Geriatric Medicine Fellowship at Harpers Ferry

The Geriatric faculty and residents will provide a unique rural outreach Geriatric Assessment and Memory Clinics at one or two remote rural locations in the Eastern Panhandle of West Virginia. These will be located in Grant and Hardy Counties in a rural community health center location as well as an established VA CBOC (Community Based Outpatient Clinic). Local primary care practitioners will be invited to refer patients for evaluation and to also attend the clinics in an educational role. These one day clinics will be targeted for once every 30-60 days and will also involve a Geriatric CME opportunity for the local practitioners in a lunch conference format.

Goals

The goals of the WVU Geriatrics Medicine Residency Program are impart in its graduates:

  1. Excellence in the medical knowledge and provision of comprehensive care to geriatric patients in ambulatory clinic, home, hospital, and long-term institution and community settings; 
  2. Professionalism and interpersonal communication expertise in patient care, administration and teaching in a variety of geriatric care delivery settings; 
  3. Competency in a systems-based practice that treats rural elderly patients in a less-tertiary care dominated environment, making optimal use of available resources for medical care, patient safety, psychological and social support; and 
  4. Passion for teaching and promoting practice-based learning and quality improvement in rural geriatric medicine

Longitudinal Experiences

Ambulatory Care Settings

  1. GEMS Clinic - ½ day per week
  2. Primary Care Clinic - ½ day per week
  3. Rural Ambulatory Geriatric Service Learning Experience - ½ day every other month

Long Term or Home Settings

  1. Shenandoah Rehabilitation and Nursing Center - ½ day per week
  2. Jefferson Home Care - ½ day per month
  3. Hospice of the Panhandle - ½ day per month
  4. Dutch Haven Adult Living Facility - ½ day per month

Daycare and Lifecare Community Settings

  1. Three ½ day administrative/medical director sessions per year

Estimated patient assignment to each fellow

  1. Long Term Care/Nursing Home VAMC – 10 patients
  2. Long Term Care/Nursing Home Community-Based- 5 patients
  3. GEMS Clinic (Geriatric Evaluation and Management) - VAMC 25 patients
  4. Adult Living Facility (Dutch Haven) 5 patients
  5. Hospice – community/home based 4 patients
  6. Home Care- community and/or VA continuity 4 patients

Special Rural Ambulatory Geriatric Service Learning Experience

The Geriatric faculty and residents will provide a unique rural outreach Geriatric Assessment and Memory Clinics at one or two remote rural locations in the Eastern Panhandle of West Virginia. These will be located in Grant and Hardy Counties in a rural community health center location as well as an established VA CBOC (Community Based Outpatient Clinic). Local primary care practitioners will be invited to refer patients for evaluation and to also attend the clinics in an educational role. These one day clinics will be targeted for once every 30-60 days and will also involve a Geriatric CME opportunity for the local practitioners in a lunch conference format.

Teaching and Scholarly Activities

  1. HFFM Journal Club / V.A. Medical Center Geriatrics Journal Club – monthly
  2. W.V. GEMS (Geriatric Educators of the Medical Schools) – quarterly
  3. Medical Students and Resident Teaching – daily rounds and monthly lectures and teaching presentations.
  4. CME Presentations – quarterly presentations to geriatrics health care providers and annual presentation at AGES (Advanced Geriatric Educator Skills) Program