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Winthrop University Hospital

GME : Fellowship : Geriatric

Geriatric Fellowship






Lucy O. Macina, MD
Program Director's Message

The Geriatric Medicine Fellowship Program at Winthrop-University Hospital is a well balanced training program that provides fellows with high quality clinical and academic experiences to graduate expert geriatricians.  Our fellowship program effectively provides trainees with the knowledge skills, and confidence to be highly qualified, geriatricians, as demonstrated by the program’s extraordinary board pass rate. Our fellows learn to provide expert care for a wide range of elderly patient populations, including functionally independent community dwellers, frail nursing home residents and acutely ill hospitalized patients. The program has been accredited by the ACGME since its inception in 1990.

Clinical training sites include nursing homes, an outpatient office, a specialized geriatric psychiatry unit, a hospice organization, and a hospital inpatient and consult service. We also offer an optional concentration in palliative medicine.

Our expert and highly dedicated faculty provide close supervision and mentoring in all clinical settings. In addition to certification in geriatric medicine, our core faculty also hold board certifications in clinical pharmacology and hospice and palliative medicine, which uniquely enables our program to offer trainees a rich educational experience. Our attending faculty to fellow ratio is 2:1.

Geriatric clinical pharmacology, neuropsychology, hospice and palliative medicine, and clinical ethics are integrated into the academic structure. Our fellows also work closely with a Neuropsychologist who trains fellows in performing cognitive assessments. Our teaching staff also includes a Certified Geriatric Pharmacologist, and a Licensed Social Worker specializing in Geriatrics. Palliative experiences include training with Hospice/Palliative certified physicians, specially trained Nurse Practioners, and a Licensed Social Worker specializing in palliative care.

Numerous research opportunities are available. Fellows may join an ongoing research project or develop their own with faculty mentoring. Faculty and fellows have published in many journals including the Annals of Internal Medicine, Clinical Geriatrics, Journal of the American Medical Directors Association, Gerontology & Geriatric Education and the Journal of the American Geriatrics Society. Fellows have presented their research at national conferences including the American Geriatrics Society, American Medical Directors Association, and Society of Geriatric Cardiology.

Faculty have also presented oral symposia national meetings (including the American Society of Bioethics and Humanities and the American Association of Geriatric Psychiatry), and at state meetings (the New York Academy of Medicine and the New York State Department of Health Dementia Conference). Faculty also serve in positions in the New York Chapter of the American College of Physicians, New York State Palliative Care Education and Training Council, Alzheimer’s Associations, the New York Medical Directors Association, the Medical Society of the State of New York, and the New York Academy of Medicine.

Graduates of our Geriatric Medicine Fellowship Program have pursued a variety of careers including medical directorships, private practice in a range of settings, palliative care, and academic positions.

media/IMG_1008.jpg Drs. Lyubarova and Kirtani proudly display their Research Day poster.
IMG_2109.jpg Geriatric Fellows, IM Residents and Medical Students engaging in weekly medical education conferences.
media/Geriatrics Fellows Office pic.jpg Geriatric Fellows in the Fellows' Office, located in the Geriatric Division Suite.
jeffrey.jpg Dr. Pavel Groysman & Dr. Sukhminder Sahansra (Geriatric Medicine Fellows) and Dr. Paula Lester (Geriatric Medicine Attending) presented �Impact of a Hospital-Wide Comprehensive Pain Management Intervention on Geriatric Patients� at the national conference of Aging in America, San Diego, March 2014.
Dr. Pavel Groysman, Geriatric Medicine Fellow, co-presented an oral symposium on "Impact of a Hospital-Wide Comprehensive Pain Management Interventions on Geriatric Patients" at the national Aging in America Conference with co-fellow Dr. Sukhminder Sahansra, and Attending Physician, Dr. Paula Lester.

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At-A-Glance

  • Affiliation with three teaching nursing homes with dedicated full-time, board certified faculty.
  • End-of-life and palliative medicine training with a highly respected Hospice program and an inpatient hospitalized Palliative Care Consultation Service.
  • One-on-one mentoring including career guidance.
  • Research opportunities with support to attend geriatric conferences.
  • Community speaking opportunities at senior centers.
  • Supervision and training of Internal Medicine residents.
  • Generous house staff benefits, including subsidized housing and complimentary meals.


