Geriatrics & Pallative Care Track Information

The Ghent Family Medicine geriatrics and palliative care track is designed to provide residents with an interest in geriatrics and palliative care additional knowledge and skills in order to prepare them to provide improved services to the frail elderly in a community, home, and long term care settings as well as provide improved care to patients at the end of life. .  Residents in this track will be encouraged to choose a research topic pertaining to Geriatrics and/or Palliative for their QI and/or research activity. 

When a resident has interest in geriatrics and palliative care, they should meet with the program director within the first 6 months of their residency to help establish goals for their residency goals.  If the resident knows they have interest in geriatrics or palliative care before beginning their residency, it is recommended to express this as soon as match is finished.  This way, the new resident can be matched with a geriatrics/palliative care family physician advisor.  If a resident has future interest in a geriatrics or palliative care fellowship program after residency, this too should be expressed as soon as possible.

 

 

Objectives

Geriatrics

  • Provide exceptional clinical care to the older adult patient by integrating knowledge from various disciplines, diagnostic tests, and clinical date in developing care plans.
  • Express competent knowledge and skills needed by geriatric family physician to provide optimal care of the geriatric patient
  • Provide advocacy for geriatric care in the current health care delivery system
  • Plan and coordinate outpatient follow-up

 

Palliative Care

  • Provide exceptional and compassionate care to patients at the end of life.
  • Understand the pathophysiology of common symptoms in advanced disease, including pain, fatigue, depression, dyspnea, delirium, cachexia
  • Engage in and support a multi-disciplinary approach to the geriatric and palliative care patient.
  • Provide advocacy for geriatric care and end of life care in our current health care delivery system
  • Develop and implement a care plan for patients who require specialist-level palliative care in either a hospice or non-hospice setting
  • Provide advanced symptom control
  • Engage in decision-making and conflict resolution related to end-of-life care

 

Geriatrics & Palliative Care

  • Conduct a comprehensive history and physical/neurological examination
  • Communicate with and educate patients and families
  • Function as a member of an interdisciplinary team in inpatient and home care settings
  • Understand the pathophysiology of common symptoms in advanced disease, including pain, fatigue, depression, dyspnea, delirium, cachexia
  • Discuss advance directives and goals of care, and understand the ethical considerations involved in end-of-life care, including DNR orders, nutrition and hydration, and the withholding and withdrawal of life-sustaining therapy
  • Make appropriate referrals to other disciplines and specialists
  • Understand the structure, functioning and regulatory aspects of hospice

 

Examples of Possible Track Electives

 

  • Ghent Geriatrics
  • Glennan Center Geriatrics
  • SNGH Palliative Care
  • WMC Palliative Care
  • Wound Care
  • Physical Medicine & Rehabilitation
  • Nephrology
  • Endocrinology
  • Rheumatology