About the Fellowship: Clinical Training: Long Term Care and Rehabilitation
Rotations in Long Term Care
Durham VA Extended Care and Rehabilitation Center (ECRC)
The ECRC at the V.A. Medical Center is a long-term care unit where
fellows provide care to veterans admitted for radiation therapy,
respite, rehabilitation, wound care, palliative care, and intravenous
therapies.
- Fellows attend bi-weekly Interdisciplinary care conferences
to discuss care plans.
- The interdisciplinary team includes nurse practitioners,
social workers, nurses, dieticians, psychologists, dentists, pharmacists,
chaplains, therapists (OT, PT, RT).
 Geriatric
Evaluation and Management Unit (GEMU)
The Geriatric Evaluation and Management (GEM)/Gero-Oncology
Unit at the V.A. Medical Center is an intermediate care, inpatient
unit where fellows provide primary care for frail, older veterans
with goals of improving functional outcomes.
- Fellows work closely with an established Interdisciplinary Team
that includes the attending geriatrician, clinical social worker,
clinical nurse specialist, dietician and clinical pharmacist.
- Excellent educational milieu for many different types of learners.
Continuity Experiences in Long Term Care
Croasdaile Village
Croasdaile Village is a Continuing Care Retirement Community located
2.5 miles from Duke University Medical Center. Independent living,
two levels of assisted living, and skilled nursing care are available
to over 500 residents. Medical facilities include an outpatient
clinic staffed with 3 nurse practitioners operating 5 days a week,
and an Alzheimer’s Disease Special Care Unit.
- Fellows assigned to Croasdaile follow a cohort of patients in
the skilled nursing facility during the duration of their fellowship.
- Formal multidisciplinary teaching rounds occur with the Medical
Director twice monthly, allowing trainees to experience multiple
facets of nursing home medicine.
- Special project opportunities are available to those with special
interest in nursing home medicine.
The Forest at Duke
The Forest at Duke is a continuing care retirement community roughly
10 minutes from the Duke campus, which is home to almost 300 elders.
On-site assisted living and skilled nursing care units have 30 beds
each and offer hospice services and a dementia care unit.
- First year fellows assigned to the Forest follow a cadre of
patients in the long-term care section under the supervision of
Dr. Kimberly Johnson.
- In addition to traditional long-term care residents, the section
has an active panel of patients recently discharged from hospital
and those who need “observation stays” from the independent
living.
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