Block Rotations

The Virginia Tech Carilion Geriatric Medicine Fellowship is comprised of thirteen, four-week blocks.


The longitudinal component includes an ambulatory and long-term care experience. The fellow will have a weekly one-half day session in one of the primary care, family medicine or internal medicine, clinics. In addition, the fellow will have one to two half-day sessions in the Carilion Center for Healthy Aging Geriatric Assessment Clinic (GAC) and in the Mild Cognitive Impairment Clinic (MCI).


The conference schedule will include a three hour conference every first, third and fifth Friday with members of the faculty for case presentations and didactic presentations. The conference schedule also includes Journal Club once monthly.

Geriatric medicine fellows are required to present and contribute during journal clubs. Geriatric seminar topics are reviewed and updated yearly to fulfill geriatric medicine and psychiatry requirements.


The inpatient core for three blocks will be primarily based at Carilion Roanoke Memorial Hospital on the Acute Care of the Elderly (ACE) unit. This will include inpatient geriatric consults requested throughout the hospital. The fellow will make the initial contact when a geriatric consult is requested.

The fellow will present findings to the geriatric attending physician assigned to the geriatric consult service. The fellow will be involved in the initial care and continuing responsibilities for all consult patients, and will participate on the inpatient multidisciplinary team.


The long-term care rotation is five blocks and includes experiences in both institutional and non-institutional settings. Long-term care rotations take place at five nursing homes in the region (Berkshire, Brandon Oaks, Friendship Manor, Raleigh Court, and Springtree).

The long-term care rotation also includes experiences in assisted living, adult daycare, and The League of Older Americans Wellness Day.


The Geriatric Psychiatry rotation is a one block experience. This will include inpatient, outpatient, long-term care sites and the Dementia Unit at the Salem Veteran's Affairs Medical Center (Salem VA). The fellow will be exposed to a variety of patients and will have the opportunity to observe electroconvulsive therapy (ECT).


One-block will be spent in the Salem VA Neurology department. The fellow will work in the outpatient setting and will participate in inpatient neurology consults.


The Rehabilitation/Subacute Unit is one block in the inpatient and outpatient Rehabilitation unit. The fellow will be able to observe and participate in the subacute phases of care.

The updated curriculum includes outpatient exposure to include: rheumatology, palliative care, wound care and other various outpatient settings. Hospice experience is at both the Friendship Manor long-term care facility Palliative Care Unit and through Carilion Clinic inpatient and home care.


The fellow will have the opportunity to select three electives in fields of interest during the fellowship. Outside rotations are permitted if the discipline is not available through Carilion Clinic.