Clinical Rotations

Fellows will have the opportunity to participate in a diverse variety of rotations across several clinical sites, including primary and consultative care in acute, long term care, as well as in home care settings. Fellows will work alongside our prestigious faculty and amazing interprofessional teams within geriatric and palliative care. We also offer training in Palliative Medicine as well as specific training for qualified fellows interested in a master’s degree in clinical investigation.

Please see the sample block schedule for an idea of the year flows, with more information on clinical rotations provided below.

Acute Care for Elders (ACE) Unit 

ACE Unit
  • Environment: St. Joseph Mercy Hospital, Ann Arbor
  • Goals: Become a proficient member of  an interdisciplinary geriatrics-focused care team in a hospital setting; evaluating,  managing and  appropriately triaging acutely ill geriatric patients

 Geriatrics Inpatient Consult Team (GICT)

  • Environment: University of Michigan Health System (inpatient wards, emergency department)
  • Goals: As part of a multidisciplinary consult team, provide consultative care recommendations to primary teams caring for older acutely-ill medical, surgical, and psychiatric elderly patients while learning clinical decision-making skills

 Glacier Hills/Sub-acute Rehabilitation

Glacier Hills/Sub-acute Rehabilitation
  • Environment: Care and Rehabilitation Center at Glacier Hills (50-60 patients who require a mix of long-term and sub-acute skilled care)
  • Goals: Effectively manage sub-acute care and skilled nursing home patients, while understanding administrative requirements of this setting, including the role of a medical director

 Outpatient Sub- Specialty Clinics

  • Environment: Turner Geriatric Clinic, one half day per week for two months for each specialty clinic
  • Goals: Increase knowledge of the following diverse specialties: Endocrinology, Mobility, Nephrology, Neurology Cognitive Disorders, Neurology Movement Disorders, Psychiatry, and Rheumatology

 VA Community Living Center

VA
  • Environment: VA Ann Arbor Healthcare System
  • Goals: To be a proficient member of a multidisciplinary team, evaluate the complex problems of elderly patients in the Community Living Center (CLC) and communicate recommendations

 VA Home-Based Primary Care

  • Environment: VA Ann Arbor Healthcare System
  • Goals: To provide care and perform geriatric assessments in home for home-bound seniors with multiple comorbidities

 VA GeroPsych

  • Environment: VA Ann Arbor Healthcare System
  • Goals:  Learn to provide consultative evaluation and management services to older medical and surgical patients in the context of clinical situations requiring psychiatric input such as chronic pain, determination of decisional capacity, physical rehabilitation, chronic illness, somatization, delirium, dementia, and psychosis

 VA Palliative Care

  • Environment: VA Ann Arbor Healthcare System
  • Goals: To provide palliative care and support to terminally ill patients and their families, understand  hospice resources and increase knowledge of both pain and symptom management