Geriatric Medicine Fellowship

The top-ranked geriatric medicine fellowship (subspecialty residency) program at Saint Louis University provides comprehensive exposure to the full range of practice settings and clinical scenarios seen in older adults, with an emphasis on clinical medicine and quality improvement.

Entrance into the program requires completion of an Accreditation Council for Graduate Medical Education (ACGME)-accredited residency program- in either internal medicine or family medicine. Successful completion of our program confers eligibility for certification of added qualifications by the American Board of Internal Medicine (ABIM) and the American Board of Family Medicine.

Program Highlights

Medical students and house staff from residency programs in internal medicine regularly rotate through our clinics. This affords our fellows excellent teaching opportunities.

Our faculty is known around the country and the world as leading experts in geriatric research, teaching and care. Research projects include Alzheimer's disease studies using a senescent mouse model, study of aging in African Americans, Latino caregiver education, and longevity population studies in China.

Many of our faculty have completed the European Academy for the Medicine of Aging postgraduate course in geriatrics. Faculty members consistently present at conferences around the world and participate on the board of directors for national geriatrics organizations. The division was recently awarded a $2.5 million federal grant to teach interprofessionals in Missouri to care for older adults.

Key Strengths of Our Program

  • Consistently listed as one of the top geriatrics programs in the country by U.S. News and World Report since 1998.
  • Strong core clinical faculty who are consistently rated Best Doctors in St. Louis.
  • Trainees experience a wide range of service programs at various sites of care, including home care, skilled nursing, office-based and hospital consultation.
    Fellows learn to become independent practitioners for the care of complex older adults by practicing in rigorous and supervised settings.
  • Our fellows go on to practice in a variety of clinical settings around the world, and many have successfully matched into other fellowships, such as endocrinology, hematology-oncology and gastroenterology.
  • Multiple longitudinal care experiences that simulate real geriatrics specialty practices.
  • Fellows have the opportunity to participate in a variety of strong academic activities, including clinical research and education.

Educational Goals

The program ensures that by the end of the 12-month accredited training,  our fellows can practice competently and independently in the field of geriatric medicine and be eligible for board certification examination.

The fellow will achieve this by:

  • Serving as the primary care provider for patients seen in continuity settings.
  • Managing geriatric medicine patients in the acute care setting.
  • Managing patients in the subacute and long-term care settings.
  • Performing geriatric medicine consultations.
  • Managing geriatric psychiatry, rehabilitation and hospice/palliative care conditions.
  • Performing the components of a comprehensive geriatric medicine assessment.

Didactics

Fellow Lecture Series
A core conference weekly lecture series is designed for the fellowship and covers important topics in geriatrics at the fellow level. This lecture series also offers the fellows a chance to sit down with faculty to discuss difficult patient care issues, see additional care locations (such as the Alzheimer's Association and PACE), and participate in Journal Watch (a review of the most recent important articles in the geriatrics literature).
Geriatric Medicine and Internal Medicine Grand Rounds

Grand Rounds are held weekly on Wednesdays from 4-5 p.m. at the medical center. Fellows participate alongside the faculty to learn from local and regional experts and discuss topics related to the care of older adults. 

Internal Medicine Grand Rounds: are held weekly on Friday morning from 7:30-8:30 am. Each departmental grand rounds presentation is sponsored by one of the divisions and all internal medicine faculty, residents, and students are invited to attend. The geriatric medicine division typically sponsors two to three presentations a year.

CME is offered for both. 

 Journal Club

Journal Club is held once monthly in the evening. A faculty member hosts a dinner in his/her home and both fellows and faculty present a relevant, timely article for group discussion.

Objective Structured Clinical Examination (OSCE)
 Each first-year fellow is required to complete the OSCE, usually held in February. The skills observed include cognitive testing, depression screening, medication management, and communication. 
Scholarly Projects
Fellows are required to complete a QI/QA project with faculty mentoring. Additional scholarly activity is encouraged and a second unaccredited year is available for completion of research projects.  

First Year Clinical Geriatrics Rotation Schedule*:

Rotation Length Site
 
Inpatient Geriatric Consultation 6-8 Weeks SSM Health Saint Louis University Hospital
Home Care Monthly Longitudinal Experience City of St. Louis
VA Clinics 2-4 Weeks VA Saint Louis Health Care System
Skilled Nursing/Post-Acute Care 12 Weeks Life Care Center of St. Louis and NHC Healthcare Maryland Heights
Long-Term Care Monthly Longitudinal Experience NHC Healthcare Maryland Heights 
Office-based Geriatrics Weekly Longitudinal Experience SLUCare  Doctor's Office Building and/or Des Peres Senior Service Clinic
Geriatric Psychiatry Four-Six Weeks SSM Health Saint Louis University Hospital
Rehabilitation Four-Six Weeks VA Saint Louis Health Care System
Pain and Palliative Care Four-Six Weeks SSM Health Saint Louis University Hospital and VA Saint Louis Health Care System

Elective Four Weeks Varies
Conference/Vacation Three Weeks N/A
 

Second Year Focused Tracks*

The division of geriatric medicine may offer a second unaccredited year for a strong fellow who desires additional training in the following:

  • Clinician-Educator 
  • Clinical Research
  • Medical Direction and Quality Assurance/Performance Improvement (QAPI)

*Rotation specifics are subject to change.

General Information and Benefits

Fellows work as scheduled from Monday to Friday. Fellows cover weekend hospital call when on the hospital consult service and in-patient geriatric psychiatry rotation.

Night call consists of home telephone coverage for outpatient clinics and nursing facilities from 7 p.m. to 7 a.m. Fellows will cover an average of one call night per week and one weekend call per month.

Benefits

For full benefits information, please visit the Saint Louis University Graduate Medical Education page.

Additional benefits we offer to fellows include:

  • Support to attend one of two geriatrics conferences during their training year, including the Future's Program at the annual meeting of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
    Free membership to AMDA and discounted  membership to the American Geriatrics Society.
  • Office in the medical school building equipped with personal computers, a variety of geriatrics texts and the Geriatric Review Syllabus.
  • Access to the Saint Louis University libraries.

Where We Work

Application Process

Eligibility Criteria

Qualified applicants to the geriatric  medicine fellowship program have successfully completed medical school and a residency in internal medicine, family medicine or combined internal medicine-pediatrics from an ACGME-accredited program.

Candidates must be board eligible/board certified by American Board of Internal Medicine (ABIM) and/or American Board of Family Medicine (ABFM). The division currently supports J-1 Visas and may support H-1B Visas on an individual basis.

Foreign medical graduates who have completed a non-ACGME approved internal medicine or family medicine program and are interested in a geriatric medicine fellowship should contact our division for eligibility determination.

Applications

Applications must be submitted through the Electronic Residency Application Service (ERAS). Our program participates in the National Resident Matching Program.

Interview Day

Select applicants are  interviewed by the program director and three to four faculty from the division. You will also have the opportunity to sit informally for lunch in the division, go on a tour of the campus and visit Life Care Center of St. Louis.