During this one month rotation, the resident will spend two weeks in geriatric clinic and two weeks on the palliative care consult service.
In addition to treating common medical problems, the resident in geriatric clinic gains confidence managing a variety of challenges unique to the geriatric population, including cognitive impairment/dementia, urinary and bowel incontinence, gait, falls and balance disorders and polypharmacy. Off site nursing home rounds educate residents about the facilities to which we commonly refer.
During the two weeks on palliative consult service, the resident learns the intricacies of end of life care. As a member of the consult team, the resident may facilitate family meetings, assist a patient and their family with clarifying goals of care, and recommend treatments that maximize patient comfort.