University of Iowa Hospitals and Clinics Program

Geriatric Medicine Fellowship Overview

The Geriatric Medicine Fellowship at the University of Iowa Hospitals and Clinics is a comprehensive 12-month clinically focused program addressing the care of older patients. This fellowship is tailored for up to two board-certified Family Medicine or Internal Medicine physicians dedicated to advancing their expertise in clinical geriatrics. The fellows benefit from a strong foundation provided by a core group of five dedicated faculty geriatricians, supplemented by a multidisciplinary geriatrics team that enhances the educational environment.

Teaching occurs in diverse forms, including didactics, clinical rounds, journal clubs, mentor meetings, and guided self-learning activities, thereby ensuring a well-rounded educational experience. The fellowship places a strong emphasis on developing expert clinicians who, in turn, contribute to teaching medical students, residents, and other clinical learners 1.

Curriculum and Rotations

The curriculum is thoughtfully designed to include required experiences across various settings: ambulatory geriatric continuity, consultative care, long-term care, home care, neurology, urology, urogynecology, geriatric psychiatry, inpatient care, physical medicine and rehabilitation, hospice and palliative medicine, and community medicine. Each fellow has opportunities to tailor a wide range of electives according to their specific learning interests.

A unique feature of the program is the dedicated Continuity of Care Clinic, where fellows spend 1-2 half days each week to foster a continuous learning environment 2.

Clinical Experience and Learning Environment

Fellows engage in a robust clinical training environment where they work closely with experienced faculty in the Geriatrics Assessment Clinic, which serves as the primary site for their education. This clinic is situated at the Iowa River Landing-East, approximately two miles from the main hospital. The fellows' experiences are enriched through interactions with various clinical partners, including long-term care facilities and local hospice organizations.

The program emphasizes immediate feedback and close supervision. Faculty members are deeply involved in the fellows' training, modeling patient care approaches and ensuring fellows receive prompt evaluations of their performance. This system promotes a supportive and effective learning atmosphere conducive to developing essential clinical and leadership skills 2.

Research and Professional Development

In addition to clinical training, the fellowship integrates research components aimed at enhancing fellows' understanding of research methodologies while promoting the application of this knowledge in clinical practice. Fellows are encouraged to engage in various projects that align with their professional goals in geriatrics and pursue academic or clinical career paths upon completion of the fellowship 1.

Eligibility and Application Process

To qualify for the Geriatric Medicine Fellowship, candidates must have completed a three-year accredited residency in Family Medicine or Internal Medicine and ideally show a demonstrated interest in geriatrics. The application process is managed through ERAS, with applications accepted from August to December. Selection for interviews is based on the candidates' professional backgrounds, personal statements, CVs, letters of recommendation, and overall fit with the program's vision 2.

Visa Support and International Applicants

The program supports international medical graduates by sponsoring various types of visas, ensuring a broader range of candidates can apply successfully. Typically, the program is accessible to individuals who require H-1B visas or J-1 visas, thus welcoming a diverse pool of applicants committed to pursuing careers in geriatrics.

Competitiveness and Applicant Guidance

This fellowship program is considered competitive, attracting strong applicants from a variety of backgrounds, including both U.S. graduates and international medical graduates. Candidates who demonstrate a commitment to geriatrics and possess relevant experiences have an advantageous position during selection. The fellowship program is known for being friendly towards DO and IMG applicants, enhancing its accessibility to a wider demographic of medical professionals 1.

Benefits and Professional Environment

The University of Iowa offers stipends and benefits that align with top residency programs nationally, making it an attractive option for prospective fellows. The program also fosters a collaborative environment focused on patient-centered care delivery, preparing fellows not only to meet clinical demands but also to lead initiatives that address the complex healthcare needs of aging populations.