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Curriculum

Our one-year curriculum focuses on gaining comprehensive clinical skills in a number of settings: hospital, outpatient, nursing home care, assisted living, and home care. It also includes outpatient experiences in Neurology and Physical Medicine and Rehabilitation.

Additionally:

  • Home visit program which allows for a more complete assessment of a patient's health and environment.
  • Interdisciplinary team management conferences include, neuropsychologists, social workers, pharmacists and nurses.
  • Interdisciplinary conferences as part of a formal "Alzheimer's and Related Dementia Program".
  • Weekly Geriatric Grand Rounds series on key Geriatric Medicine topics including major syndromes and relevant basic sciences.
  • Experiences in an assisted living facility.
  • Opportunity to participate in hospital "Transitional Level of Care Program".
  • Geriatric Psychiatry lecture series and case conferences with outpatient evaluations led by board certified Geriatric Psychiatrists.
  • Journal Club with critical review and discussion of relevant articles and statistical concepts.
  • Medical Director curriculum led by experienced Certified Medical Directors.
  • Practice management training including proper documentation for billing & coding.


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Rotations in Months

 

  Inpatient Service Outpatient Practice / Ambulatory Skilled Nursing Facility: Long term care & Subacute Rehabilitation Physical Medicine & Rehabilitation Geriatric Psychiatry Hospice Care
PGY-4
3
3
3
1
1
1

Inpatient Service:

Geriatric fellows function as junior attendings providing care for hospitalized geriatric patients (as primary physicians and as geriatric consultants). Fellows are also involved with teaching interns and residents.

Outpatient Practice:

In addition to weekly continuity clinic, fellows have three one-month outpatient rotations which include assisted living and home visits. Fellows see healthy elderly, frail elderly and medically complex patients including those with cognitive impairment.

Nursing home: Long term and subacute care:

Fellows are responsible for managing a panel of long-term care patients in the nursing home throughout the year with monthly visits. In addition, fellows serve as the primary physician for residents in long term care for three months and are supervised by teaching faculty. During a one month sub-acute rotation, fellows care for subacute skilled nursing need rehabilitation patients. Fellows also work closely with the medical director in order to gain administrative experience.

Geriatric Psychiatry:

This rotation provides exposure to multiple aspects of care including partial day program, inpatient, and outpatient care with special focus on the consult-liaison service of Geriatric Psychiatry for medical inpatients in the hospital.

Hospice Care:

Hospice care for patients at the end-of-life provides training in pain & symptom management and communication skills. Fellows are active participants in the treatment team, attend team meetings and participate with care planning. Sites include home visits and an inpatient hospice unit.

Concentration in Palliative Medicine:

Elective track which is optional for all Geriatric Medicine Fellows. This specialized educational experience provides palliative training beyond the traditional Geriatric Medicine fellowship experiences. The Concentration in Palliative Medicine track has one month inpatient palliative rotation and one month of outpatient/nursing home palliative as part of a nursing home rotation.

Physical Medicine and Rehabilitation:

In addition to exposure to rehabilitation at the nursing home, fellows have a dedicated one month Physical Medicine & Rehabilitation rotation. This includes rotation in an acute inpatient rehab facility, inpatient PM&R consults in the hospital, and participate in outpatient clinic, team meetings, and didactic sessions.

Other Benefits:

  • Heavily subsidized housing in nearby apartment complexes and free-standing houses
  • Health and dental insurance for residents and qualified dependents.
  • Meal cards valid for three meals daily regardless of call schedule
  • Free ACLS training
  • Free business cards
  • Career conferences (as approved by program director)
  • Long-term disability insurance
  • Professional liability insurance
  • Uniforms and laundry service
  • Suburban setting conducive to family living
  • Discounts for theater, sports and other events
  • Subsidized health club memberships
  • Convenient location to Mineola train station – only 35 minutes to Penn Station

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Key Faculty


gomolin
  • Irving Gomolin, MD, CMD, FACP, AGSF, FCP, FRCPC, Chief, Division of Geriatric Medicine, Chief, Division of Clinical Pharmacology, Professor of Clinical Medicine, SUNY Stony Brook School of Medicine.
  • Research Interests: Drug Therapy in the Elderly, Pharmacokinetics.
  • Selected Achievements: Member, Medical & Scientific Advisory Board, Alzheimer's Association, Long Island Chapter; Member, Board of Directors New York Medical Directors Association; Best Doctors: New York Magazine.

