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Geriatric Curriculum for Residency Training

Medical Residency Programs : Geriatric Curriculum for Residency Training at UCLA

The UCLA Department of Medicine Geriatric Medicine inpatient service at SM-UCLA Medical Center has two parallel inpatient services, each staffed by one Division of Geriatrics attending physician and two internal medicine residents. The residents are responsible for patient admissions, daily care and discharges, under the supervision of the geriatric attending. The residents participate in daily interdisciplinary rounds with a multidisciplinary team involved in the care of each patient. This team entails a member from each of the following areas: social work, a discharge planner, physical therapy / occupational therapy, nutrition, speech pathology and nursing staff. In addition to their care for their patients, residents also follow selected patients to the skilled nursing facility (SNF) once a week for continuity of care, under the supervision of a Division of Geriatrics attending physician at the SNF.

The residents also receive daily planned didactic lectures from attending geriatric faculty as well as members of the multisciplinary team. Topics of lectures include palliative care, delirium, levels of care, pressure ulcers, elder abuse, hospice, discharge planning, polypharmacy, hip fractures, malnutrition, and pain management.

Goals and Objectives of the rotation are:

  1. Acquire knowledge and skills in the management of acute medical illness in older patients.
  2. Acquire knowledge and skills in evaluation and management of common geriatric syndromes, including but not limited to delirium, dementia, immobility, malnutrition, polypharmacy, pre and post-operative complications, geriatric psycho-social problems, discharge planning, and elder abuse.
  3. Acquire experience in evaluation and management of frail elderly patients with multiple acute and chronic illnesses.
  4. To understand functional status and how it relates to inpatient geriatrics and discharge planning.
  5. Acquire knowledge in running family meetings.
  6. To learn how to address end of life issues with patients and their family members.
  7. Gain experience caring for older adults in a community hospital setting.
  8. To learn how to manage medical problems over the telephone (when appropriate).

For additional information, please contact:

Dr. Sonja Rosen, 310.319.4371 or srosen@mednet.ucla.edu