Wake Forest University Baptist Medical Center Program

Overview of the Geriatric Medicine Fellowship Program

The Geriatric Medicine Fellowship Program at Wake Forest University Baptist Medical Center is a unique training initiative that leverages the extensive resources of the Sticht Center for Healthy Aging and Alzheimer's Prevention. This program is aimed at developing clinical and leadership skills necessary to navigate the evolving landscape of healthcare delivery, particularly focused on the older adult population. The program adopts a 'Function First' philosophy, emphasizing the importance of optimizing physical and cognitive function, managing multiple chronic conditions, as well as addressing functional decline and memory impairment.

Fellows are provided with comprehensive training across various care settings and models, with opportunities for individualization based on career interests. The program is designed to foster future leaders in geriatric medicine by encouraging self-reflective practice, supporting continual improvement, promoting effective communication, and team leadership skills.

Curriculum and Training Pathways

The curriculum is built around three primary training pathways:

• 12-month clinical fellowship
• Two-year clinician-scholar training in clinical geriatrics and research
• Two-year sequential training in Geriatrics and Palliative Medicine

Each pathway includes clinical training, teaching, didactics, and research opportunities. The program covers various aspects of geriatric care, including acute and consultative care, inpatient and outpatient rehabilitation, geriatric psychiatry, and home visits. The comprehensive curriculum ensures fellows receive a hands-on educational experience, reinforcing the competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME).

Clinical Rotations

Clinical rotations form a key part of the training for fellows, focusing on the function and independence of older adults. The 'Function First' model reflects in the quarterly rotations, which include:

• Mobility: Assessment and improvement of physical function through inpatient neuro-rehabilitation and consultative services.
• Mind: Emphasis on cognition, dementia, and geriatric psychiatry.
• Models of Care: Learning about community-based resources and participation in innovative care models.
• Mastery: Application of knowledge in goal-setting for patient care and professional development.

Fellows also engage in didactic sessions that cover various topics in geriatric medicine, preparing them for board examinations and enhancing their practical knowledge.

Research Opportunities

The program provides extensive research resources allowing fellows to collaborate on interdisciplinary projects. Research opportunities include areas like aging biology, health services research, and policy research. Fellows are encouraged to critically appraise literature and participate in quality improvement projects during their training.

Application Requirements and Visa Sponsorship

Candidates for the Geriatric Medicine Fellowship must have completed a residency in either Internal Medicine or Family Medicine from an ACGME-accredited program. The application process requires submission through the ERAS system along with USMLE scores, a personal statement, and letters of recommendation. The program also accepts foreign medical graduates, favoring those with U.S. clinical experience.

The program offers visa sponsorship through J-1 Visas and Employment Authorization Documentation (EAD). Green card holders are also eligible for application.

Living and Training at Wake Forest

Living in Winston-Salem as a fellow encompasses both professional growth and personal life. The vibrant atmosphere fosters a sense of community among fellows, which enhances training experiences. Supportive resources and a welcoming environment contribute to a unique fellowship experience.

Competitiveness of the Program

The fellowship is highly competitive, with a strong pool of applicants from various medical backgrounds. Emphasis on diversity is apparent, with the program striving to recruit individuals from varied backgrounds, which enriches the fellowship experience and prepares fellows to meet diverse patient needs in their future careers.