Clinical Training

Harborview Medical Center

HMC is the primary site of the division offices, Medicine G (geriatrics consult) Inpatient Services, with special interest in geriatric syndromes, and the Senior Care Clinic. Fellows also rotate through a wide variety of subspecialty clinics at HMC (e.g. fall prevention, geriatric cardiology, memory disorders). 2.5 months are spent with the Medicine G Inpatient Consult Service acting in supervisory and teaching roles with residents and medical students. The service is unique and includes perioperative consults and consults from surgical services (e.g. ortho, burns, trauma surgery) with a focus on age-friendly care including secondary fall prevention, geri-pall consults, and delirium with patients from a five-state region (WWAMI). Fellows spend time in the Senior Care Clinic, a primary care and consultative clinic with a robust interprofessional team and a focus on an underserved population. Other clinical opportunities include HMC Palliative Medicine Consult Service, as well as opportunities available such as international medicine, work with cultural mediators, healthcare for those experiencing homelessness, and HIV in aging.

University of Washington Medical Center

Fellows spend 1 month in UWMC Palliative Medicine Services and rotate through a variety of UWMC subspecialty clinics including Urinary Incontinence Clinic, outpatient palliative medicine as well as many elective opportunities, and inpatient geriatric psychiatry.

VA Puget Sound Health Care System

Fellows spend 3 months at the VA Community Living Center, which includes a 10 bed teaching service where fellows care for patients and learn interprofessional team skills. There is also an inpatient hospice unit as well as learning from palliative medicine and rehab medicine. Fellows also spend one month focused on both inpatient and outpatient geriatric psychiatry with an emphasis on dementia, mood disorders, and decisional capacity. Each fellow also acts as the primary care provider for a panel of home based primary care patients. Fellows spend time in a wide range of subspecialty clinics at the Seattle VA, including Memory Disorders, Movement Disorders, Osteoporosis, Rheumatology, Urology, Wound Care, and Rehabilitation Medicine Clinics. Some fellows have their primary care clinic in the interprofessional geriatrics clinic at the VA.

Community Based Sites

Fellows are assigned to a Post-Acute Care site (nursing home) in the community and care for patients weekly. In partnership with division faculty members and nurse practitioners, fellows follow a panel of patients at one of our many UW Post-Acute Care sites and learn about medical directorship and quality improvement in the nursing home setting.

Fellows also spend time learning about community resources with the Area Agency on Aging, learn about community-based dementia programing, work with local hospice organizations, and spend time at the Program for All Inclusive Care of the Elderly.