Division of Geriatrics
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Quality Improvement (QI) Project

Fellows at AGSEach cohort of Geriatric Medicine fellows will work together on a group quality improvement project throughout the course of their fellowship training. They will be supported by faculty coaches from the Division of Geriatric Medicine and participate in a formal curriculum designed by the Department of Medicine (DOM).

QI Curriculum:

  1. DOM Fellowship QI Curriculum
    • Virtual PowerPoint presentations
    • Works-in-Progress Sessions (January and May)
  2. DOM Fellowship Population Health/Practice Habit Data Curriculum
    • Development and utilization of a geriatric clinic dashboard
    • “Lunch and Learn” small group sessions for effective utilization of Penn Chart (EPIC) dashboard
    • Large group session
  3. IHI Modules (optional): Get Started with the IHI Open School | IHI - Institute for Healthcare Improvement
  4. Presentation resources scheduled during didactics: Strategic Communications & Planning (aboutscp.com)
    • Communication Skills & PowerPoint Presentations
    • Thinking Inside the Box: Creating Better Message-Driven Posters

Sample Fellowship QI Projects

  • “Improving Vaccination Rates at a Veterans Affairs Community Living Center”
  • “Reducing a VA CLC Long-Term Care Unit's ED Transfer and Readmissions Rate”
  • “Improving frequency of video-visits at a veterans affairs long term care facility: Value of the effort and lessons learned”
  • “Weight loss during the pandemic: Suboptimal follow up and rapid morbidity progression in the world of telemedicine”

Scholarly Activity and Professional Development

Fellow presenting at AGSFellows are encouraged to pursue additional scholarly activity during fellowship. There are ample opportunities over the course of the year and a variety of faculty in the division who have mentored fellows. Fellows have dedicated time during their ambulatory blocks to use for research and there is flexibility in most other rotations for independently designed scholarly activity and professional development. Fellows are encouraged to attend local, regional and national conferences. Below are recent examples of presentations and scholarly activity:

AGS Meeting Year Fellows Poster/Presentation/Abstract
2019 Jain Ankur Bats, Rabies and a Skilled Nursing Facility: A Potentially Lethal Combination
2019 Alyson Michener U.S. House Call Practices in 2014: Mismatch of Providers, Practices, and Patients
2019 Alyson Michener Where did your dental implant go?
2019 Alyson Michener Integrating Geriatrics into Internal Medicine Core Curriculum: Aging Theme
2019 Linnea Pepper Stress and Cognitive Complaints in Older Adults
2019 Linnea Pepper An 85 Year Old Woman with Hallucinations, Falls and Gait Apraxia: An Unusual Presentation of Lupus Cerebritis
2019 Reshma Shah High Frailty Identified in The House Call Patient Population
2021 Merlyn Abraham Operation Connect- Using Technology to Combat Older Adult Social Isolation during the COVID-19 Pandemic
2021 Fontini Debonera; Daniel Kim; Janae Stevens; Miriam Mati; Marlyn Abraham; Edna Schwab; Mary Hofmann Improving frequency of video-visits at a veterans Affairs Long term care facility: value of the effort and lessons learned
2021 Fontini Debonera; Marlyn Abraham; Miriam Mati; Daniel Kim; Edna Schwab; Mary Hofmann Weight loss during the pandemic: suboptimal follow up and rapid morbidity progression in the world of telemedicine
2022 Carolyn Sciblo; Rachel Miller; Alyson Michener; Mariana Gonzalez "Aging in Place": Teaching Geriatrics through a Virtual Experience
2022 David Zheng; Carolyn Sciblo; Jacqueline Nghiem; Grecia Rico; Mark Simone; Mary Hofmann Quality Improvement Project: Reducing a VA CLC Long-Term Care Unit's ED Transfer and Readmissions Rate
2023 Rebecca Russell; Eva Szymanski; Matthew Van Dongen; Julianna Ricco; James McGee; Janea Stevens, Tipsy Jesteen; Marjorie Marenberg; Mary Hofmann; Mark Simone Improving Vaccination Rates at a Veterans Affairs Community Living Center: A Quality Improvement Initiative
2023 Rebecca Russell; Mary Hofmann, H Bollman, K Cummings, A Fessler, A Spinelli Patterns for ED Transfer and Re-admission Rates of a VA Community Living Center
2023 Eva Szymanski; Jessica Zuo; Emily Fessler; Ryan Chippendale; Jennifer Ouellet; Leah Schechter; Richard Marottoli; Rachel Miller Implementation of a Geriatric Assessment SmartPhrase: A Multi-Institution Pilot-Study
2023 Eva Szymanski; Julianna Ricco; Rebecca Brown ;Edna Schwab; Lena K. Makaroun The signs are subtle: Recognizing and supporting older veterans experiencing financial abuse

Fellows posing in front of their AGS presentation

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