Clinical block rotations and continuity clinical experiences are designed to provide the fellow with training opportunities in acute care, long-term care, ambulatory care, home care, hospice and palliative medicine, neurology, psychiatry, geriatric oncology, and geriatric rehabilitation. Fellows will work closely with physician specialists in surgery, oncology, cardiology, neurology, and physical medicine to deliver high quality care for older adults. Interprofessional teamwork is the cornerstone of geriatric practice and fellows will work collaboratively with nurses, social workers, therapists, advance clinical practitioners, dieticians and other health professionals.

Elective rotations allow fellows to enhance clinical skills in a specialty area or in a specific clinical setting. Although the one-year fellowship is clinically focused, fellows may also spend their elective time engaged in clinical research or quality-improvement projects related to geriatrics.

Formal didactic sessions complement the clinical training experiences for Geriatric Medicine Fellows. A weekly core lecture series covers important topics in geriatrics and prepares the fellow for the certification examination in Geriatric Medicine. Fellows also participate in resident noon conferences and clinical case conferences relevant to geriatrics and adult medicine. A quarterly interdisciplinary geriatric journal club provides a critical review of important research studies which influence clinical geriatric practice.

In addition to clinical training, fellows are expected to develop their skills as educators. Fellows participate in the family medicine residency training and provide formal lectures as well as bedside teaching related to geriatric care. They provide lectures to a local retirement community on health-related topics. Fellows are evaluated on their ability to teach patients and families and to effectively engage them in a plan of care.

Block 1 2 3 4 5 6 7 8 9 10 11 12
Rotation Neurology Palliative
Hospital Hospital Outpatient
Community Elective* Elective*
Site 1 1, 2 1, 3 2 2 4 5 5 7 Community
1-7 1-7
100 35 45 25 25 100 35 35 35 100 35-100 35-100

Training Sites
1 Carolinas Medical Center
2 Carolinas Medical Center - Mercy
3 Carolinas HealthCare System NorthEast
4 Carolinas Rehabilitation
5 Sardis Oaks Nursing Home
6 Sharon Towers (Continuing Care Retirement Community)
7 Carolinas HealthCare System Pineville

Longitudinal Training Experiences (12 months):

  • Continuity nursing home care, assisted living, and home visits (site 6- Continuing Care Retirement Community)
  • Psychiatry outpatient consults (site 6- Continuing Care Retirement Community)
  • Outpatient geriatric consultation in oncology clinic (site 1)
  • Continuity Clinic- located at hospital-based Family Practice Center (site 1)

Vacation: 3 weeks; encouraged to take during elective blocks; generally no longer than 7 days; no vacation during psychiatry and acute rehabilitation blocks

*Electives include: Urology, Gynecology, Rheumatology, Endocrinology, Wound Care, Hospice, Pain Management, Ethics, Medical Direction, and Research