The goal of the ambulatory inpatient geriatrics rotation is to familiarize the fellow with medical care of older adults in a wide range of outpatient settings, including the geriatrics outpatient clinic, specialty clinic sessions in urinary incontinence, wound care, and geropsychiatry and home visits. Emphasis is on comprehensive geriatrics assessment, health promotion, prevention, and screening for disease, as well as management of chronic care patients in diverse outpatient settings.
Setting:
Required PGY-4 rotation, 8 weeks Outpatient Geriatrics clinic, Wound Care Center, Other outpatient settings
Preceptors:
Locations:
Atrium Health Navicent Primary Care West Macon, a Facility of Atrium Health Navicent The Medical Center
3780 Eisenhower Parkway
Macon, GA 31206
478-633-5550
Central GA Wound Care and Hyperbaric Medicine 818 Forsyth Street Macon, GA 31206 478-633-7010
The goal of the inpatient geriatrics rotation is to acquaint the fellow with the wide range of medical and surgical problems experienced by hospitalized older adults. Working with supervisory geriatricians, the fellow will participate in the full spectrum of inpatient care, including admission, daily notes, discharge, and consultation.
Inpatient care - In coordination with the family medicine hospitalist team, make early pre-rounds on assigned patients on Monday through Friday mornings (no later than 7 AM), round with geriatrics faculty, and manage 4-7 elderly inpatients with supervision. Cover the geriatrics consults during regular working hours, with appropriate backup.
Setting:
Required PGY-4 rotation, 12 weeks Family Medicine Inpatient Service, TMCNH
Preceptors:
Locations:
Medical Center, Navicent Health
777 Hemlock Street
Macon, GA 31201
478-633-1000
The fellow will evaluate and treat older adults in two long-term care settings, a Medicare Part A and Medicaid-supported nursing home (Peake Healthcare Center) and a private nursing home associated with a continuing care retirement community (Atrium Health Navicent Carlyle Place). The fellow will concentrate on comprehensive geriatrics assessment and syndromes such as cognitive impairment, incontinence, polypharmacy, impaired mobility, and depression. The fellow will appreciate the comprehensive, interdisciplinary approach to institutionalized older adults and be able to access appropriate ancillary resources.
Setting:
Required PGY-4 rotation, 12 weeks Peake Healthcare Center, Atrium Health Navicent Carlyle Place, other Long-Term Care settings
Preceptors:
Locations:
Peake Healthcare Center
6190 Peake Road
Macon, GA 31220
478-471-7474
Atrium Health Navicent Carlyle Place
5300 Zebulon Road
Macon, GA 31210
478-405-4504
The geriatrics fellow will evaluate and treat older patients in a variety of settings, including the office, the home, the hospital, and the nursing home, with an emphasis on inpatient palliative care. Fellows will review the management of common symptoms encountered in end of life care, including pain (physical, psychological, and spiritual), nausea, vomiting, constipation, dyspnea, asthenia, sedation, anorexia, depression/anxiety, and delirium. Fellows will explore ethical and legal decision-making with older patients who suffer from severe chronic disease and terminal illness, advance directives, the Medicare Hospice Benefit, and the impact of Hospice and palliative medicine on healthcare costs.
Setting:
Required PGY-4 rotation, 12 weeks Palliative Care Service, TMCNH Hospice of Central Georgia
Preceptors:
Locations:
Medical Center, Navicent Health
777 Hemlock Street
Macon, GA 31201
478-633-1000
Hospice of Central Georgia
3780 Eisenhower Parkway
Macon, GA
478-633-5660
This rotation is designed to provide the geriatrics fellow with an opportunity to acquire proficiency in the comprehensive medical care of older adults requiring rehabilitation, in both inpatient and outpatient settings. Fellows will be exposed to physical, occupational, and speech therapy, appreciate the inter-disciplinary approach to optimal care of these patients, and understand how functional improvement is measured and evaluated.
Setting:
Required PGY-4 rotation, 8 weeks, Central Georgia Rehabilitation Hospital Outpatient and Inpatient Centers, Medical Center, Navicent Health Rehabilitation Services
Preceptors:
Locations:
Central Georgia Rehabilitation Hospital
3351 Northside Drive
Macon, GA 31210
478-471-3500