TY - JOUR
T1 - Geriatric Emergency Medicine Fellowships
T2 - Current State of Specialized Training for Emergency Physicians in Optimizing Care for Older Adults
AU - the Academy of Geriatric Emergency Medicine
AU - Rosen, Tony
AU - Liu, Shan W.
AU - Cameron-Comasco, Lauren
AU - Clark, Sunday
AU - Mulcare, Mary R.
AU - Biese, Kevin
AU - Magidson, Phillip D.
AU - Tyler, Katren R.
AU - Melady, Don
AU - Thatphet, Phraewa
AU - Wongtangman, Thiti
AU - Elder, Natalie M.
AU - Stern, Michael E.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Improving emergency department (ED) care for older adults is a critical issue in emergency medicine. Institutions throughout the United States and Canada have recognized the growing need for a workforce of emergency physician (EP) leaders focused on clinical innovation, education, and research and have developed specialized fellowship training in geriatric emergency medicine (GEM). We describe here the overview, structure, and curricula of these fellowships as well as successes and challenges they have encountered. Seven GEM fellowships are active in the United States and Canada, with five offering postresidency training only, one offering fellowship training during residency only, and one offering both. The backbone of the curriculum for all fellowships is the achievement of core competencies in various aspects of GEM, and each includes clinical rotations, teaching, and a research project. Evaluation strategies and feedback have allowed for significant curricular changes as well as customization of the fellowship experience for individual fellows. Key successes include an improved collaborative relationship with geriatrics faculty that has led to additional initiatives and projects and former fellows already becoming regional and national leaders in GEM. The most critical challenges have been ensuring adequate funding and recruiting new fellows each year who are interested in this clinical area. We believe that interest in GEM fellowships will grow and that opportunities exist to combine GEM fellowship training with a focus in research, administration, or health policy to create unique new types of highly impactful specialized training. Future research may include exploring former fellows’ postfellowship experiences, careers, accomplishments, and contributions to GEM to better understand the impact of GEM fellowships.
AB - Improving emergency department (ED) care for older adults is a critical issue in emergency medicine. Institutions throughout the United States and Canada have recognized the growing need for a workforce of emergency physician (EP) leaders focused on clinical innovation, education, and research and have developed specialized fellowship training in geriatric emergency medicine (GEM). We describe here the overview, structure, and curricula of these fellowships as well as successes and challenges they have encountered. Seven GEM fellowships are active in the United States and Canada, with five offering postresidency training only, one offering fellowship training during residency only, and one offering both. The backbone of the curriculum for all fellowships is the achievement of core competencies in various aspects of GEM, and each includes clinical rotations, teaching, and a research project. Evaluation strategies and feedback have allowed for significant curricular changes as well as customization of the fellowship experience for individual fellows. Key successes include an improved collaborative relationship with geriatrics faculty that has led to additional initiatives and projects and former fellows already becoming regional and national leaders in GEM. The most critical challenges have been ensuring adequate funding and recruiting new fellows each year who are interested in this clinical area. We believe that interest in GEM fellowships will grow and that opportunities exist to combine GEM fellowship training with a focus in research, administration, or health policy to create unique new types of highly impactful specialized training. Future research may include exploring former fellows’ postfellowship experiences, careers, accomplishments, and contributions to GEM to better understand the impact of GEM fellowships.
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U2 - 10.1002/aet2.10428
DO - 10.1002/aet2.10428
M3 - Article
AN - SCOPUS:85078783885
VL - 4
SP - S122-S129
JO - AEM Education and Training
JF - AEM Education and Training
SN - 2472-5390
IS - S1
ER -