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Department of Medicine

Department of Medicine

  Division of Geriatric Medicine

Education and Training


Fellowship Program

 

Clinical Sites

Consultative Care Clinical Sites

Fellows will provide consultative care at the following sites:

UPMC Presbyterian-Shadyside
Part of the University of Pittsburgh Medical Center, these hospitals comprise a large, medical school-affiliated tertiary care center located in the Oakland and Shadyside sections of Pittsburgh. UPMC Shadyside is a community-based tertiary care center, located 1.5 miles from UPMC Presbyterian. Fellows spend one month at UPMC Presbyterian-Shadyside on the inpatient geriatric medicine service (UPMC Shadyside), where they are responsible for coordinating care with the house staff teams and interacting directly with patients and their families. Fellows also spend one month at Presbyterian Hospital serving on the Geriatric Trauma Consult. Teaching the residents and students—by both informal and didactic methods—is an expected component of these experiences. The palliative care and portions of the geriatric ENT and multispecialty rotations also are based at these facilities.

Magee Womens Hospital of UPMC
This full-service women's hospital has expanded to include a range of services for both women and men, including a full-service emergency department designed to accommodate geriatric patient care needs. The inpatient geriatric service for the Benedum Geriatric Center Clinic is located at Magee. Each fellow will spend one month at Magee during the Advanced Hospital-Based Care rotation. Fellows will also spend time at Magee during the Urogynecology rotation.


Primary Care Clinical Sites

Fellows will hold their primary care clinic at one of the following sites:

UPMC Senior Care-Benedum Geriatric Center
Located at UPMC Montefiore and part of the University of Pittsburgh Medical Center, UPMC Senior Care-Benedum Geriatric Center is a multidisciplinary ambulatory clinic designed to meet the diverse needs of the older adult population. It provides primary and consultative medical care, psychiatric care, and social assessment for frail older adults living in the surrounding communities. Fellows hold one half-day clinic session per week, providing longitudinal and consultative care under the supervision of Division faculty.

UPMC Senior Care-Shadyside
Located at UPMC Shadyside, this multidisciplinary ambulatory clinic provides for primary and consultative medical care, psychiatric care, and social assessment for frail older adults living in the surrounding communities. Fellows hold one half-day clinic session per week, providing longitudinal and consultative care under faculty supervision.

Asbury Heights
Asbury Heights is a continuing care retirement community (CCRC) that offers several services and levels of care within one community. The facility features multiple independent living settings, four personal care settings, and a 139-bed nursing facility. Members of the inter-professional team, including nursing, rehabilitation sciences, social work, administration, wound care, and hospice are easily accessible and participate in the education of graduate medical learners. At this outpatient and long-term care continuity setting, the geriatrics fellow will have the opportunity to build a longitudinal patient panel in both the outpatient and long-term care setting.


Long-Term Care

Each fellow will assume primary care for a panel of patients at a long-term care site. Fellows will visit their long-term care site one-half day per week and provide primary care for their patients under faculty supervision.

Long-term care experiences are available at:
Asbury Heights (described above)
Canterbury Place
Heritage Shadyside
Charles Morris Nursing and Rehabilitation Center.

Each of these facilities is under the medical direction of a UPMC geriatrician. Inter-professional teams at each site include nursing, rehabilitation, social work, wound care, geriatric psychiatry, palliative care, and hospice. Several facilities also contract with the Pittsburgh PACE managed care program to provide care for dual-eligible elders needing respite or skilled nursing care.


Specialty Clinical Sites

Veterans Affairs Pittsburgh Healthcare System (VAPHS), University Drive
The VAPHS, University Drive is the site of the VA Pittsburgh Geriatric Research, Education and Clinical Care Center (GRECC). This multidisciplinary collaboration of clinicians, educators, and researchers serves as a focus of geriatric care within the VA setting. The Geriatric Evaluation and Management Clinic is based here, where fellows do a month-long rotation and assume the role as leader in this interdisciplinary team. The University Drive VA hospital is also the site of the Neurology rotation, the Pain Clinic portion of the Multispecialty month, the longitudinal dementia consultation clinic (required for all fellows) and portions of the Geriatric ENT experience.

H. J. Heinz III VA Progressive Care Center
H. J. Heinz III VA Progressive Care Center is a sub-acute and long-term care VA Hospital. The Home-Based Primary Care (HBPC) service, which provides comprehensive, interdisciplinary care to homebound veterans, is based at this site. Fellows spend one month on their HBPC rotation during which they provide primary care in the home environment as part of an interdisciplinary team.

Western Psychiatric Institute and Clinic
WPIC is part of the University of Pittsburgh Medical Center. Fellows participate in rounds on the inpatient geriatric psychiatry unit as part of their Geriatric Psychiatry rotation. This program provides comprehensive evaluation and short-term hospitalization for older adults with a range of mental health problems associated with aging.

UPMC Mercy
Part of the University of Pittsburgh Medical Center, UPMC Mercy is a full-service community hospital located a few miles from UPMC Presbyterian. The two-week Wound Care rotation is based here as are portions of the Geriatric ENT rotation.