Division ofGeriatric and Palliative Medicine

The Geriatric Medicine Fellowship Program began in July 2008. Physicians with training in Internal Medicine or Family Medicine who are interested in fellowship training in geriatric medicine may be considered for matriculation in this program.  The fellowship is currently a one-year clinical fellowship.

The Director of the Geriatric Medicine Fellowship Program is Dr. Carmel Dyer. The Associate Fellowship Director is Dr. John Halphen. For more information about the program, you may contact our Fellowship Coordinator, Sherri Musslewhite. Her contact information is below.

 

SHOBHA S. RAO, Md

Director, Geriatric Medicine Fellowship Program

 

RENEE J. FLORES, MD

Associate Program Director, Geriatric Medicine Fellowship Program

 

Sherri Musslewhite

Fellowship Coordinator
6431 Fannin St., MSB 5.111
Houston, TX 77030
(713) 500-6325 Phone
(713) 500-0706 Fax

Sherri.L.Musslewhite@uth.tmc.edu

 

Clinical Activities

To learn more about Memorial Hermann Hospital, please click on the following website:  http://www.memorialhermann.org/aboutus/default.html.

To learn more about the Lyndon B. Johnson General Hospital, which is part of the Harris County Hospital District, please click on the following website:
http://www.hchdonline.com/about/facilities/lbjgh.htm.

 

Fellow clinical activities at Memorial Hermann Hospital:

  • The inpatient Acute Care of the Elderly Unit (ACE) is a 14-bed inpatient unit staffed by an interdisciplinary team consisting of physicians, nurses, nurse practitioners, physical therapists, occupational therapists, pharmacists, dieticians, and others This unit provides the attention and expertise required to maximize the recovery of infirm elders and minimize potential adverse consequences of hospitalization.
  • The inpatient geriatrics consult service performs comprehensive geriatric medicine consultations on patients admitted to Memorial Hermann Hospital at the request of the admitting services. Common problems addressed include evaluation and intervention in patients with the following issues: delirium; dementia; incontinence; pain; mobility; falls; failure to thrive; elder mistreatment; and placement.
  • The inpatient palliative medicine consult service Provides consultative services to patients at the request of the admitting teams. Services frequently provided include evaluation and assistance in management of the following issues: pain; shortness of breath; constipation; nausea; dysphagia; delirium; anxiety; fatigue; end-of-life planning; and hospice placement. Other services through which the fellows rotate at Memorial Hermann Hospital include: a state of the art wound clinic, complete with hyperbaric oxygen capability; an acute care rehabilitation unit staffed by an interdisciplinary team including Physical Medicine and Rehabilitation physicians; and an acute stroke service conducted by an interdisciplinary team including faculty neurologists. Experience with wound care in the inpatient setting is also made available.

 

Fellow clinical activities at Lyndon B. Johnson Hospital:

  • The combined Geriatric and Palliative Medicine inpatient service which performs geriatric and palliative medicine consults and manages inpatients in LBJ Hospital
  • The Geriatric outpatient continuity clinic
  • The Palliative medicine outpatient clinic
  • The medical wound clinic
  • Outpatient pre-operative evaluation of geriatric patients

 

Continuity Clinical Experiences

The geriatrics fellow will serve a panel of patients throughout their year of study in the fellowship, in the geriatric ambulatory clinic, a nursing home, and in the home visit program.

The Geriatric ambulatory continuity clinics are conducted at the Harris County Hospital District’s Settegast Community Health Center, and at UT Physician’s clinic in the west side of the greater Houston area. Support from an interdisciplinary team is available at both locations.

A home visit continuity experience is arranged and the fellow is expected to follow and manage the care of a panel of home visit patients with the assistance of the faculty.

A nursing home continuity experience is arranged in a selected area nursing home. The fellow will care for a panel of nursing home patients over the course of the fellowship under the guidance of an experienced faculty member.

 

Other Clinical Experiences:

  • A month long skilled nursing rotation will be arranged for each fellow.  Geriatric and palliative services will be provided by the fellow under the direct guidance of an experienced and well trained faculty member.   Experience in a Hospice facility is part of this rotation.
  • A month long Geriatric Psychiatry rotation under the supervision of a board certified Geriatric Psychiatrist on our faculty is arranged for each fellow.  The fellow will obtain experience in the assessment and management of geriatric patients with psychiatric problems.  A broad range of practice settings and experiences is enjoyed by each fellow.

Experiences in specialty clinics such as neurology and urology are available to the fellows, and some flexibility in choice of clinical experiences is allowed.

 

Didactic Teaching Conferences

The fellowship program has frequent didactics. The fellows are encouraged to attend the many other teaching conferences available to them at Memorial Hermann Hospital and at LBJ Hospital. Noon conferences and structured morning report presentations are available at both places almost every weekday.

 

Application Process

The Geriatric Medicine Fellowship program at UTH uses the ERAS system. Materials may also be sent upon request and returned directly from the applicant. We are currently accepting applications. We encourage residents from accredited Internal Medicine or Family Practice Residency programs in the United States to apply. UTH does NOT accept H1B visas.

Required Materials:

  1. Curriculum Vitae
  2. 3 Letters of Reference (from your current colleagues if you are already in practice, and at least one letter from your residency program director)
  3. Personal Statement
  4. Medical School Diploma (translated if needed)
  5. Medical School Transcript (translated if needed)
  6. USMLE Step Scores (Steps 1 & 2 required, 3 can be scheduled/planned; Can interview with photocopies, but will need original copy sent from USMLE before being offered a position)
  7. ECFMG Certificate (if applicable)
  8. Visa Status / Citizenship Status
  9. Application Form
  10. Recent Professional Photo

 

Please send these materials electronically and / or by mail to:

Sherri Musslewhite
Geriatric Medicine Fellowship Program
UTHealth Medical School- Division of Geriatric and Palliative Medicine
6431 Fannin St., MSB 5.111
Houston, TX 77030
(713) 500-6325 Phone
(713) 500-0706 Fax

Sherri.L.Musslewhite@uth.tmc.edu

 

Pay and Benefits

Fellows’ pay and benefits are controlled by the Office of Graduate Medical Education at The University of Texas Medical School at Houston. The Geriatric Fellows will typically receive pay as a PGY-4 level trainee. Please click on the following link to learn more about leave, benefits and pay.  http://med.uth.tmc.edu/administration/edu_programs/graduate-medical-education/FAQ-benefits.html

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Memorial Hermann Hospital System
Harris Health System
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