OHSU City-Wide Geriatric Medicine Fellowship

Welcome to the Oregon Health & Science University (OHSU) City-Wide Geriatric Medicine Fellowship!  Since its inception in 1978 faculty and fellows have worked together to craft a robust one-year training program that fosters strong clinicians. Just as our patients’ needs change, so do our fellows’ – we value feedback and innovation to meet our graduates career goals.  Graduates of our program have gone on to become clinicians, educators, and researchers in geriatric medicine throughout the United States. Read more here about why our alumni chose OHSU and where they are now!  Meet our current fellows here.

Our program’s philosophy is founded in teaching, critical thinking, and personal growth.  To support critical thinking and scholarship, the fellows work collaboratively on a quality improvement project and population management straties within their outpatient continuity clinic.  Fellows are also provided opportunities to teach house staff, students and other healthcare professionals.

We value our fellows by providing…

  • Rotations precepted by enthusiastic clinician educators.  We often find that fellows are excited about geriatric medicine but are not sure what path their career may take.  By rotating throughout the city and experiencing different careers, the fellow has ample time to find their passion!
  • Frequent formal and informal feedback and evaluation.  Each rotation experience has a tailored evaluation to ensure that the fellow meets their milestones.  Likewise, we ask for fellows to provide written and verbal feedback on each rotation so that we may optimize it for the next class.  The program director has an open-door policy and remains readily accessible to the fellows.
  • Dedicated coaches to encourage self-reflection, optimize wellness, and provide support during this busy year.  Each fellow is paired with a coach with whom they meet quarterly (or more often if the fellow requests) throughout the year.  Many of our fellows have accessed the Resident and Faculty Wellness at one time or another – read more about this nationally recognized program here.

We currently accept five clinical fellows per year - they rotate throughout the city, experiencing a wide array of geriatric medicine careers.  These include:

  • Inpatient Hospice/Palliative care – This is a two-month rotation, with one month spent at the Vancouver CLC inpatient palliative/hospice wing and the second month spent at the Portland VA providing inpatient palliative care consultation.  Efforts are made to guide patient/family towards goal-directed care. Fellows receive formal and bedside teaching by palliative medicine specialists and have the opportunity to teach Internal Medicine residents and OHSU medical students. Community Living Center and VA Portland Health Care System 
  • Acute inpatient delirium/hip fracture service – This two month rotation provides the fellows the opportunity to be a geriatric medicine hospitalist at Legacy Good Samaritan Hospital, a large community-based hospital.  Fellows will evaluate inpatients with hip fractures, hospital acquired delirium, cerebrovascular disease and common geriatric problems encountered in the inpatient setting. Legacy Good Samaritan Medical Center 
     
  • Post-acute rehabilitation –   This is a two month rotation where the fellow serves as a “SNF”ist – providing admission consultation and follow-up visits on patients recently discharged from the hospital. The fellows participates in interdisciplinary team coordination to meet the patient’s rehab and discharge goals.  Fellows receive formal and bedside teaching by SNF clinicians and geriatricians. The fellow will work with physical therapy, speech therapy, and occupational therapy to broaden their rehabilitation education. Kaiser Permanente 
     
  • Program for all-inclusive care of the elderly (PACE) – This one month rotation provides fellows a team-based experience in a capitated system that is centered out of adult day health facilities. PACE ElderPlace is a comprehensive care program that offers health, housing, social service, and care coordination to older adults. Providence ElderPlace 
     
  • Neurology/urology – This month is dedicated to neurology and urology outpatient experiences throughout the city – dizziness, movement disorder, stroke, urinary incontinence.  The fellow participates in clinics with physician providers as well as physical therapists to tackle some of these complex syndromes.
     
  • Specialty clinics – This two month rotation offers experiences in wound healing, geriatric assessment, driving evaluation, osteoporosis, geriatric psychiatry, low vision evaluations, movement disorder, and house calls so the fellow can provide their geriatrics expertise to these clinics while also deepending their subspecialty internal expertise.  VA Portland Health Care System and Oregon Health & Science University
     
  • Acute care for the elderly (ACE) consult service - This one month rotation at OHSU allows the fellow to serve as a geriatric medicine consultant to medical and surgical services.  Working with a team of geriatricians, physician assistants, nurse practitioners, pharmacists, and rehabilitative therapists, the fellow provides geriatric medicine consultation while learning how to work effectively in a team.  Oregon Health & Science University
     
  • Elective month -  This month long rotation is determined by the fellow and serves as a platform to pursue personal career interests.  Specific options include informatics/data science, quality improvement, long-term care medical directorship, or additional training in geriatric syndrome of interest.

    Longitudinal experiences to foster continuity of care include

  • ½ day per week of geriatric medicine outpatient (VA or OHSU)
  • ½ day every other week at a community long-term care facility
  • ½ day monthly with Falls clinic
  • ½ day monthly with Dementia clinic

Teaching conferences

  1. Geriatrics fellows conference: Weekly review of topics essential to the field of geriatric medicine including the biology, psychology and clinical aspects of care of the elderly 
  2. Journal club: Critical assessment of recent literature addressing specific geriatric problems 
  3. Department of medicine conferences
  4. Interdisciplinary palliative care conferences 
ADGAP

We welcome the interest of Internal Medicine and Family Medicine residents in our program – doctors of osteopathy or medicine. We require that the applicant have graduated from an ACGME accredited residency program. To apply, please do so via the Electronic Residency Application Service (ERAS). We require 3 letters of recommendation, one of which should be from the residency program director. Exceptions will be made for those who have been out of residency for some years. We participate 100% in the National Resident Matching Program. Interviews typically are September through October.  If you are interested in a second year dedicated to clinician education or research, please email the program director or note this in your application.

Please send any and all inquiries to

E. Foy White-Chu, MD, AGSF, CWSP

Director, Geriatric Medicine Fellowship 

Dept. of Veterans Affairs Medical Center (P3-MED) 

3710 SW US Veterans Hospital Road 

P.O. Box 1034 

Portland, OR 97239 

Phone: 503 220-8262 ext. 55593 

FAX: 503 721-7807 

Email: elizabeth.white-chu@va.gov

Visting with Patients
Dr. Lisa Miura, Dr. Sandhya Srikantom (Class of 2015), and PT Ron Blehm with patient in Geriatric Medicine Falls Clinic.
E. Foy White-Chu
E. Foy White-Chu, MD, AGSF, CWSP
OHSU Geriatric Medicine Fellowship Program Director since 2014