Geriatrics Fellowship Program Facilities and Sample Schedule

The UC San Diego Geriatrics Fellowship Program provides a wide variety of quality clinical experiences. Some examples are listed below.

UC San Diego Medical Center in Hillcrest – Fellows complete a rotation in the geriatric psychiatry inpatient unit, where they are introduced to acute and chronic cognitive and psychiatric problems encountered in hospitalized elderly patients.

UC San Diego Health Memory, Aging and Resilience (MARC)The MARC provides comprehensive cognitive, emotional and physical health evaluation of older adults. This unique program draws on the expertise of UC San Diego physicians in numerous specialties to carefully assess the overall health of older adults – with particular focus on memory and thinking.

Medicine for Seniors Clinic at Perlman Ambulatory Care Center – Provides a continuity clinic experience for participating fellows. This outpatient clinic, located in La Jolla, is solely devoted to the care of patients age 65 and older and has four board-certified internists with sub-specialty certification (CAQ) in Geriatrics. This clinic provides primary care to patients, in addition to providing consults on medically complex patients

VA San Diego Healthcare System – At the VA,  fellows work with a geriatrics team of attendings uniquely positioned to provide supervision as patients transition from acute, consultative, sub acute, skilled, rehab, home, and hospice and palliative care, as appropriate. Fellows also complete a rotation within the VA Home-Based Primary Care (HBPC) Program, a home care program that provides comprehensive, interdisciplinary, longitudinal primary care in the homes of veterans with complex medical, social, and behavioral conditions for whom routine clinic-based care is not effective. The VA also provides a continuity clinic experience for fellows.

Sample Schedule – Schedules vary per year, with an opportunity to tailor the schedule some to the interests of individual fellows. However, below is a sample overview.

Picture of medical center buildings

Silverado Senior Living - Encinitas – Silverado Senior Living is a residential care facility for older adults with dementia and functional impairment. Fellows learn how to provide care for an extremely frail population and enhance their skills in dementia care.

Geriatrics group photo

The Elizabeth Hospice – During their rotation here, fellows visit and provide end-of-life care to patients in their home and other settings, as needed, and learn the basic services provided by hospice care. They also learn how to transition patients smoothly to hospice at the appropriate point in the patient's disease trajectory; develop important communication skills; strategies to lessen physical, emotional and spiritual pain.


ROTATIONS
3 monthsVA Community Living Center
6 weeks plus quarterly weeksVA Home-Based Primary Care
2-3 monthsUC San Diego Senior Behavioral Health (w/ time at Memory, Aging and Resilience Clinic (MARC))
1-2 monthsPost-Acute Care
1 monthUC San Diego Palliative Care/Howell Service
1 monthElizabeth Hospice
1 monthUC San Diego Electives (Neuro/Wounds/Osteoporosis/ Pelvic/Sleep)
3 weeksVA Palliative and Electives, including Outpatient Geropsych Experience
CONTINUITY EXPERIENCES
12 monthsTwo Half-Day Continuity Clinics (VA and UCSD)
12 monthsLongitudinal Experience in Dementia Care at Silverado Senior Living