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About the program

Corewell Health William Beaumont Univeristy Hospital in Royal Oak is one of the largest hospitals in the country with an Emergency Center that ranks in the top 20 in numbers of patients treated. The institution is home to The Weisberg Center for Acute Care of the Elderly, The Farber Family Geriatric Nursing Education Program, and an outpatient geriatrics clinic, demonstrating its commitment to providing excellence in treatment of elderly patients from emergency care, through inpatient treatment and discharge. Just under one third of all patients seen in the emergency department are older adults, with roughly 60% of admitted patients are older adults!

 The Geriatric Emergency Medicine Fellowship trains physicians in the emerging field of Geriatric Emergency Medicine. Its goal is to further develops clinical skills specific to the acute treatment of older adults and geriatric syndromes, provide exposure to differing models of care to optimize outcomes, and understand the many transitions of care that patients experience. Fellows are exposed to research relevant to the development of health care of the emergency geriatric population. In addition, we will produce competent educators and teachers of geriatric emergency medicine capable of training residents and of developing geriatric emergency medicine fellowships at other institutions. The geriatric emergency medicine fellowship is designed for board eligible or board-certified emergency medicine physicians only.

Fellows work with an interdisciplinary geriatric team to gain additional expertise in the biology of aging, preventative care of the elderly, interpretation of cognitive assessments, the recognition and management of geriatric syndromes, and palliative care. Upon graduation, the fellow will be prepared to clinically care for the aging population, further advance geriatric emergency medicine as a specialty, and lead the growing field. 

 

Goals and Objectives

  • develop proficiency in the care of elderly patients
  • develop skills geared towards a geriatric history and physical
  • understand the natural physiologic changes and alterations in pharmacokinetics associated with aging
  • learn to assess psychosocial aspects of elderly patients
  • learn to interpret laboratory and imaging studies in the elderly
  • develop an awareness of the changed needs of older people in the emergency department from a service prospective

  • understand the abilities and limitations of resources available to elderly people in the emergency department
  • understand the role of nursing homes, hospice, geropsychiatric services and outpatient clinics for elderly patients
  • develop pathways to facilitate patient care and placement
  • understand medicare, medicaid and other third party payers as they pertain to the elderly
  • understand living wills, advanced directives and durable power of attorney as they pertain to emergency care

  • obtain a general knowledge of the administration of a nursing home, hospice, continuing care and geriatric inpatient service
  • participate in the development of an emergency department geriatric service
  • participate in hospital committees pertinent to elderly issues such as nutrition and home care committees
  • develop clinical pathways to decrease cost and length of stay as well as improve patient care
  • change the emergency department to become more user friendly to the geriatric population

  • required to do at least one original research project or
  • develop at least one new program to help advance the care of our elder population

  • the fellow will present at least four lectures pertinent to geriatrics to the department of emergency medicine
  • provide educational support to the community on geriatric related topics

  • One year program
  • Fellows work shifts as an attending in the Emergency Center  
  • Competitive salary in addition to CME, health benefits and conference funding
  • Rotations include:
    • geriatric consult service
    • sub-acute rehabilitation
    • physical medicine and rehab
    • hospice and palliative care
    • geriatric psychiatry
    • urology
    • neurology
    • longitudinal curriculum through the Geriatric Assessment Center 
  • must be board eligible or board certified emergency medicine physician to apply

 

Contact Us

Geriatric Emergency Medicine Fellowship Director

Lauren Cameron-Comasco, MD

email
Geriatric Emergency Medicine Fellowship Director
Lauren Cameron-Comasco, MD
email
mailto:lauren.cameron-comasco@corewellhealth.org

Program Coordinator

Catherine Hauser

email
Program Coordinator
Catherine Hauser
email
mailto:catherine.hauser@corewellhealth.org

Emergency Medicine

3601 W. 13 Mile Rd
Royal Oak, MI 48073

(248) 898-2001
CHEemresidency@corewellhealth.org

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