Research Accomplishments: The research program of the Section of Geriatrics and Palliative Medicine has been supported by essentially all of the major institutes and foundations funding aging-related research in the United States, including the National Institute on Aging (NIA), the John A. Hartford Foundation, the Donald W. Reynolds Foundation, the Alzheimer’s Association, the Retirement Research Foundation, and the Greenwall Foundation.

• We are one of only 7 geriatrics programs in the nation to simultaneously receive designation as a Hartford Foundation funded Center of Excellence and a Reynolds Foundation Geriatrics Training Center.
• Our Geriatric Academic Program Award from NIA (K12) has provided junior faculty career development support for more than 10 years, with many of those researchers now having advanced to associate or full professor rank with multiple R01s received by this group of investigators.
• For almost twenty years, The University of Chicago geriatrics has been the home for one of the nation’s leading research programs on ethics, end-of-life care, decision-making, and public policy issues in geriatrics.
• Recent recruitments and collaborations have launched important research efforts in memory disorders, geriatric oncology, hospital care of older adults, incontinence, and care of the older adult with diabetes mellitus.

Our research is enriched by a multi-disciplinary approach. We actively collaborate with research colleagues in general internal medicine, oncology, neurology, psychiatry, gynecology, and hospital medicine. Our research programs involve experts in ethics, sociology, psychology, education, social work, nursing, public policy, and gerontology.

Education and Training: The faculty members of the Section of Geriatrics and Palliative Medicine are very proud of the extensive and superb teaching they do for medical students, residents, and fellows. Whether our trainees eventually pursue careers in geriatrics, other disciplines within internal medicine, or specialties outside of medicine, we aim to prepare all of them to provide excellent care to older patients and to have more of them conduct research that focuses on issues important to an aging population. We are increasing the exposure of medical students at The University of Chicago to geriatrics with the support of the Donald W. Reynolds Foundation, focusing in particular on the core course relating to the development of clinical skills and the inpatient medicine clerkship. All residents in internal medicine complete a one-month block rotation in geriatric medicine that takes place in the outpatient and long term care settings. Residents in Neurology and Psychiatry are exposed to geriatrics through rotations in the Memory Center and residents in Obstetrics and Gynecology also rotate through the geriatrics clinics. The geriatrics faculty attend on one of the inpatient general medicine services which allows third-year students and residents to be exposed to more geriatrics teaching in the hospital. In addition to being dedicated teachers, many of our faculty members serve important leadership roles within the American Geriatrics Society and other professional organizations.

The Section of Geriatrics and Palliative Medicine also is home to a geriatrics fellowship training program and an innovative combined training program in geriatrics and oncology, funded in part by the American Society of Clinical Oncology. Our fellowship programs attract some of the best residents from within our own medicine residency. Graduates of our fellowship program are achieving success in careers in academic medicine (as educators and researchers), clinical practice, medical journalism, and health care management.

Patient Care: With over 11,000 patient visits per year, the Section of Geriatrics and Palliative Medicine provides outstanding multi-disciplinary team care across the continuum of care settings including:

• Comprehensive primary care of the older person
• Consultative geriatric assessment
• Geriatric specialty clinics
• Sub-acute and long-term care at facilities nearby our two off-site clinics
• Inpatient care at the U of C Hospitals, both on the general medicine ward and on any of the medical, surgical, or psychiatric services at the request of the treating physician, patient, or family.

Specialty clinics in Geriatrics include the Center for Comprehensive Care and Research on Memory Disorders (The Memory Center), the Geriatric Cancer Survivors Clinic, the Geriatric Arthritis Clinic, Comprehensive Geriatric Assessment Program, Continence Clinic, and the PEACE Clinic for Palliative Care. Full-time advance practice nurses and social workers are part of the on-site teams at both clinics, ensuring a comprehensive and holistic approach to the care of patients and their families. Experts in psychiatry, neurology, ophthalmology, rheumatology, audiology and nutrition practice alongside the geriatrics group. Students, residents, and fellows learn from all of these health care professionals and learn how to provide effective medical care to older patients in the context of being a team member. .Our approach allows us to provide state of the art care to the most complex and frail patients, including patients in their 80s, 90s, or even over age 100.