Aging: Bench to Bedside

Sites: BIDMC, Mount Auburn Hospital, Hebrew Senior Life
Director(s): Katharyn Atkins, Jeremy Whyman
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: US/Canadian
Description: According to the Center for Medicare Services, one in five Medicare patients discharged from the hospital approximately 2.6 million seniors is readmitted within 30 days, at a cost of over $26 billion every year. Transitions in care are a high risk time for patients and navigating these successfully is critical to providing optimal patient care. This elective offers the student a diverse, broad-based experience in the practice of geriatric medicine and understanding successful care transitions. Students will have the opportunity to rotate through a variety of clinical experiences including acute inpatient geriatrics, geriatrics inpatient consultations, acute and subacute rehabilitation, geriatric psychiatry, geriatric primary care/consultative clinics, home visits, and geriatric specialty clinics (i.e. memory clinic). During these experiences, students follow a patient from the inpatient to post-acute care setting to increase their understanding of the complexities of care transitions. Students interact closely with residents, geriatric medicine fellows, and attending physicians. In addition, students will also have the unique opportunity to work within interdisciplinary teams including nurse practitioners, RNs, social workers, and physical/occupational therapists, to further understand systems aspects of geriatric medicine. As a relatively new but rapidly growing field, geriatric medicine is a frontier of novel models of care. Students attend an ECHO-AGE telecomputing clinic where experts at BIDMC, including geriatricians, a neurologist, a geriatrics psychiatrist, and a social worker, provide consultation to long-term care facilities in Massachusetts and Maine regarding management of dementia and delirium. Students also participate in ECHO-CT telecomputing clinics where experts at BIDMC interact with post-acute care facilities to optimize the care of patients recently discharged from the hospital. The clinical experiences are supported by a formal educational curriculum including participation in geriatrics fellow conferences, geriatric medicine grand rounds, didactics that explore the costs of geriatrics care and regularly scheduled research and teaching conferences. There is no weekend or call requirement.
Incorporation of Basic Science Content and Evidence-Based Medicine:
While primarily a clinical elective, basic science content and evidence-based medicine will be incorporated throughout the course. Students will learn about evidence-based medicine as it relates to gerontology by attending the geriatric medicine fellowship conference series and participating in a biweekly journal club held at the BIDMC.
Grade Criteria:
Honors with Distinction:
1. Meet criteria for an honors grade
2. Successful completion of clinical or research projects that may lead to presentation or publication
1. Meet criteria for a satisfactory grade
2. Demonstrating initiative and willingness to take on additional clinical or research projects
1. Regular attendance of all clinical, research, and educational experiences
2. Complete mid-course educational presentation
3. Complete reflection paper and web based modules at conclusion of course
4. Meet with core faculty for feedback sessions
5. Meet primary learning goals
1. Failure to meet criteria for a satisfactory grade