by
Akane Naka, Project Manager | October 24, 2006
6.
Geriatric Consult Service:
The Geriatric Consult Service is a team of geriatricians organized to provide consults to acutely ill hospitalized patients. When assigned to the Acute Care Rotation (four months per year) The Fellow will be a member of the consult team. He/she will perform consults under the supervision of the geriatrician assigned to the consult service at that time. Each patient consult will be reviewed with the faculty member and the care plan will be reviewed on the day the patient is seen.
7.
Hospital Elder Life Program (HELP):

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HELP is a program designed to prevent delirium in acutely ill, at risk, hospitalized patients through the use of volunteer administrated, validated protocols. The program is administrated by a physician director who is assisted by a masters level recreational therapist and a masters degree nurse. The program also uses principles of geriatrics to maintain maximal levels of patient independence and, therefore prevent nursing home placement. While assigned to the Acute Hospital Rotation, the Fellow will assist the team in the evaluation of patients and will help administer protocols to patients.
8.
Geriatric inpatient service:
During this rotation, the Fellow will follow inpatients from the Consult Service, the ACE Unit, and the Hospital Elder Life Program (HELP). Supervision will be provided by the faculty member performing the consults and by the physician who oversees teh ACE Unit and the HELP Program.
9.
Outpatient geriatric neurology:
During the Geropsychiatry and Neurology rotation, the Fellow will spend one four to five-hour session per month over the course of the year in the office of a local neurologist. In this time the Fellow will perform neurology consults and revisits under the supervision of the neurologist.
10.
Geriatric rehabilitation (New England Rehabilitation Hospital):
This three month experience exposes the Fellow to an intense experience dealing with patients who are recovering from conditions such as hip fractures and replacements, knee replacements, strokes, amputations, spinal cord injury, multiple trauma, brain injury and debility due to various medical conditions, including cancer. The Fellow will admit and manage patients as a member of the rehabilitation team. The supervising physicians are physiatrists or internists and the hospital Medical Director. The Fellow will also take part in a number of outpatient clinics such as the Stroke Clinic and the Amputee clinic.