Subspecialty Training in Geriatric Medicine (R4)

Program Contact

Name: Dr. Lawrence Lo
Title: Program Director
Email: lolawre1@mail.ubc.ca
Phone: (604) 875-4111 ext 69065

Important Information

Criteria:

  1. At this time the UBC Division of Geriatric Medicine ONLY accepts residents through the CaRMS Medicine Subspecialty Match into the Subspecialty training program or Visa-sponsored Residents from Gulf States. We are not able to take any Clinical or Research Fellows.
  2. Canadians or Permanent Residents who are currently in their R3 year of training in a Canadian University Internal Medicine Core Program.
  3. Canadians or Permanent Residents who are graduates of a Canadian medical School who are currently in their R3 year of training in an accredited US ACGME accredited Internal Medicine Core Program.
  4. For further information please consult the website http://www.carms.ca/eng/r4_about_intro_e.shtml.

Program Highlights

Geriatric Medicine at UBC is well established in Canada as a division and training program. Residents will have exposure to a broad range of experiences including in-hospital acute consultation, rehabilitation, community, and long-term care geriatrics. UBC Geriatrics is a large division with active clinical, educational and research interests, including strong links with community-based geriatricians across the province, Care for Elders Family Physicians, Physical Medicine & Rehabilitation and Geriatric Psychiatry. Geriatricians participate in specialized ambulatory clinics including Dementia/ Alzheimer’s, Falls Prevention, and Osteoporosis. The division and resident staff are vibrant, dedicated, collegial and diverse.

Presently there is a Chief Resident who is responsible for overseeing and assisting in the Academic program. The program includes an academic half-day every Wednesday morning including division Grand rounds and Journal Club. An annual Resident Retreat is held each Fall in Whistler concentrating on non-Medical Expert Competencies.

Resources required eg. AGS syllabus, other texts are provided to each resident. Electronic resources include: e-mail access, internet access, Web MD, Up to Date and Medline access. Our WebEval system is our web-based evaluation and scheduling program.

Special attributes of the program include a mandatory rural Northern Outreach trip in the second year of training. National and international conferences are funded annually for residents, including the Annual CGS Residents Day and one international review course (eg. Edinburgh, Boston or UCLA). Residents participate in research while doing their program and are strongly encouraged and supported to present at conferences.

The program stresses education over service, and there are minimal call requirements. All geriatric services are designed to allow residents the ability to partake in all educational experiences eg. courses, workshops, conferences. There are numerous social events including Summer BBQ and Christmas, and residents with families are supported in maintaining work-life balance.

Program Curriculum

The Fellowship is divided into numerous blocks each with specific objectives. There is graded responsibility over the two-year fellowship and over time the resident is expected to demonstrate more autonomy in clinical decision making, leading team meetings and chairing family conferences. There is a great deal of latititude for residents to meet their learning needs in a self-directed way, and residents are encouraged to pick electives that fill in gaps in knowledge and skills particularly in their final year.

A minimum time must be spent on the following rotations:

  • A minimum of 2 months will be spent at specialized multidisciplinary ambulatory clinics. This will allow residents to develop expertise in dealing with community based Geriatric Medicine issues.
  • A minimum of 3 months will be spent on consultation geriatric medicine services at VGH and SPH. These are acute care emergency driven services.
  • A minimum of 1 month will be spent on an inpatient geriatric assessment and treatment unit at Providence Health care – SPH/MSJ. Residents will gain experience on inpatient geriatric assessment as the primary physician.
  • A minimum of 1 month in Victoria with exposure to a broad range of Academic and Community Ambulatory experiences.
  • A minimum of 1 month in a community geriatric medicine rotation outside Vancouver, which can be in North Vancouver, Burnaby/New Westminster or White Rock. This must include adequate exposure to long term care facilities.
  • A minimum of 2 months will be spent on ambulatory care geriatric medicine clinics at VGH and Providence health care. It is recommended that residents do a significant portion of their ambulatory care rotation at the end of their training to consolidate expert consultative skills.

All rotations are supervised by Royal College Certified Specialists.

The above time periods are minimums only, and further time on above rotations should be requested and may be recommended to residents depending on desirability, training and career goals or for remediation.

  • Community and Long-term Care objectives must be fulfilled and may be covered during community and/or ambulatory rotations.
  • Two months will be spent in Geriatric Psychiatry at Mt. St. Joseph's Hospital, VGH, and community/long term care consultations.
  • Two months will be spent in Physical and Rehabilitation Medicine at Providence Health care – Holy Family Hospital.
  • Northern Outreach - at least 1 trip to the Northern Health Authority region for a Geriatric Medicine clinic of 1-3 days supervised by a Geriatrician
  • The remainder of the 24 months are electives. The resident may choose to participate in a range of training opportunities. The resident may choose to do further geriatric medicine rotations in Vancouver or throughout BC, N. America or the world. The resident may also do related rotations including but not limited to research, Osteoporosis, Falls, Alzheimer Clinic, geriatric cardiology, rheumatology, neurology, Palliative Care.

Training Sites

Primary Sites:
Vancouver General Hospital,
Providence Health Care (St. Paul's Hospital,
Mt. St. Joseph's Hospital,
Holy Family Hospital),
Victoria (Victoria General Hospital & Royal Jubilee Hospital)

Secondary Sites:
Burnaby/ New Westminster (Royal Columbian Hospital),
White Rock,
North Shore Geriatric Services (Lion’s Gate Hospital),
Multiple community sites & facilities.

Internal Medicine Resident Electives

Medical Student Electives

A number of electives are available in BC at multiple sites around the province, including many in Vancouver and the Lower Mainland. All electives are for students in their final year of training and must be arranged through the UBC Undergraduate office: http://mdprogram.med.ubc.ca/visiting-student-elective-program/.