University of Miami/Jackson Health System Program

The University of Miami/Jackson Health System Geriatric Medicine (Internal Medicine) Fellowship Program is designed to provide advanced training in the unique aspects of caring for elderly patients. This fellowship offers a comprehensive curriculum that integrates clinical experience, research opportunities, and didactic learning aimed at preparing fellows for board certification and a career in geriatric medicine.

The fellowship program is administered through Jackson Memorial Hospital and provides structured rotations across multiple clinical sites, ensuring a well-rounded training experience for its fellows.

Program Structure

The duration of the fellowship is one year, accommodating a total of six fellows per year. Fellows rotate through various facilities including Jackson Memorial Hospital, the Bruce W. Carter Department of Veterans Affairs Medical Center, Leon Medical Centers, and MorseLife Health System. These sites offer diverse patient demographics and expansive clinical exposure within geriatric medicine, which is crucial for developing competence and confidence in managing complex medical issues.

Clinical Experience Components

The clinical experience in the program encompasses a variety of structured longitudinal and block rotations. These rotations include primary care in the Veterans Affairs system, nursing home care, outpatient geriatrics, and specialty clinics focusing on memory disorders and frailty management. The emphasis on longitudinal clinical experiences helps fellows develop a deep understanding of caring for older adults over time.

Didactic Learning

Education is an integral aspect of the fellowship. The program hosts weekly didactic sessions, including a Geriatric Medicine Core Curriculum, board review sessions, and case presentations. Further immersive learning is available through the Gerimmersion program, a hands-on introduction to geriatric medicine that lasts 32 hours. In addition, fellows participate in monthly seminars focusing on topics related to frailty and specific geriatric issues.

Research Opportunities

The fellowship emphasizes the importance of research in advancing the field of geriatric medicine. Within the Bruce W. Carter Department of Veterans Affairs Medical Center lies a Geriatric Research, Education and Clinical Center (GRECC), which provides fellows with multiple opportunities for research in basic science, clinical, translational, and health services aspects of geriatric care. Key areas of focus include frailty and stem cell therapies, supported by mentorship from experienced faculty.

Unique Program Aspects

One unique feature of the program is the emphasis on interdisciplinary training. Faculty members from several academic disciplines contribute to the education of fellows, promoting a holistic approach to geriatric care. This comprehensive training ensures that graduates are not only skilled in medical management but also in culturally competent care for diverse populations.

Visa Sponsorship and Eligibility

For international applicants, the program sponsors the J-1 Visa under the Alien Physician Program. All applicants must have successfully completed the United States Medical Licensing Examination (USMLE) Steps 1, 2, and 3 prior to the start of the program. Additionally, a completed ACGME-accredited residency in internal medicine or family medicine is required.

Application Information

Application submissions are facilitated through the Electronic Residency Application System, with deadlines occurring from July to October. Interviews are typically held between August and October, making it essential for candidates to prepare adequately for this competitive program.

Competitiveness

The University of Miami/Jackson Health System Geriatric Medicine Fellowship Program is amongst the largest in the United States, which underscores its competitive nature. It welcomes applications from both Doctor of Osteopathic Medicine (DO) graduates and International Medical Graduates (IMG), fostering a diverse cohort of fellows.