During the three year residency training program in Internal Medicine, a one month rotation in Geriatric Medicine is part of the first year curriculum. During this rotation, the resident is exposed to to the diagnosis and management of health care issues in the elderly - functional assessments, social assessments, the health care system, various living arrangements for persons with decreased autonomy, delirium, dementia, depression, polypharmacy, urinary incontinence, health maintenance and prevention and many others. A multidisciplinary team approach is used involving nurses, physiotherapists, occupational therapists and social workers. The settings for the rotation differs depending on the base hospital:
Jewish General Hospital
Internal Medicine residents are supervised geriatric consultants for the emergency room and inpatients. Patient evaluations are also done in outpatient clinics: the Geriatric Assessment Unit and the Memory Clinic. Home visits and visits to various living arrangements available to the elderly are also part of the rotation. The resident usually presents a hour talk towards the end of the rotation on a topic of interest in geriatrics.
McGill University Health Center (MGH and RVH)
Residents rotating through the MUHC spend 3 weeks on the acute geriatrics ward (MGH-13E, RVH-8M) and one week on inpatient consultation service. Outpatient geriatric clinics are also available. Home visits can be arranged in conjunction with the Geriatric Day Hospital at the RVH. Weekly rounds on geriatric topics are given by invited speakers weekly and held in conjunction with faculty from the MGH. The resident usually presents a half hour long talk towards the end of the rotation on a topic of interest in geriatrics.