Residents

Our division provides residents with patient-care experiences and conferences that help develop their knowledge in the field of geriatrics and palliative medicine.

As an internal medicine resident, you can enhance your training by participating in our residency elective, conducting research in our division and attending our conferences.

Required Rotations

Geriatrics

Location: Buffalo VA Medical Center and Erie County Medical Center

This second-year rotation familiarizes you with the distinct challenges and resources relevant to caring for older populations. You will work with patients who have very heterogeneous levels of physiologic function, health statuses, belief systems, values and personal preferences. Diagnoses include those specific to geriatric patients, such as delirium and dementia, as well as conditions common across patient populations, many of which present distinct symptoms and unique concerns with elderly patients. You will learn how to balance observing patients carefully, making judicious diagnostic interventions and accepting limits your patients define, and how to help aging patients maintain functional independence. You will work closely with nutritionists, social workers, hospice staff and other professionals to coordinate interdisciplinary care, a key component of managing these patients’ health.

Palliative Medicine

Location: Buffalo VA Medical Center and Roswell Park Comprehensive Cancer Center

In this rotation, you learn to propose and defend comfort care for patients when cure is no longer a rational goal in settings including hospital consultation services and hospice home care. You will evaluate and treat symptoms common in terminally ill patients, focusing on how physical, psychological, social and spiritual factors affect suffering. In addition, you will gain an understanding of the neuroanatomy and physiology of different pain mechanisms and how to honor medical decisions that are guided by patients’ philosophies and values.

Elective Rotation

Palliative Medicine

Location: Multiple clinical sites, including hospital and hospice settings

In this elective, you learn to propose and defend comfort care for patients when cure is no longer a rational goal in settings including hospital consultation services and hospice home care. You will evaluate and treat symptoms common in terminally ill patients, focusing on how physical, psychological, social and spiritual factors affect suffering. In addition, you will gain an understanding of the neuroanatomy and physiology of different pain mechanisms and how to honor medical decisions that are guided by patients’ philosophies and values.