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The Marvin and Betty Danton Family Comprehensive Geriatric Emergency Medicine Program

Through the support of the Marvin and Betty Danto Family Foundation, we have developed a comprehensive program focused on the care of our older adult patients. In the Emergency Center, we have a dedicated Geriatric Assessment Team which is made up of Advanced Practice Providers, Nursing, Care Management, Social Work, and Physical and Occupational Therapy. Community dwelling patients ≥65 years old are screened for risk of functional decline and if positive, patients undergo further assessment. Patients are assessed by the team who provide improved coordination of care, promote best practices, and effectively provide resources to ensure safety and appropriate follow up after discharge. Our goal is to recognize those who will benefit from inpatient care and to effectively implement outpatient care to those who do not require inpatient resources.

Corewell Health William Beaumont University Hospital is home to the first of seven Geriatric Emergency Medicine Fellowships in the country. Fellows work with residents in the Emergency Center as well as providing lectures and simulation sessions. Residents will receive geriatric specific education through case simulations and a longitudinal 3-year lecture series focusing on this fundamentally different patient population. The 8 domains of Geriatric Emergency Medicine are covered in detail, ensuring that our residents receive a comprehensive education and able to optimally care for older adults upon graduation. Residents interested in geriatrics are welcome to join the Geriatric Accreditation Committee and attend monthly meetings, take part in QA, and participate in various research projects.

Eight domains of Geriatric Emergency Medicine

  • Atypical presentation of disease 
  • Trauma including falls 
  • Cognitive and behavioral disorders 
  • Emergency intervention modifications 
  • Medication management/polypharmacy 
  • Transitions of care 
  • Effect of comorbid conditions/polymorbidity 
  • End of Life care

How do residents get involved with Geri-Care?

Resident involvement includes participation in the Geriatric Accreditation Team monthly meetings, QA, and research projects. We welcome resident involvement and would love to increase participation with the program. Starting this year, we will be implementing a longitudinal 3 year lecture series that will be completed upon residency graduation. This will cover the 8 domains of geriatric emergency medicine

Is there Geriatric Specific Research?

We are currently working on studying the implementation of a geriatric assessment team, patient experience, and delirium - this is spearheaded by one of our PGY-3 residents Dr. Sarah Keene and was just presented at ACEP 2020.

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