HMC is the primary site of the division offices and the SeniorCare Program.
Medicine G (Inpatient Service)
- Physicians in the subspecialty of geriatric medicine with expertise in the care of older adults.
- Consultations and inpatient care are available for patients aged 65 years and older.
- We have a special interest in geriatric syndromes such as cognitive impairment, delirium, falls/gait instability, frailty, and functional decline.
Fellows spend 3 months on the Med G service and act in a supervisory/teaching role with housestaff and medical students.
For more information about Med G, please click here.
Senior Care Clinic
The Senior Care Clinic is a primary care and consultative clinic for older adults. An interdisciplinary team (including physicians, ARNPs, pharmacist, dieticians, nurses, physical therapists, social workers, and geriatric psychiatrists) works closely to care for older adults. Most of the patients served have geriatric syndromes (e.g. dementia, falls, urinary incontinence) and/or complex medical and social needs. We serve a diverse patient population, both socioeconomically and culturally.
Each fellow has a continuity panel and spends ½ day per week in this clinic.
For more information about Senior Care Clinic, please click here.
Other Clinical Opportunities
- HMC Palliative Medicine Consult Service.
Each fellow spends one month on this service.
- Fall Prevention Clinic.
- Fellows rotate through a wide variety of subspecialty clinics at the
The clinical and research training programs at the Seattle VAPSHCS are associated with the Geriatric Research, Education and Clinical Center (GRECC).
Community Living Center (CLC)
The VA CLC is a ward with designated beds for inpatient rehabilitation, subacute rehab, and hospice/palliative care. There is a 10 bed teaching service that includes subacute rehab and hospice patients on which fellows, residents, and medical students care for patients. The housestaff team works as part of a rich interdisciplinary team to care for this group of patients. Each fellow spends 3 months on this service with the main roles of teaching, supervising, and becoming facile at leading the interdisciplinary team. The fellows work closely with colleagues from physical medicine and rehabilitation and palliative medicine during this rotation.
VA Geriatric Psychiatry
Each fellow spends one month focused on geriatric psychiatry with a particular emphasis on topics such as behavioral management in dementia, mood disorders, and decisional capacity.
VA Home Based Primary Care
Each fellow has a panel of home based primary care patients for whom they are the primary care provider. Fellows participate in interdisciplinary team meetings and work with the team throughout the year to care of frail older veteran’s in their home.
VA Subspecialty Clinics
Fellows spend time in a wide range of subspecialty clinics at the Seattle VA during their 3 month outpatient blocks. Examples of clinics in which fellows rotate include the Memory Disorders, Movement Disorders, Osteoporosis, and Rehabilitation Medicine Clinics.
- Each fellow rotates through a variety of UWMC subspecialty clinics. Examples include the Memory Disorders Clinic at Roosevelt and the Urinary Incontinence Clinic.
UW Medicine Post-Acute Care Service:
This was originally founded by Dr. Wayne McCormick as the The Long Term Care Service in the 1990's and was established with twelve nursing homes, one AIDS long-term care facility, two assisted living facilities, and home-care agencies with Division faculty as physicians of record so that the full continuum of care is available to HMC, UWMC, and VA patients. These activities have not only improved patient care, but have also become the base for research and training in long-term care.
The service subsequently became the UW Medicine Post-Acute Care (PAC) Service. The UW PAC service provides ARNP/MD coverage to UW Medicine patients who are discharged from one of our UW Hospitals (UW Medical Center, Harborview Medical Center, Northwest Hospital, and Valley Medical Center) to affiliated skilled nursing facilities (SNF) in King County. These contracted SNFs represent our UW Network of SNFs whom we work closely with their administration and staff in caring for our mutual patients in the SNF care environment (list attached). At any time, there are 350-500 patients covered by the UW PAC service providers. All acute, sub-acute, and primary care are provided by the UW PAC Clinical Service during the SNF care episode.
Fellows are each assigned to a Post-Acute Care site (nursing home) in the community and visit their patients weekly. Fellows get the opportunity to follow a mix of post-acute and long term care patients. They also get opportunities to participate in medical directorship activities at the facilities. The PAC service is innovative and fellows learn from cutting edge innovations/ best practices to improve the care of older adults in skilled nursing facility settings.
Fellows each have a panel of patients that they follow at one of the UW Post-Acute Care sites in partnership with one of the faculty in our division and at least one ARNP. Fellows get the opportunity to follow a mix of post-acute and long term care patients longitudinally. They also get opportunities to participate in medical directorship activities at the facilities. The PAC service is at the cutting edge of innovation, and fellows are immersed in these innovations/ best practices to improve the care of older adults in skilled nursing facility settings.