macina
  • Lucy O. Macina, MD, Fellowship Program Director, Assistant Professor of Clinical Medicine, SUNY Stony Brook School of Medicine.
  • Research Interests: Dementia in the Elderly
  • Selected Achievements: Outstanding Community Physicians Award, Hospice Care Network; Best Doctors: New York Magazine

berger
  • Jeffrey T. Berger, MD, FACP, Chair, Division of Palliative Care and Bioethics. Professor of Medicine, SUNY Stony Brook School of Medicine.
  • Research Interests: Cross-Cultural Ethics, Research Ethics, Geriatric and End-of-Life Ethics.
  • Selected achievements: Member, Ethics, Professionalism & Human Rights Policy Committee of the American College of Physicians; Member, Clinical Ethics Consultation Advisory Committee, American Society for Bioethics and Humanities; Governor's appointee to the New York State Palliative Care Education and Training Council; Chairman, Medical Ethics Committee, Medical Society of the State of New York
  • Rachel A. Fermo, MD, Sub-acute Rehabilitation Site Coordinator
  • Research Interests: Behavioral issues in Dementia, Comprehensive geriatric assessments
  • Selected Achievements: Fellowship trained in Geriatric Medicine, Director of Quality Improvement - Division of Geriatric Medicine, WUH

berger
  • Paula E. Lester, MD, FACP, Associate Fellowship Program Director, Assistant Professor of Clinical Medicine, SUNY Stony Brook School of Medicine. Associate Medical Director for Palliative Care, Highfield Gardens Care Center, Great Neck, NY, Member of Division of Palliative Care and Bioethics.
  • Research Interests: Advance Directives, Safety in Dementia, Resident Education, Palliative care in the nursing home
  • Selected Achievements: Board Member & Webmaster, Metropolitan American Geriatrics Society & New York Medical Directors Association; Former Nassau County East Councilor, New York State Chapter, American College of Physicians
  • Nancy S. Foldi, PhD, Director of Neuropsychology, Division of Geriatric Medicine; Associate Professor of Psychology, Queens College and The Graduate Center, CUNY
  • Research Interests: Attention disorders in patients with Alzheimer's Disease
  • Jessica T. Weinberger, MS, FNP-BC, ACHPN
  • Research Interests: Palliative care, communication skills, nursing education, complementary therapies
  • Selected Achievements: Chairperson, Membership Committee, Hospice and Palliative Care Nurses Association. Co-author of "Role of the Palliative Care Team" section of Issues of Cancer Survivorship: A Nurse's Approach to Care, First Edition.
  • Sum Lam, PharmD, BCPS, FASCP, Associate Clinical Professor, St John's University College of Pharmacy and Allied Health Professions
  • Research Interests: Clinical therapeutics, drug use in older adults
  • Linda Martinez, LMSW, Geriatric Social Worker, Winthrop Program Coordinator for LIGEC (Long Island Geriatric Education Consortium), Geriatric Support Group Facilitator
  • Areas of interest: Caregiver support, Impact of dementia on families, Driving assessment
  • Ana Sanchez, RN, Certified in med/surg nursing; Areas of interest: Reducing caregiver stress, Wound care
  • Latifat Adeyemi, MS, ANP-BC Palliative Care Consult Services
  • Research Interests: Resident education, pain management, palliative care.
  • Kathleen DiGangi Condon, MA, MA, ANP-BC
  • Research Interests: Bioethical issues at end-of-life, nursing and medical student education, palliative care
  • Selected Achievements: Instructor of Medicine, New York Medical College.
  • Felise N. Fox, PhD, LCSW, BCD
  • Research Interests: Social work in palliative care, Cultural diversity at the end of life, trauma, hospice and palliative care
  • Selected Achievements: Recognized by NY City Department of Mental Health and Hospice Care Network for contributions during the aftermath of the WTC 9/11 attacks, NASW Clinical Register, member of Queensboro Council for Social Welfare, NYC chapter.
  • David Kutner, LPN
  • Research Interests: Wound care, behavioral management of advanced dementia.


  • Adjunct faculty participate at other teaching sites.

     

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    Winthrop Geriatric Faculty Publications

    Use this link to open a new window to see a listing of National Library of Medicine's (NLM) Medline database (PubMed) of publications by Winthrop Geriatric Faculty.


