatric Medicine fellows participate in a three month rotation on a comprehensive, interdisciplinary teaching service and are responsible as team members for the primary care of the patients. Fellows interact with specialists in medicine, physical therapy, occupational therapy, speech and language pathology, recreation therapy, social work, clergy, audiology, nursing, and nutrition. The treatment team is committed to restoring each patient's physical and cognitive skills, enabling him or her to be as self-reliant and independent as possible.

Highland Hospital

Acute Care for Elders (ACE) unit. Highland Hospital is a community hospital that has a long tradition of outstanding care with research and education in the biopsychosocial model and physician-patient communication. It is quickly becoming the center for the care of hospitalized older adults with its innovative ACE Unit. Fellows have an opportunity to both learn and teach during this required rotation. Fellows also participate in peri-operative geriatric consultation and comanagement on the Geriatric Fracture Center and Palliative Care Consultation.

Elder One

A PACE (Program for All-inclusive Care for the Elderly) replication site. A PACE site provides an interdisciplinary, adult daycare centered comprehensive plan of care to nursing home eligible individuals in their own home. Most disciplines including physicians, nurse practitioners, skilled nursing, rehabilitative services, social work, pastoral care, dental care, eye care, podiatry, dietary, and aide services are offered at the three day center locations.

Veterans Administration Medical Center Canandaigua, NY

The Department of Veterans Affairs has a long history of supporting geriatrics educational and research activities. The Canandaigua VA Medical Center is a 300-bed facility affiliated with the University of Rochester which provides extended care for veterans with physical and mental disabilities. The 150-bed nursing home program includes post-acute care, medical nursing home care and a 30-bed dementia unit. The Canandaigua facility and an affiliated Rochester Clinic located proximal to the University and Monroe Community Hospital, also offer a variety of outpatient services. Fellows rotating through the VA have opportunities for involvement in the outpatient clinic services, palliative care services and the Home Based Primary Care programs.

The fellowship also utilizes several other sites as part of the training including UR Medicine Home Care for the home care rotation and palliative care rotation; Highland Hospital Geriatrics and Medicine Associates and UR Medicine Geriatrics Group, Highlands at Brighton and Highlands Living Center for additional long-term care and medical directorship exposure.