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Geriatric Fellowship
Lucy O. Macina, MD
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Program Director's Message
The Geriatric Medicine Fellowship Program at Winthrop-University Hospital provides all the necessary experiences to impart physicians with the knowledge, skills and confidence to be highly qualified and board certified Geriatricians.
Our program trains fellows 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. This program has been ACGME accredited since its inception in 1990.
Rotation sites include nursing homes, an outpatient office, a specialized geriatric psychiatry unit, a hospice organization, and a hospital inpatient and consult service.
The faculty is dedicated to teaching and providing 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 and clinical ethics are integrated into the office and academic structure. Our fellows also work closely with a Neuropsychologist who trains fellows in performing cognitive assessments and also with a Certified Geriatric Pharmacist.
Strong research opportunities are available. Fellows may join an ongoing research project or develop their own with faculty mentoring. Recent publications from faculty include "Older is Colder" in the December 2005 Journal of the American Geriatrics Society and "The Ethics of Deactivating Implanted Cardioverter Defibrillators" in the April 2005 Annals of Internal 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.
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At-A-Glance
- Outpatient geriatric practice providing weekly as well as monthly block ambulatory care rotations.
- Hospital inpatient and consult service.
- 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.
- One-on-one mentoring.
- Supervision and training of Internal Medicine residents.
- Generous house staff benefits, including subsidized housing and complimentary meals.
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Curriculum
A one-year curriculum focuses on gaining comprehensive clinical skills in a number of settings: hospital, outpatient, long-term care 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.
Outpatient visits at an assisted living facility.
Interdisciplinary team management conferences including board certified Geriatricians, a Neuropsychologist, social workers, and nurses.
Informative weekly lecture series on key Geriatric Medicine topics including major syndromes and relevant basic sciences.
Geriatric Psychiatry presentations including didactics and patient interviews and assessments led by board certified Geriatric Psychiatrists.
Journal Club with critical review and discussion of relevant articles.
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Rotations in Months
| |
Inpatient Service |
Outpatient Practice / Ambulatory |
Nursing home: Long term & Subacute Care |
Geriatric Psychiatry |
Hospice Care |
| PGY-4 |
3 |
3 |
4 |
1 |
1 |
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Key Faculty
- Irving Gomolin, MD, CMD, FACP, 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, Clinical Trials in the Elderly, Influenza Vaccination, Antibody Levels and Chemoprophylaxis of Influenza, Urinary Tract Infection in the Elderly, Thermoregulation.
- Lucy O. Macina, MD, Fellowship Program Director, Assistant Professor of Clinical Medicine, SUNY Stony Brook School of Medicine.
- Jeffrey T. Berger, MD, FACP, Director of Clinical Ethics. Associate Professor of Medicine, SUNY Stony Brook School of Medicine. Research Interests: Cross-Cultural Ethics, Research Ethics, Geriatric and End-of-Life Ethics.
- Paula E. Lester, MD, Assistant Fellowship Program Director, Assistant
Professor of Clinical Medicine, SUNY Stony Brook School of Medicine. Geriatric Subspecialty Resident Education Coordinator, Winthrop-University Hospital. Research Interests: Advance Directives, Long-Term Care
- Marjorie Mombeleur, MD, Director, Medical Education. Cold Spring Hills Center for Nursing Rehabilitation.
- 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
- Sum Lam, PharmD, Assistant Clinical Professor, St John's University College of Pharmacy and Allied Health Professions, Research Interests: Polypharmacy, Drug Use in the Elderly
- Adjunct faculty participate at other teaching sites.
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) 663-4630
Fax: (516) 663-4644
E-mail: LMacina@winthrop.org
Lily Kiyasu
Academic Coordinator, Geriatric Fellowship
Winthrop-University Hospital
259 First Street
Mineola, NY 11501
Tel: (516) 663-4640
Fax: (516) 663-4646
E-mail: LKiyasu@winthrop.org
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Applications for fellowship are considered on a rolling admissions basis, through ERAS:
Go to: ERAS Fellowships Applicant Site.
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
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