Program Director: James Lin, D.O.
Telephone: (814) 868-8217
The Osteopathic Geriatric Medicine Fellowship is designed to create an organizational structure of academic, clinical, and technical criteria to facilitate the education of Geriatric Medicine Fellows. Fellows will demonstrate the ability to provide patient-centered care that is appropriate, compassionate, and effective for treatment of health problems and the promotion of health. Fellows will know, critically evaluate and use current medical information and scientific evidence for patient care. Fellows will investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and use these processes to improve patient care. They will demonstrate interpersonal and communication skills that result in effective information exchange, and collaboration with patients, families, and health professionals. The fellows will demonstrate a commitment to professionalism, ethical behavior, and the development of cultural humility. They will practice quality health care that is cost-effective and advocate for patients within the health system. The Geriatric Medicine Fellows will demonstrate and apply knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to the geriatric patient. The educational goal is to train a skilled and competent Osteopathic Practitioner who remains dedicated to life-long learning and to practice habits in osteopathic philosophy and manipulative medicine.
The Geriatric Medicine Fellowship is based out of Millcreek Community Hospital. The program is a one (1) year training program that includes clinical, teaching, research, and administrative components. The program focuses on training geriatric medicine clinicians. The core clinical curriculum provides in-depth knowledge of geriatrics and gerontology, including biological and psychosocial aspects of aging and the clinical management of common health problems. The program includes formal didactic training in geriatric medicine and clinical experiences across the continuum of care. Millcreek Community Hospital is a 200-bed medical care complex that offers comprehensive care in the tradition of osteopathic medicine – treating the whole person for physical and mental illnesses, while emphasizing preventive care. The services of LECOM Health provide the comprehensive setting for the fellowship encompassing acute care, licensed skilled and long term care sub-acute/transitional care, and ambulatory care all on one campus. The hospital also has a dedicated geriatric-psychiatry unit, physical medicine and rehabilitation, integrated medical wellness center, medicine, surgical and emergency services.
- Clinical Component: Fellows are provided a comprehensive orientation and a block schedule in which they follow patients longitudinally in the ambulatory and long term care settings. The fellows supervised clinical experience will prepare them as a primary care provider and as a consultant. The integration of osteopathic principles and osteopathic manipulative treatment is noted throughout the fellowship. The fellows will have the opportunity to work with the NMM/OMM specialists from LECOM to refine their OMT skills specific for the geriatric population.
- Ambulatory Care Training: The fellows will have longitudinal continuity of care experience in a multi-physician clinic with supervision by board certified geriatric medicine physicians. The fellows ambulatory care training will be at least two half days per week. The clinic will be on campus on the third floor of the new LECOM Medical Wellness and Fitness Center.
- Technical Skills Training: The fellows will acquire the skills to administer, interpret, and apply the use of geriatric assessment tools. The fellows will perform functional, medical, cognitive and psychosocial assessments. (Katz ADL, IADL Assessment, MMSAE, SLUMS Evaluation, CAM Assessment, Geriatric Depression Scale.) The Geriatric Medicine Clinic will provide primary care and consultative services. The fellows will participate in the Memory Assessment Clinic, Fall Assessment Clinic, Osteoporosis Clinic, and Urinary Incontinence Clinic.
- Research Component: The fellows will be required to complete one original research project or publishable quality paper during his/her one year of training. Fellows will have the support of LECOM faculty in the design and implementation of their projects.
- Teaching: Throughout the fellowship program, fellows will develop and refine their teaching skills and acquire administrative skills. The fellows will be involved in the teaching of medical students, interns, and residents, as well as members of the multidisciplinary team. Fellows will be required to provide geriatric lectures to the house staff at Millcreek Community Hospital as well as serve as junior faculty at the Lake Erie College of Osteopathic Medicine.
- Administration: Although the fellowship is one year in duration, the program will provide the fellows with a strong foundation in the role and responsibilities of the medical director of a long term care setting, the basics of Medicare, Medicaid, commercial insurance, billing, government regulations, complexity of state licensure and accreditation of acute, transitional, and skilled facilities, and other related concepts.
- Library Resources: Millcreek Community Hospital has an on-site medical library that interns, residents and fellows have access to 24 hours a day. The medical library collects and organizes information to support the house staff in the form of books, journals, audiovisuals, and electronic resources. The library staff is dedicated to finding answers to all requests for health care information and can identify and deliver published materials from the worldwide library community. In addition to the on-site medical library, house staff also have access to the Learning Resource Center at Lake Erie College of Osteopathic Medicine.
- Educational Didactics: The fellows attend Journal Club weekly. Fellows participate in team conferences regularly. Geriatric Lectures will be provided by the fellows to the house staff monthly. Geriatric Topic Lectures are provided by the faculty. Geriatric fellows may be asked to participate in medical student lectures at LECOM for the Geriatric curriculum. Schedules will be adjusted to accommodate lecture preparation and presentation.
- Qualifications and Responsibilities of the Fellow: Qualified candidates must have graduated from an AOA-accredited college of Osteopathic Medicine and completed an AOA-approved Internal Medicine Residency Program or an ACGME-approved Internal Medicine Program for which AOA approval has been granted. To apply to any of our Internships (OGME1 Residency Positions), our Gastroenterology Fellowship and our Geriatric Internal Medicine Fellowship, please submit an application through ERAS (Electronic Residency Application Services). Residents applying to our Sports Medicine, OMM, Geriatric FM, Child/Adolescent Psychiatry, and Integrative Medicine Fellowships and Residents wanting to apply to an OGME-2 Year (or beyond) are encouraged to submit a Residency/Fellowship Application (on-line application) to Medical Education, Millcreek Community Hospital. A copy of the Resident’s/Fellow’s board scores, transcript and at least two letters of recommendation are to be included. Fellows must be a member of the American Osteopathic Association, the American College of Osteopathic Internists, and the Pennsylvania Osteopathic Medical Association. Fellows must follow all policies and standards of the hospital, Specialty College, and of the American Osteopathic Association as it pertains to their fellowship. This includes but is not limited to, the required logs, evaluation forms, research requirements, and attendance at required meetings.
The following affiliate sites will be utilized to enhance the education of the fellows outside the Millcreek campus:
1. Abington Crest – Long Term Care
2. Sunrise – Assisted Living
3. Heartland – Hospice and Palliative Care
4. Golden Living Center – Long Term Care
5. Brevellier Village – Long Term Care, Assisted Living, Independent Living
6. HealthSouth – Acute Rehabilitation Hospital
Selection of residents and fellows shall not be based on race, sex, religion, national origin, age, sexual orientation, veteran status, color, or disability, which would not directly impede the training process or any other characteristic protected by law.