Faculty/Staff

Geriatrics Education
Clinical Care

Research
Ralston Center


Education


The Fellowship in GERIATRIC MEDICINE

The elderly are the fastestgrowing segment of the `United States population. Nationally, our health care system needs more leaders in geriatric medicine. To help meet this need, the Division of Geriatric Medicine at the University of Pennsylvania Health System offers a fellowship designed to prepare physicians for careers in academic geriatrics.

The Fellowship in GERIATRIC MEDICINE

Geriatric medicine encompasses preventive, acute, chronic, and long-term care of elderly patients. The practice of geriatrics requires an understanding of both the complexities of agerelated physiology and the interdisciplinary skills requisite for high-quality care. This fellowship, which combines clinical and research training, is designed to prepare leaders in academic geriatrics. Structured experiences in home care, inpatient consultation, geriatric primary care, and long-term care take place at the Ralston-Penn Center, the Veterans Affairs Medical Center, Presbyterian Medical Center, and the Hospital of the University of Pennsylvania.

Fellows spend approximately 20 percent of their time the first year and 80 percent of their time the second year on research. Depending on funding, opportunities exist for a third year focusing on research. Areas of research include neuroimaging, metabolic bone disease, sleep disorders, rehabilitation medicine, Alzheimer's disease, neuropsychiatric disorders in patients with medical comorbidity, nutrition, health services research, health policy, and pharmacoepidemiology.

The program can accommodate five new fellows each year. Fellowship graduates are eligible to take the ABIM/ABFP-sponsored exam for Added Qualifications in Geriatric Medicine.


CORE ACTIVITIES

Clinical

Sites include the Veterans Affairs Medical Center (VAMC), the Hospital of the University of Pennsylvania (HUP), Presbyterian Medical Center (PMC), and the Ralston-Penn Center.

The Ralston-Penn center was established in 1987 to house many of the aging-related activities of the University of Pennsylvania Health System. Faculty from Geriatric Medicine, Geriatric Psychiatry, and Gerontologica! Nursing are all based there and conduct their practices on-site. In addition, the Center now houses three interdisciplinary clinical programs: The Ambulatory Geriatric Consultation Service; the primary care practice in Geriatric Medicine and the offices of the Truman G. Schnabel In-Home Primary Care Program, which provides primary care for homebound elderly.

Inpatient Care and Consultation Services at the VAMC.
Fellows assist nurse practitioners and housestaff in the management of primary care patients admitted to the acute medicine service at the VAMC. Fellows also serve as geriatric consultants in the hospital, offering geriatric assessment services, teaching housestaff and students the principles of geriatrics, and providing other basic inpatient medical consultation services, such as preoperative evaluations for elderly veterans.

Inpatient Services at HUP and PMC
Fellows assist in the management of primary care patients admitted to the acute medicine service at the Hospital of the University of Pennsylvania. The Geriatrics Division also provides consultation services to trauma, psychiatry, rehabilitation, and orthopaedics.

At Presbyterian Medical Center, the Geriatrics Division staffs the Acute Care of Elders Unit. Schools of Medicine, Nursing, Business, Law, Social Work, Engineering, and Arts and Sciences. The Institute offers Geriatric fellows funding opportunities for research and access to research projects and mentorship throughout the University.

The Penn Alzheimer's Disease Center (ADC) is part of a national network of 25 centers established throughout the country by the National Institute of Aging (NIA) to foster understanding and treatment of Alzheimer's disease. The ADC coordinates research in Alzheimer's disease at Penn by fostering interdisciplinary activities, training scientists, funding pilot studies, and recruiting patients. It also conducts educational programs for students, health care professionals, and caregivers.

The Center of Excellence on Minority Health, a federally funded center that promotes research related to minority health, offers mentorship for individuals from underrepresented minority groups who wish to enter the health professions.

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For More Information

Division of GeriatricMedicine
University of Pennsylvania Health System
Ralston Penn Center
3615 Chestnut Street
Philadelphia, PA 19104-2676
Phone: 215-662-4413
Fax: 215-662-4438