Family Medicine Residency

The goal of the inpatient geriatrics rotation is to acquaint the fellow with the wide range of medical and surgical problems experienced by hospitalized older adults. Working with supervisory geriatricians, the fellow will participate in the full spectrum of inpatient care, including admission, daily notes, discharge, and consultation.

Inpatient care - In coordination with the family medicine hospitalist team, make early pre-rounds on assigned patients on Monday through Friday mornings (no later than 7 AM), round with geriatrics faculty, and manage 4-7 elderly inpatients with supervision. Cover the geriatrics consults during regular working hours, with appropriate backup.

Setting:	Required PGY-4 rotation, 12 weeks Family Medicine Inpatient Service, MCCG
Preceptors:	Richard J. Ackermann, MD, Geriatrics Faculty, Rotation Director Florence Baralatei, MD, Geriatrics Faculty Steven A. House, MD, Geriatrics Faculty Kathy A. Kemle, MS, PA-C, Geriatrics Faculty Dipesh Patel, MD, Geriatrics Faculty Family Medicine Residency and part-time attending Faculty
Locations:	Medical Center of Central Georgia 777 Hemlock Street Macon, GA 31201 478-633-1000

The fellow will evaluate and treat older adults in two long-term care settings, a Medicare Part A and Medicaid-supported nursing home (Peake Healthcare Center) and a private nursing home associated with a continuing care retirement community (Carlyle Place). The fellow will concentrate on comprehensive geriatrics assessment and syndromes such as cognitive impairment, incontinence, polypharmacy, impaired mobility, and depression. The fellow will appreciate the comprehensive, interdisciplinary approach to institutionalized older adults and be able to access appropriate ancillary resources.

Setting:	Required PGY-4 rotation, 12 weeks Peake Healthcare Center, Carlyle Place, other Long-Term Care settings
Preceptors:	Dipesh R. Patel, MD, Geriatrics Faculty, Rotation Director Richard J. Ackermann, MD, Geriatrics Faculty Florence Baralatei, MD, Geriatrics Faculty Steven A. House, MD, Geriatrics Faculty Kathy A. Kemle, MS, PA-C, Geriatrics Faculty Family Medicine Residency and part-time attending Faculty
Locations:	Peake Healthcare Center 6190 Peake Road Macon, GA 31220 478-471-7474 Carlyle Place 5300 Zebulon Road Macon, GA 31210 478-405-4504

The geriatrics fellow will evaluate and treat older patients in a variety of settings, including the office, the home, the hospital, and the nursing home, with an emphasis on inpatient palliative care. Fellows will review the management of common symptoms encountered in end of life care, including pain (physical, psychological, and spiritual), nausea, vomiting, constipation, dyspnea, asthenia, sedation, anorexia, depression/anxiety, and delirium. Fellows will explore ethical and legal decision-making with older patients who suffer from severe chronic disease and terminal illness, advance directives, the Medicare Hospice Benefit, and the impact of Hospice and palliative medicine on healthcare costs.

Setting:	Required PGY-4 rotation, 12 weeks Palliative Care Service, MCCG Hospice of Central Georgia
Preceptors:	Steven A. House, MD, Geriatrics Faculty, Rotation Director Richard J. Ackermann, MD, Geriatrics Faculty Florence Baralatei, MD, Geriatrics Faculty Kathy A. Kemle, MS, PA-C, Geriatrics Faculty Amanda Lucas, MSN, Geriatrics Faculty Laura Mullis, NP, Geriatrics Faculty
Locations:	Medical Center of Central Georgia 777 Hemlock Street Macon, GA 31201 478-633-1000 Hospice of Central Georgia 3780 Eisenhower Parkway Macon, GA 478-633-5660

This rotation is designed to provide the geriatrics fellow with an opportunity to acquire proficiency in the comprehensive medical care of older adults requiring rehabilitation, in both inpatient and outpatient settings. Fellows will be exposed to physical, occupational, and speech therapy, appreciate the inter-disciplinary approach to optimal care of these patients, and understand how functional improvement is measured and evaluated.

Setting:	Required PGY-4 rotation, 8 weeks, Central Georgia Rehabilitation Hospital Outpatient and Inpatient Centers, Medical Center of Central Georgia Rehabilitation Services
Preceptors:	Allison Scheetz, MD, Medical Director, Rotation Director Rosanna Carter, MD, Geriatrics Faculty David E. Mathis, MD, Geriatrics Faculty
Locations:	Central Georgia Rehabilitation Hospital 3351 Northside Drive Macon, GA 31210 478-471-3500