Our mission is to provide an unequaled, real-life learning experience in geriatric psychiatry that prepares graduates to excel in clinical geriatric care, geriatric research and geriatric education.
Our program aims to:
- Provide an interprofessional environment in which to train clinicians who provide compassionate and evidence-based mental health care, as well as resources for physical health care for older adults, their families and other caregivers
- Train clinicians who practice competently in the systems of care important to older adults, including but not limited to inpatient care, outpatient care, long-term care and in-home settings, and who can guide best practices and improve community health
- To foster an environment of inquiry, enhancing services, clinical innovation and research
- To develop the psychotherapeutic skills to direct treatment and provide therapeutic interventions in the context of assessment and medication management
A current goal is to increase our focus on rural patients, a generally under-served population, by developing collaborative approaches to rural geriatric mental health care and telehealth.
We are pleased to introduce you to our program, which offers world-class faculty and training and diverse clinical opportunities. Our faculty pay close attention to balancing our fellows' autonomy with supervision, mentoring and time devoted to research and didactic activities.
Based at Carilion Roanoke Memorial Hospital, a Level 1 Trauma Center, our program offers fellows comprehensive training in ambulatory, inpatient, consultative and palliative care; physical medicine and rehabilitation; and long-term care settings. Fellows interact with geriatric psychiatrists, geriatricians, physiatrists and allied health personnel.
Thank you for your interest in our Geriatric Psychiatry Fellowship. Applicants must be board-eligible in psychiatry and eligible for Virginia licensure.
To be granted a virtual interview, please submit the following:
- Curriculum vitae (with recent passport-type photo attached)
- Copy of medical school transcript and diploma
- Letter of recommendation from the candidate's residency director
- Two other letters of recommendation from physicians who support your interest and goals in geriatric psychiatry
- USMLE Step 1, 2 and 3 scores
- ECFMG certificate (if applicable)
- Proof of U.S. citizenship, a copy of Permanent Resident card, or a copy of J1 visa
The fellowship is a one-year training program designed to give geriatric psychiatry fellows a comprehensive experience. Fellows are exposed to geriatric psychiatry patients in the inpatient, ambulatory, consultative, palliative care, physical medicine and rehabilitation, and long-term care settings.
Fellows will interact with geriatric psychiatrists, geriatricians, physiatrists and allied health personnel in a multidisciplinary model. The curriculum combines a longitudinal and a rotational curricular model.
One half day each week is dedicated to research, self-selected mentoring and elective time. Seminar lectures focus on various aspects or research. Fellows will develop a research project and topic by Aug. 1 of their fellowship year, and a research mentor will be assigned.
Didactic sessions are held weekly with geriatric psychiatry faculty as well as faculty members from various departments, including geriatric medicine, neuropsychology, palliative medicine and neurology. Fellows are also expected to present and contribute in Journal Club sessions. Didactic topics are reviewed and updated yearly to fulfill geriatric psychiatry requirements.
The fellowship consists of the following four-week block rotations.
The inpatient rotation will be primarily based at the Salem Veterans Affairs Medical Center (VAMC) under the direction of Mamta Sapra, M.D. and Mark Detweiler, M.D. The fellow will be involved in the initial care and continuing responsibilities for all consults and inpatients and will participate in the multidisciplinary, inpatient team.
The consult/liaison rotation is based at the Salem VAMC with Geoffrey Bader, M.D. This rotation includes inpatient geriatric psychiatry consults requested throughout the hospital. The fellow will be involved in initial care and will have continued responsibility for all consult patients. The fellow will also participate on the multidisciplinary, inpatient, acute care team.
The neurology rotation is based at the Salem VAMC. The fellow will work with Gary Harpold, M.D. or a designee in the outpatient setting and will participate in inpatient neurology consults.
Long-Term Care Rotation
The long-term care rotation includes experiences in both institutional and non-institutional settings. Rotations are divided between local nursing homes and assisted living, adult day care and the League of Older Americans Wellness Day. The fellow will be supervised by Kye Kim, M.D. and Azziza Bankole, M.D.
Physical Medicine and Rehabilitation Rotation
The physical medicine and rehabilitation rotation is located at the Carilion Clinic Bone and Joint Center. The fellow will work in the inpatient and outpatient rehabilitation unit and will be able to observe and participate in the sub-acute phases of care.
Palliative Care Rotation
The palliative care rotation takes place at the Salem VAMC in the palliative care unit. The fellows works closely with its palliative care team.
Longitudinal Training Component
The longitudinal training component includes an ambulatory and a long-term care experience. The fellow will have a weekly one to two half-day continuity clinic at the Carilion Clinic Center for Healthy Aging.
In addition, the fellow will have one to two half-day sessions in the Carilion Clinic Center for Healthy Aging Geriatric Assessment Clinic. The fellow will be supervised by Drs. Kim and Bankole and will be exposed to a variety of patients.
Our fellowship faculty are very active in ongoing research as well as in providing education for providers, caregivers and our community in the field of geriatric psychiatry.
We believe that the ability to participate and feel comfortable in such educational formats is vital to the success of a geriatric psychiatrist. We are, therefore, committed to mentoring and fostering these skills in our fellows, including didactic education in the use of various forms of technology and presentation software. Our graduating fellows have participated in drug trials, retrospective and prospective clinical studies and have worked with biomedical engineers in developing age-appropriate technology to improve autonomy which has led to publications and multiple poster presentations.
In collaboration with Virginia Tech and the Fralin Biomedical Research Institute at VTC, we are continually exploring novel research ideas that are innovative and clinically relevant. From these relationships we are able to provide our fellows with exposure to innovative research in the fields of behavioral health and neuroscience. This program provides an excellent training experience for all fellows.