Internal Medicine Residency

University of Pittsburgh

Training Program: Geriatrics Track

Rollin Wright, MD, MPH, MS
Director, Geriatrics Track

WHY GERIATRICS?

  • The 65 and older crowd consumes more health care than any other age group.
  • Clinicians in almost every medicine subspecialty and health care setting take care of older adults every day.
  • The presentation, management, and pathophysiology of disease often differ significantly in older adults, and today's primary care physicians and subspecialists need to be better prepared to anticipate and manage the complex needs of these patients.

TOP 10 WAYS THAT ADVANCED GERIATRICS TRAINING DURING RESIDENCY WILL ENHANCE YOUR CAREER:”

"The UPMC Geriatrics Track was a tremendous launching pad for me, not only for my geriatric medicine fellowship, but also for my career. The track provided early and significant opportunities to see, learn, and practice compassionate care of the older adult and their family. I received strong mentorship, guidance in a geriatric scholarly project, and opportunities to meet with geriatricians who are now my colleagues."

Hillary Day Lum, MD, PhD
Assistant Professor of Geriatrics
University of Colorado

  1. You discover that elderly people are the coolest patients ever. Booyah!
  2. Subspecialty fellowship programs get excited about residents with extra geriatrics training.
  3. Knowing that disease presents differently in older patients, you’ll diagnose problems faster than your colleagues.
  4. Medical problem solving in a complex older patient becomes more fun than Sudoku.
  5. You go with the flow, not just the dribble.
  6. You can explain how Medicare works in five tweets or less.
  7. You get gait speed.
  8. You understand that the "i" in team stands for "interprofessional".
  9. You can decode a broken brain.
  10. Most of your patients will be older than 65, whether or not you subspecialize.

WHAT MAKES THIS TRACK UNIQUE?

  • There are fewer than five like it in the United States.
  • Clinical training across the spectrum of health care settings:
    • Acute care
    • Outpatient consultative and primary care
    • Inpatient consultative care on geriatric trauma unit
    • Geriatric Inpatient Care at Magee-Womens Hospital of UPMC
    • Home-based care
    • Skilled and long-term care
    • Dementia unit care
  • Six geriatrics electives offered with emphasis in pharmacology and opportunities to create electives in other areas of interest:

    "I joined the Geriatrics Track as a second year medicine resident and had a wonderful experience in the Geriatrics division. I had developed an interest in geriatrics during medical school but had not joined the track initially simply because early on I was undecided about my long term career plans. I realized during my intern year that I really enjoyed working with geriatric patients. I found the elderly to be a population with unique challenges for delivering medical care and in optimizing recovery that made patient care all the more rewarding for me. I also developed an interest in pursuing pulmonary and critical care medicine as a career and decided to join the geriatrics track to help enrich my long term clinical and academic interests.

    Faraaz A. Shah, MD
    Fellow, Division of Pulmonary, Allergy and Critical Care Medicine
    University of Pittsburgh Medical Center

    Read more about Faaraz's experiences with the geriatric track.

    • Acute Care of the Elderly Inpatient Service
    • The Aging Brain
    • Geriatric Palliative and End-of-Life Care
    • Rehabilitation and Recovery From Illness
    • Geriatric Syndromes and Team-Based Care
    • Benedum Geriatrics Outpatient Care
  • Geriatrics noon conference series on Mondays.
  • Geriatrics journal club every other month
  • Free membership in Pennsylvania Geriatrics Society
  • Individualized mentoring for scholarly project related to aging.

WHAT DO GRADUATES DO?

There is a tremendous need for more geriatricians, and for more subspecialists and primary care physicians with advanced geriatrics training. Geriatric patients present differently to the health care system, and require a different, patient-centered approach to care that emphasizes organism-over-organ-system function. Over the last five years, our geriatrics track graduates have pursued a variety of opportunities:

  • Fellowships: hematology/oncology, palliative care, geriatrics, critical care medicine, nephrology, cardiology
  • Hospitalist practice
  • Private practice primary care

The Department of Medicine offers several positions in the Geriatrics Track each year. For additional information about this track, please contact Dr. Rollin Wright. For more information about general application procedures, visit our How to Apply page. For a printable pdf outline of the Geriatrics Track, please click here.

GERIATRICS TRACK
PGY1 5-6 Months of Inpatient Floors
  • 2-3 Months General Medicine
  • 1 Month Geriatrics
  • 1 Month Cardiology
  • 1 Month Hematology/Oncology
1 Month Medical ICU
1 Month CCU
1 Month Outpatient Geriatrics
2-3 Months Electives
2 Weeks Night Float
Continuity clinic 1 full day per week every other month (elective month)
PGY2 4 Months of Inpatient Floors
  • 2 Months General Medicine
  • 1 Month Cardiology
  • 1 Month Hematology/Oncology
1-2 Months ICU (Medical ICU or CCU)
1 Month Ambulatory Block
2-3 Months Electives
2 Months Outpatient Geriatrics
2 Weeks Night Float/2 Weeks VA Emergent Care Center
Continuity clinic 1 full day per week every other month (elective month)
Shared panel of home and long-term care patients
PGY3 3 Months of Inpatient Floors
  • 2 Months General Medicine
  • 1 Month Cardiology
1-2 Months ICU (Medical ICU or CCU)
2 Months Outpatient Geriatrics
3-4 Months Electives
1 Month Special Elective
2 Weeks Night Float/2 Weeks VA Emergent Care Center
Continuity clinic 1 full day per week every other month (elective month)
Shared panel of home and long-term care patients

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