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    Quotes from Winthrop Geriatric Fellowship Graduates

    "There is so much to learn in Geriatrics. This fellowship offered immense diversity of settings and skilled instructors. We visited patients in their homes, saw patients in the hospital and ICU, followed patients at long term care facilities and cared for patients in rehab, were exposed to telephone medicine, and many more. The fellowship ran like a very sophisticated smart phone with amazing options and perfect flexibility built into it." -PG

    "I have soooo many great things to say!!! One is that... Geriatrics DEFINITELY was the BEST year of my life. Also, I really feel that my year in Geriatrics completely prepared me for my future career. Such a supportive, nurturing, yet completely enriching environment helped me hone my skills, broaden my knowledge base, and develop life-long skills I will use for the rest of my career. If I could do it again, I would do it in a heartbeat. Absolutely incredible mentors, teachers, clinicians. It has been such an honor to have worked with such great doctors during my year of fellowship." –SS

    "The faculty and staff are truly an inspirational group.I will always treasure the lessons I have learned" – LR

    "It is very difficult for me to summarize all the positive aspects of my geriatric fellowship at Winthrop, from the academic perspective to the human aspects of geriatric medicine all my expectations were met and surpassed. The teaching has made me a better physician. I am very proud to say that I was part of this training program." – SG

    "The academic portion was very rich and was filled with daily lectures, journal clubs, grand rounds, academic meetings, educational trips, national conference presentation, QI projects, research projects, away rotations, etc. However, I never felt that it was in isolation. We always "did what we preached," and seamlessly brought all of our gained skills and state-of-the art evidence-based knowledge into the patients' exam rooms and bedside." -PG

    "It was great working with all the faculty and staff and learning from their wisdom and experience. Their humbleness, gratitude and respect for others have made me realize how much difference I could make in someone's life" –NM

    "From the first day of the fellowship I felt that all of the attendings treated me as an equal colleague rather than a subordinate trainee while masterfully sharing with me their patients, kindness, wisdom, and skill. When people say "this has been the best day of my life," others immediately feel that they are making an embellished or a dramatic reference. Well this, indeed, has been the best year of my training and possibly life!" -PG

    "Great teaching & life atmosphere in the Geriatric Fellowship at Winthrop University Hospital! Now I have not only my sub-specialty in Geriatrics, but best friends for life" –YK

    "Everyone at Winthrop Geriatrics the office staff, the attendings, the affiliates is a gem. People genuinely want to give their all to the patients as well as each other. I looked forward to coming to work every day. The atmosphere is one of harmony and is very conducive to growing as a person and a professional. It felt like one big happy family with a purpose to care for the elderly and their families. I felt great knowing that I am a part of that and can contribute." –PG

    "This program offers a balanced exposure to all aspects of Geriatric Medicine, where teaching takes place at all levels. The atmosphere imparts both guidance and independence so that fellows can gain the knowledge, skills, and confidence to care for their patients. My training experience has equipped me with the skills that are essential for becoming an effective, efficient, and compassionate Geriatrician who can make a positive impact on healthcare for the elderly in a variety of settings. Completing my fellowship in Geriatrics at Winthrop was the best decision I ever made!" –RF

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    For further information, contact:

    Lucy O. Macina, MD 
    Fellowship Program Director, Division of Geriatric Medicine
     
    Winthrop-University Hospital 
    259 First Street 
    Mineola, NY 11501

    Tel: (516) 663-4631 
    Fax: (516) 663-4644 
    E-mail: LMacina@winthrop.org

    Melissa Ghaney
    Academic Coordinator, Division of Geriatric Medicine
     
    Winthrop-University Hospital 
    259 First Street 
    Mineola, NY 11501

    Tel: (516) 663-4640 
    Fax: (516) 663-4644 
    E-mail: MGhaney@winthrop.org 


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    Please apply through the ERAS Fellowships Applicant Site. We participate in the NRMP match. Winthrop Geriatric Medicine Fellowship is fully committed to the NRMP match process and has signed the �Geriatric Medicine Fellowship Match Code of Ethics.� For more information, see the ADGAP webpage at: http://adgap.americangeriatrics.org/fellowship-resources/match-information/participating-institutions/.

    Necessary components of an application are:

    • Common Application Form (CAF)
    • Curriculum Vitae
    • Personal Statement
    • Medical School Transcript
    • USMLE scores or COMPLEX scores
    • ECFMG (if applicable)
    • NBME
    • Visa Status
    • Three letters of recommendation

    Websites of Interest: 

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