Year of Training/Number of Blocks
PGY2/ 1 Block
Community Faculty
- Kerry Eby, MD: Medical Director Brendan House, Director of Hospice and Palliative Care
- Deborah Lessmeier, MD Geriatrics and Supportive Care
Rotation Locations
- Brendan House (at Logan Health)
- Logan Health
- Home Visits
Nature of the experience
The resident with rotate with the local geriatric providers I and will participate in the direct patient care of patients in nursing home and skilled nursing wards, assist with palliative care consults and clinics, and attend home visits for hospice patients. The resident will participate in the handoff, palliative care, and hospice meetings and didactic experiences as structured by the community faculty member. The residents will follow 2 continuity nursing home patients throughout their two years in Kalispell
Focused goals and objectives
- Be proficient in management of: Geriatric Transitions of Care; Cognitive, Affective, and Behavioral Health; Complex or Chronic Illnesses; Medication Management; Ambulatory Care; Palliative and EOL Care
- Demonstrate the ability to perform a systematic and accurate Geriatric history and exam
- Demonstrate the ability to diagnose and manage the most common Geriatric disorders, including: Frail Elder; CAD; CHF; arrhythmias; Dementia; Depression/Mental Illness; DM; Sensory Loss; CVA/TIA/PVD; COPD; Pneumonia; UTI; Renal and Liver Insufficiency/Failure; Bowel and Bladder Dysfunction; Constipation; Osteoporosis; Common Cancer diagnoses; Dysphagia; Gait Disorders; Neuropathy; Degenerative Arthritis
- Administer and Interpret results of validated screening tools for Delirium, Dementia, Depression, Capacity, Functional Status, Safety, Organ Failure, Pain, Elder Abuse, Nutrition, Skin care and Substance Abuse
- Demonstrate Understanding of major age-related changes in physical and laboratory findings
- Discuss and document advanced care planning and goals of care with Patients and their Surrogates
- Demonstrate the ability to work with an Interdisciplinary team