Goals and Objectives
The one-year geriatric residency educational program is organized to provide a superior educational experience in geriatric care in a managed care setting. As a fellow, you will gain the competencies to manage the entire gamut of geriatric care and serve as a consultant to other medical providers. Fellows are provided with the knowledge and skills necessary to sit for the CAQ in Geriatrics. All of our previous geriatric fellows have passed the CAQ on the first attempt.
The training program also assists fellows with acquiring the communicative skills needed to discuss and educate their patients and families on issues such as quality of life, chronic disease progression, and palliative care.
The Kaiser Permanente Los Angeles curriculum is designed to help learners acquire and master clinical information through a variety of methods including: group didactic sessions, critical thinking and appraisal of literature, focused discussion rounds with the program director, leadership development with the chief of service, and scheduled lectures and presentations given by fellows to other learners (residents, medical students). In addition, there is also a strong focus on process / quality improvement through activities such as Quality Improvement rounds and QI projects. Learning is further supplemented by the programs support of fellows attending regional and national conferences.
Los Angeles Medical Center is a unique place to learn within Kaiser Permanente because it is home to over 20 residency and fellowship programs. This synergism combines the patient-oriented clinical care of a community hospital with the robust didactic and research foundation of a major academic center. Fellows will also rotate through the West Los Angeles (WLA) campus of our fellowship program. There, fellows have an opportunity to care for patients with socioeconomically and culturally unique backgrounds. Additionally, some core rotations are specific to the WLA campus, including a Geriatrics Clinic and a Geriatric Psychiatry experience.
|Geriatric Lecture Series||Weekly|
|Custodial Nursing Home Lecture Series||Every 4 weeks|
|Family Medicine Geriatric Case Conference||Every 4 weeks|
|Program Director Rounds||Weekly|
|Quality Improvement Rounds||Monthly|
|Geriatric Journal Club/Article Review||Monthly|
|UCLA Multi-Campus Family Medicine Research Symposium||Annually|
|Kaiser Permanente Hospice/Palliative Care Symposium||Biannually|
Rotation Schedule and Call
Our geriatrics department serves both the Los Angeles and West Los Angeles medical centers, providing fellows with a patient population that is diverse in its racial, ethnic, and socioeconomic backgrounds. The clinical rotation schedule at Kaiser Permanente Los Angeles is a blend of longitudinal care experiences with key block rotations. We feel this is the best way to prepare fellows for easily engaging the “real world” once they are done with their fellowship. The block rotations allow for intensive training in topic-specific fields while the longitudinal approach allows for year-long improvement in the “bread and butter” work of geriatrics. This reduces the attrition of skills over the year-long fellowship that may occur if an area of learning is only covered early in the year. The Home Primary Care and Community Medicine rotation is a wonderful block for fellows to focus on healthy aging and community-dwelling elder patients. It is a fun time to be creative and innovative in building relationships with community partners to meet community needs as well as provide extra-services to our patients. The call schedule for the fellowship has been revamped and involves taking home-call 24 weeknights a year, from 5pm-11pm. Additionally, fellows take 4-5 weekend home-calls a year, from Friday 5pm-11pm through Saturday 8am-11pm.
|Skilled Nursing Home (includes SNF’s with Subacute Beds)||Longitudinally (6-8 months)|
|Custodial Nursing Home||Longitudinally (12 months)|
|Neurology/Physical Medicine/Pain Management||4 weeks|
|Geriatric Psychiatry||4 weeks|
|Memory Assessment Clinic||One half-day/week, Longitudinally (12 months)|
|Primary Care Clinic||One half-day/week, Longitudinally (12 months)|
|Home Primary Care & Community Medicine(Outpatient Healthy Aging Curriculum)||4 weeks|
|Inpatient Geriatric Consultations||Longitudinally (12 months)|
|Hospice & Palliative Medicine (Home-Care)||Longitudinally (12 months)|
|Academic Time||One 1/2 day/week|
|Elective Time||4 weeks|
|Outpatient Geriatrics Clinic||4 weeks|
Scholarly Activity and Research
We require our fellows to complete an academic project for the year. In the past, fellows have written review articles and case-studies, or implemented quality improvement processes within the department and even the medical center at large. The Graduate Medical Center has full-time research staff to assist fellows in academic projects. Additionally, faculty mentors collaborate with the fellows to guide the research process.