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The primary strength of the program is the breadth of clinical experiences in geriatrics including inpatient primary care and consultation, outpatient primary care and consultation, nursing home care, home care, community as well as academic practice sites, hospice, and home visits. These many venues afford a wealth of opportunity for geriatric residents to provide care for a wide variety of common acute medial and surgical problems such as pneumonia and other pulmonary conditions, urinary, renal, and gastrointestinal disorders, strokes and cardiovascular conditions, diabetes, dementia and delirium, hip fractures, transplants, etc. The various facilities available for the education of geriatric residents are:
The Einstein Medical Center, a large urban teaching hospital, is the major acute care facility of the Einstein Healthcare Network. The hospital offers primary care to residents of north and northeast Philadelphia as well as tertiary care to a larger area. The hospital includes a 30-bed gero-psychiatry unit. There is a geriatric assessment team that does consults for the inpatient services on frail elderly patients and can, when appropriate, follow the patients in the outpatient clinic or at home after discharge.
Willowcrest is a 102 bed subacute facility on the campus of the Einstein Medical Center. The average stay of residents at Willowcrest is 20 days. The patients are admitted primarily for physical therapy, wound care, or intravenous treatment. Many attending physicians care for their patients in Willowcrest. The geriatric residents are involved in primary patient care for Geriatrics service patients at Willowcrest, as well as functioning as consultants and medical director trainees. They are also involved in quality management functions, regulatory surveys and utilization review.
Moss Rehabilitation Hospital is a 147 bed acute rehabilitation hospital. The geriatric program includes stroke and arthritis rehabilitation as well as care of patients with recent fractures. There is also an active outpatient rehabilitation program at the site. The residents work with a physiatry attending and function much as a physiatry resident during this rotation. Geriatric residents have the opportunity to work closely with physical, occupation and speech therapists.
The Glendale Uptown Home for the Aged is a 220 bed skilled and intermediate care nursing home about 6 miles from the AEMC campus. This allows geriatric residents the opportunity to gain experience in a nursing home.