Two-week required clerkship for fourth year medical students.

• eight, two-week, consecutive rotations scheduled during the academic year
• twelve to thirteen students assigned to attend each clerkship
• Required text is Merck Manual of Geriatrics (third edition)

Clerkship Description

• Utilize over 30 clinical sites and medical offices including:
  • nursing/rehabilitation centers
  • hospital
  • adult care residences
  • home health agencies
  • assisted living homes
  • palliative care/hospice organizations
  • continuing care community
  • specialty practices (podiatry, dermatology, physical medicine and rehab, neuro-psychology, geriatric psychiatry, and ear, nose & throat)

• Provide didactic sessions on the following topics:
  • advance directives
  • biology of aging
  • clinical pharmacology
  • community resources
  • delirium
  • dementia
  • depression
  • dermatology
  • diabetes
  • dizziness
  • falls
  • fitness
  • geriatric assessment
  • healthy aging
  • incontinence
  • nutrition
  • osteoporosis
  • peri-operative evaluation
  • podiatry
  • pressure ulcers
  • vertigo

• Facilitate discussions groups with:
  • residents of assisted living facilities
  • caregivers for older relatives with long term care needs
  • patients and caregivers receiving palliative care
  • residents of a local continuing care/retirement community
  • rehabilitation specialists (occupational, physical, speech and respiratory)

• Involve faculty from EVMS departments of:
  • Family and Community Medicine.
  • Internal Medicine
  • Ophthalmology
  • Pathology and Anatomy
  • Physical Medicine and Rehabilitation
  • Physiological Sciences

• Require final exam consisting of:
  • geriatric patient case presentation to faculty
    • patient referred by home-health
    • includes complete History & Physical, physical status, social history, hearing and vision screening, mini-mental status exam, depression screening, assessment of ADLs and IADLs, gait, balance, continence and home safety check
  • written examination covering didactics and reading assignments

For more information, please contact

Madeline Dunstan, Associate Director of Education
Glennan Center for Geriatrics and Gerontology
Hofheimer Hall, Suite 201
Phone: (757) 446-7436
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