The UNMC Geriatric Medicine Fellowship program is a small program that has been continuously accredited since 1988. Dr. Jane Potter served as program director from 1988-2006 and resumed that role in 2014. It is the only ACGME accredited Geriatrics program in the state of Nebraska. Program faculty members are deeply invested in the success of each fellow and provide exceptional guidance in the clinical, academic, and research aspects of the fellowship in order to meet each individual’s goals. Faculty member’s work together to create an environment where fellows feel safe and supported allowing them to focus on gaining the attitudes, knowledge and skills for patient-centered care, leadership and academic development.
Fellows provide patient care to a diverse population at various venues including: Nebraska Medicine Clinics, the Omaha VA Medical Center, and Douglas County Health Center. The programs primary clinical teaching site is the Nebraska Medicine Geriatrics Clinic, which is a certified Patient Centered Medical Home (PCMH) that provides a truly interprofessional approach to patient care. The program is designed so that fellows also have meaningful exposure to other specialties, such as urology, neurology, wound care, and physical medicine and rehabilitation.
Fellows also receive training to promote leadership skills and academic development through a core curriculum and training experiences. In addition, a designated faculty member and the program coordinator assists each fellow in tailoring experiences based on the fellow’s future career goals.
Train fellows to be strong geriatricians
- The curriculum is based on the Geriatric Entrustable Professional Activities (EPAs) and Competencies. Training venues and activities are selected to provide fellows varied experiences in which to practice and learn the EPAs, faculty support fellows in graduated levels of responsibility and use assessment instruments to structure evaluations of fellows and provide feedback.
Provide diverse interprofessional training environments and structured curricula
- Geriatrics is the classic team sport and essentially all training environments engage fellows in team care. For example, the outpatient continuity, consult and comprehensive assessment clinics are conducted in our Geriatric PCMH and the home care experience is within the VA Home Based Primary Care program.
- The didactic curriculum runs throughout the 12 months of training as: ½ day per week core curriculum, weekly Case Conference, monthly research, journal club and ‘Most Difficult Case’ conferences.
Foster leadership skills
- Fellows complete Team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS). The curriculum and experience in LTC contains leadership training for medical directors. Fellows receive training and complete projects using PDSA cycles for practice improvement in outpatient and long-term care settings.
Foster academic development
- Fellows are provided a variety of opportunities to participate in research and writing.