Geriatric Emergency Medicine Fellowship

(L-R) Katren Tyler M.D., Natalie Elder Pharm.D., M.D. and Meghan Webber M.D.

Geriatric Emergency Medicine is focused on improving the care of older adults in the emergency medicine. There is a strong emphasis on improving the efficiency of clinical practice, as we develop work flows that are better for our older patients and for the health care workers who care for them.

The Geriatric Emergency Medicine (GEM) Fellowship provides clinically excellent training in geriatric emergency medicine, with additional experience in education, research, operations and policy.  A large multidisciplinary team of educators supplements the Geriatric EM faculty. The GEM fellowship places a strong emphasis on improving the care of the older patient in the emergency department, safe discharge practices, multidisciplinary teams, and perioperative management. The graduating fellow will use this experience to further develop geriatric emergency medicine in the academic or community setting. As for other fellowships, working as an attending physician in the emergency departments at UC Davis and at VA Mather provides funding support for the fellowship. In 2022, our Emergency Department has received accreditation as a Level 1 Geriatric Emergency Department.

Geriatric EM curriculum includes structured rotations in outpatient geriatric clinics, UC Davis Health affiliated skilled nursing facilities, palliative care and hospice medicine, and with the Family Caregiving Institute. The GEM fellows will also provide geriatric EM evaluations in the ED. UC Davis has an established multidisciplinary Geriatric Fracture Program for coordinated management of fragility fracture patients and the GEM fellows will support this program. Time is allocated for a research project and scholarly activity, and for developing clinical areas of interest. The GEM fellows participate in multidisciplinary care groups at UC Davis Health and for the Senior Emergency Care Network.

1. To develop expertise in the management of older patients in the Emergency Department
2. To operationalize excellence in the care of older patients in the Emergency Department
3. To understand and develop educational and outreach programs for health care professionals, older patients, and their families.
4. To understanding and develop research in Geriatric Emergency Medicine

Applications will be received on a rolling basis and should include: a letter of interest and intent, two letters of recommendation (including one from the applicant’s program director if currently in residency) and an updated curriculum vitae.

• Prevention of incident delirium in the emergency department
• Management of falls