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Geriatrics Fellowship Program Information
WHY GERIATRICS?
Aging in America
The elderly are rapidly growing segment of the U.S. population, being more
ethnically diverse and living longer than at any time in history. By the year
2030, those aged 65 and older are expected to increase to 20 percent of the
total population. Most growth will occur in those aged 85 and older. As people
live longer, the numbers of people with disabilities, living in nursing homes,
living alone and enduring a greater burden of chronic disease will only
increase. In the United States we have built a superb system to care for acute
medical problems, but our management of chronic disease is far less
sophisticated.
Family
physicians, with a history of successfully caring for those with chronic
illness, are positioned to help redesign our health services to deal with the
increasing numbers of elderly. There is no better time than now to pursue
advanced training for family physicians interested in improving their skills in
caring for our seniors.
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THE PROGRAM
The Advanced Training in Geriatrics Fellowship
Swedish
Family Medicine initiated its Advanced Training in Geriatrics program in July
2000, as only the fourth program in the nation to open a community
hospital-sponsored geriatrics fellowship. This 12 month fellowship experience
prepares family medicine physicians to be leaders in the practice of
comprehensive, compassionate, cost-effective geriatric care. This program also
highlights leadership and academic skills to prepare graduates to be teachers of
geriatrics in academic and community settings.
Fellows
receive training in the continuum of care for elderly patients through
experiences in acute, ambulatory, community and long term care settings. This
includes longitudinal experiences in geriatric continuity clinic, geriatric
consultation clinic and family medicine clinic, as well as nursing home
experiences in both sub-acute and long-term care. During the year, fellows also
take care of geriatric patients on the inpatient family medicine service, as
part of the acute rehab service at the Cherry Hill campus, and as part of an
intensive one-month rotation in Geropsychiatry.
The
training year also focuses on developing the academic skills of the fellows
through a variety of experiences. Fellows provide didactic lectures to family
medicine residents, clinical staff, and community audiences over the course of
the year. Throughout the year, they also participate in teaching and precepting
family medicine residents in both inpatient and outpatient settings. Each
fellow is eligible to apply for the University of Washington Faculty Development
Fellowship, designed to prepare family physicians for careers in academic family
medicine.
The Advanced Training in
Geriatrics Residency Track
A few medical
students applying for family medicine residency programs already have geriatrics
in their hearts. Some combination of life experience, work, and medical school
exposures has convinced them that they want to focus on excellence in caring for
our growing population of elders. Swedish Family Medicine is the first program
to implement a Geriatric Track combining residency training in family medicine
with a geriatric fellowship year. The future of geriatrics is here, now, at
Swedish Family Medicine. If you are a medical student who believes you want to
enhance your skills and knowledge in caring for the elderly, you should consider
the Geriatric Track of our Swedish Family Medicine Residency Program.
The
Geriatrics residency track is a four-year training track that promotes
leadership skills and geriatric expertise alongside traditional family medicine
training. Each year, up to two first-year residents (R1s) are selected for the
track through the National Residency Matching Program. These R1s then begin a
longitudinal experience whereby they are trained as traditional family
physicians over three years and then participate in an R4, or fellowship, year.
The fellowship year provides in-depth training in geriatrics. Throughout the
four years, these residents are taught leadership skills that will be
fundamental for the next generation of family physician leaders.
After
completion of the third year of the geriatric track, residents will become
eligible to sit for the American Board of Family Medicine exam. Passage of this
exam confers all the rights and responsibilities of an attending family
physician. Upon receipt of board certification in family medicine and after
completion of the final year of the four-year track, residents qualify to sit as
well for the Certificate of Added Qualifications (CAQ) in Geriatric Medicine
exam. This jointly administered exam of the American Board of Family Medicine
and the American Board of Internal Medicine recognizes the special skills
attained in advanced geriatric training. Thus, upon graduation, fellows will be
board-certified family physicians and hold CAQs in geriatrics.
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FACULTY
Carroll Haymon, MD
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Director of Advanced Training in Geriatrics
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Diplomate of American Board of Family
Medicine
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Certificate of Added Qualifications in Geriatric Medicine
Dr. Haymon
is the Director of the Geriatrics Fellowship program. She joined the Swedish Family Medicine residency faculty after completing the
Advanced Training in Geriatrics Program. She teaches geriatric assessment and
long-term care and behavioral science. In geriatrics she excels in end of life
communication.
Carla Ainsworth, MD, MPH
Dr.
Ainsworth joined the Swedish Family Medicine residency faculty after practicing
full-spectrum family medicine at a local community health center. She had
previously completed the Advanced Training in Geriatrics Program. She teaches geriatric
assessment and long-term care.
Her
additional interests are leadership training and political advocacy.
Sarah
Babineau, MD
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Diplomate of
American Board of Family Medicine
·
Certificate
of Added Qualifications in Geriatric Medicine
Dr. Babineau
completed the Advanced Training in Geriatrics fellowship in 2006 after
completing her family medicine residency at Swedish in 2005.
Dr. Babineau
is
very happy to be back at the residency as faculty since May 2009. In addition
she has continued her work as home visit geriatrician at Elderplace. Her
interests include geriatrics, behavioral health, and women’s health.
Cynthia Campbell, MD
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Medical Director of Rehabilitation Services at Swedish Medical Center,
Providence Campus
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Diplomate of American Board of Physical Medicine and Rehabilitation
Dr. Campbell has years of private practice experience in Seattle. Her
interests include geriatric rehabilitation, traumatic brain injury and
spinal-cord injury.
She
runs the nationally renown Swedish Cherry Hill Wound Care Clinic.
Thomas Patamia, MD
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Director of Geropsychiatric Services, Highline Community Hospital Health
Care Network
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Diplomate of American Board of Psychiatry and Neurology
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Diplomate in Geriatric Psychiatry
Dr. Patamia directs the one-month geropsychiatry rotation in the fourth year
of the geriatric track. He originally trained in North Carolina at Duke
University.
Jon Younger, MD
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Director of Swedish Home Health and Hospice
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Diplomate of American Board of Internal Medicine
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Certificate of Added Qualifications in Geriatric Medicine
Dr. Younger directs the home health and hospice experience in the program. He
completed a geriatric-medicine fellowship at the University of Washington and
serves as the medical director of the Swedish Hospice.
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SALARY AND BENEFITS
Fellows will receive a salary of
$70,000, 15 working days paid vacation, and
five days of educational leave with a $5000 CME budget. Paid membership in the
American Geriatrics Society is included.
Swedish Medical Center provides health insurance for fellows and their
families, as well as life, disability, and dental insurance. Sick leave
accumulates at the rate of one day per month of full employment. Free parking
and meal allowance are provided.
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