University of Hawaii Program
Location:
Honolulu, HISpecialty:
Geriatric medicine (Internal medicine)ACGME Code:
1511421047Geriatric Medicine Fellowship Overview
The University of Hawaii's Geriatric Medicine Fellowship is designed to equip physicians with the necessary skills to care for the elderly population. This program emphasizes comprehensive geriatric education and practical experience, combining didactic teachings with diverse clinical training modules. Established in 1986, the fellowship has maintained its accreditation and has consistently demonstrated a notable pass rate on board examinations over the years, indicating a strong educational foundation within the program.
Curriculum Structure
The curriculum of the Geriatric Medicine Fellowship integrates various aspects of geriatric care, including primary, consultative, and preventive healthcare, rehabilitation, psychiatric support, and palliative care. The unique challenges associated with elderly patients, such as multimorbidity, are addressed through a tailored educational approach.
Didactic and Clinical Training
Didactic Curriculum
Fellows participate in a strong didactic curriculum that comprises:
- Core lectures on essential geriatrics topics
- Palliative care and end-of-life care modules
- Dementia-focused lectures series
- Monthly Grand Rounds
- Evidence-based medicine series and journal clubs
This comprehensive educational framework ensures that fellows are well-prepared for various geriatric care scenarios.
Clinical Training Rotations
The clinical aspect of the fellowship spans multiple settings, allowing fellows to gain holistic exposure in various specialties:
- Longitudinal Primary Care experience
- Nursing home patient care
- Inpatient geriatric consultations
- Outpatient geriatric consultative services
- Experiences in Hospice and Pediatric Geriatric Psychiatry
Clinical Training Sites
The fellowship utilizes diverse clinical training sites, reflecting Hawaii's multicultural context. Key locations include:
- Kuakini Geriatric Care: Focused on providing primary care alongside extensive discussions on nursing home administration.
- Kaiser Permanente: A major site for HMO rotations offering comprehensive geriatric and palliative medicine experiences.
- Queen’s Medical Center: This site exposes fellows to inpatient consultations within a busy tertiary care setting.
- Veteran Administration Clinics: Providing outpatient and home care services to veterans.
Research Opportunities and Academic Engagement
Research and academic pursuits are encouraged throughout the fellowship. The program offers mentorship for research projects that align with the fellows' professional goals. Past projects have included involvement in significant studies such as:
- Kuakini Honolulu Heart Program
- Honolulu Asia Aging Study
- Women’s Health Initiative
Unique Aspects of Training
The University of Hawaii's Geriatric Medicine Fellowship stands out due to the unique demographic factors present in Hawaii. The state has the highest life expectancy in the U.S., and its diverse population allows fellows to engage with a variety of geriatric issues—ranging from chronic illness management to culturally responsive care practices.
Admissions and Application Process
This competitive fellowship program requires applicants to have completed a U.S. residency in either Internal Medicine or Family Medicine. Application materials suitable for the ERAS include:
- Personal statement detailing experience and interests in geriatrics
- Curriculum vitae
- 3-4 letters of recommendation (one from a geriatrician preferred)
- Medical school diploma (official translation if applicable)
- USMLE or COMLEX scores
In terms of visa requirements, the program supports J-1 visa sponsorship only. Additionally, candidates must obtain a permanent Hawaii medical license prior to the commencement of the fellowship.
Competitiveness
This fellowship is considered highly competitive, and while it welcomes applications from U.S. graduates, it is also open to International Medical Graduates (IMGs) provided they meet the necessary qualification criteria.
Website
Director
Aida B Wen, MDAssociate Professor, Program Director Appointed Since July 2015Coordinator
Program
Program Size
Composition
Quality of Life
First year average hours per week:
45hrsFirst year max cons. hours on duty:
12hrsFirst Year Salary:
$85,370First Year Paid Vacation:
-First Year Paid Sick Leave:
-Training
Fellowship Rate:
-Faculty to Residents Ratio:
6.4XResidents career path:
Admission
Min. Step 2 Score:
-Visa Sponsorship:
-YOG Cutoff:
-Location
Honolulu, HI
Housing - Rental Prices
Crime - All Violent Offences
Living in Honolulu, HI
- Crime Rate and Safety: Honolulu has a relatively low crime rate compared to other major cities in the US. The city and its surrounding areas offer a generally safe environment for residents.
- Fun Activities: Honolulu is known for its beautiful beaches, hiking trails, and water activities like snorkeling and surfing. The city also has a vibrant cultural scene with museums, art galleries, and amazing restaurants.
- Climate: Honolulu has a tropical climate with warm temperatures year-round. You can expect lots of sunshine and occasional rain showers, especially during the winter months.
- Races and Population: Honolulu has a diverse population with a mix of different races and cultures. The city has a significant Asian and Pacific Islander influence.
- Education: Honolulu offers various educational opportunities, including schools, colleges, and universities. The city is home to the University of Hawaii at Manoa.
- Cost of Living: Honolulu's cost of living is higher than the national average, particularly in terms of housing costs. Be prepared for higher prices for accommodation and daily essentials.
- Proximity to Bigger Cities: While Honolulu is the largest city in Hawaii, the nearest significant mainland city is Los Angeles, which is about a 5-hour flight away. There are no other major cities nearby.
- Pros: Beautiful beaches, outdoor activities, diverse culture, and a laid-back lifestyle.
- Cons: High cost of living, isolation from mainland cities, and potential traffic congestion.
Interview Questions
