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Clinical
Training
The New Jersey
Institute for Successful
Aging at UMDNJ-School
of Osteopathic Medicine-OPTI
offers the most comprehensive
array of clinical services
for the elderly in the southern
New Jersey area. Through
its affiliations and clinical
programs, fellows receive
experience in a variety
of settings and with diverse
populations. Opportunities
for integration of clinically-based
learning for all fellows
are available in acute, subacute, ambulatory, and long term
care settings.
Geriatric medicine and
psychiatry fellows learn
about normal
aging and gain expertise
in recognizing, diagnosing,
and treating common
geriatric syndromes and
psychiatric disorders
while treating patients
across the continuum of
care.
Acute Care
Physicians
in the New Jersey Institute
for Successful Aging provide
primary care services and
geriatric consultation in
the acute care hospital
system. The focus is on
continuity of care across
all parts of the clinical
service continuum.
Kennedy Health
System
As the core
teaching affiliate, Kennedy
Memorial Hospitals-University
Medical Center, the
Principal Hospital of UMDNJ-School
of Osteopathic Medicine,
is an acute care facility
comprised of divisions-Stratford,
Cherry Hill and Washington
Township with over 600 beds,
offers an array of medical,
dental and psychiatry experiences
in geriatrics. A geriatric
consultation service is
available to physicians
whose patients may benefit
from a comprehensive evaluation
provided by the New Jersey
Institute for Successful
Aging multidisciplinary
team. The Kennedy Health
System also offers opportunities
for fellow training in an
array of services for the
elderly across the care
continuum, including the
nursing home, adult medical
day care and assisted living
facilities.
Ambulatory
Care
The New Jersey
Institute for Successful
Aging and the New
Jersey Dental School (NJDS)
offers primary care
and consultative services
for the elderly through
a variety of ambulatory
care programs based in the
office setting, in satellite
sites in the community or
in residential and assisted
living facilities. Fellows
provide care to a panel
of patients and function
as members of a multidisciplinary
team. The team approach
provides the optimum level
of evaluation for those
older individuals with multiple,
complex health problems
or whose functional limitations
significantly affect their
quality of life. Referrals
to community-based programs
and resources are part of
managing the care of the
geriatric patient, optimizing
function and maintaining
independence.
Primary care
and consultation services
provided by the New Jersey
Institute of Successful
Aging include:
- Comprehensive Geriatric
Assessment Program
- Memory Assessment
Program
- Geriatric Assessment
for the Developmentally
Disabled Elderly
- Falls Assessment and
Prevention Program
- Geriatric Psychiatry
- Geriatric Neurology
- Neuropsychological
Testing
- Specialty and subspecialty
dental oral assessment
- South Jersey Huntington's
Disease Family Support
Center
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Long Term
Care
All fellows
receive experience in the
extended care or long term
care setting, providing
exposure to elderly individuals
with multiple chronic illnesses
and compromised level of
function who require some
level of supervision or
assistance. The New Jersey
Institute of Successful
Aging programs offer learning
opportunities in long term
care settings ranging from
home care, to residential,
congregate or assisted living
facilities, to nursing homes,
subacute units and hospice
programs. Alternatives to
institutionalization, such
as adult medical day care,
other respite programs and
psychiatric partial hospitalization
programs complete the continuum.
Fellows follow patients
longitudinally, assuming
full responsibility for
an assigned panel of patients.
Clinical experiences
in extended care are provided
in the following sites:
Call Duties
Geriatric fellows take
from-home call. Evening
on-call duties are from
5:00 p.m. until 9:00 a.m.
the following day. Weekend
call begins on Friday
at 5:00 p.m. and ends
Monday at 9:00 a.m. Geriatric
medicine fellows are required
to complete a minimum
of 4 week night calls
per month, one weekend
call per 3-4 week period,
and 1 major and 1-2 minor
holidays per year (additional
call may be assigned,
as needed). When assigned,
fellows take hospital,
nursing home, and outpatient
calls.
Geriatric psychiatry fellows
are required on average
to complete from-home
night call one out of
every four weeks (Monday
through Thursday) (additional
call may be assigned,
as needed).
Dental fellows do not
perform routine on-call
duties, but may be assigned
on-call duties as needed.
Sample Clinical Schedules
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