Geriatric Medicine Fellowship

Along with our 1-year training track, we have a unique part-time fellowship track. Participants complete the same fellowship curriculum over a 2-year period.

The Carilion Clinic - Virginia Tech Carilion Geriatric Medicine Fellowship is comprised of 13, four-week blocks.

The longitudinal component includes an ambulatory and long-term care experience. The fellows will have a weekly half-day session in a geriatric-dedicated Internal Medicine clinic.

In addition, fellows will have one to two half-day sessions in the Carilion Center for Healthy Aging Memory Disorder Clinic. Fellows will also be assigned a continuity panel of patients at a regional long-term care facility. 

The conference schedule will include a monthly Thursday afternoon educational discussion with core faculty about new advances in geriatric medicine and a monthly 3-hour core curriculum conference held Tuesday afternoons where faculty will provide case-based and didactic presentations. 

Geriatric medicine fellows will present and contribute during select academic half-days. Geriatric seminar topics are reviewed and updated yearly to fulfill Geriatric Medicine requirements.

The post-acute long-term care rotation is three blocks and includes experiences in both institutional and non-institutional settings. These blocks will take place at various regional long-term care facilities and the Salem Veterans Affairs Medical Center.

The PACE rotation (through InnovAge) is a one-block experience working with the program for all-inclusive care of the elderly that includes primary and specialty care, medications, care coordination, transportation, meals and facility-based rehabilitation. This program provides care to older adults in their homes and within an adult day center environment. 

Home health services (i.e., nursing, physical therapy, occupational therapy, speech therapy, aides and medical social work) are instrumental in promoting recovery and function within the home. The home care rotation is a one-block experience in the home setting that provides fellows deeper insights into how these services can be applied to their future patient care.

The consult service will be primarily based at Carilion Roanoke Memorial Hospital with an opportunity for expansion to one of our rural community hospitals. The two blocks will include inpatient geriatric consults requested throughout the hospital and co-management of older adults admitted to ED Observation. The fellows will make the initial contact when a geriatric consult is requested. 

The fellows will be involved in the initial care and continuing responsibilities for all consult patients and will participate on the inpatient multidisciplinary team.

The fellows will round with the Carilion Roanoke Memorial Hospital Palliative Care team caring for patients on the Palliative Care Unit and seeing inpatient consults for one block.

The Rehabilitation and Wound Care rotation is one block in the inpatient and outpatient Rehabilitation Unit. The fellows will be able to observe and participate in the subacute phases of care.

One half block will be spent with Carilion Clinic Neurologists. The fellows will work in the outpatient setting and will participate in inpatient neurology consults.

The half-block rotation is an opportunity for fellows to shadow geriatricians in their roles as medical directors and physician leaders of healthcare teams. These experiences are coupled with assigned readings to develop a deeper understanding of how healthcare systems and financing impact the care of the older adult.

The Geriatric Psychiatry rotation is a one-block experience. This will include inpatient, outpatient and long-term care sites.

The fellows will have the opportunity to select two electives in fields of interest during the fellowship. Outside rotations are permitted if the discipline is not available through Carilion Clinic.

• Research
• Hematology/Oncology
• Pain Management (noninterventional)
• Pain Management (interventional)
• Consults
• Inpatient Rehabilitation
• Pulmonology/Critical Care
• Infectious Diseases
• Hospice
• Wound Care