Hebrew SeniorLife

The mission of Hebrew SeniorLife is to honor older adults by respecting and promoting their independence, dignity and choice. The organization offers trainees exposure to many health care settings including independent housing, long-term care, and sub-acute care. In addition, it is the home of the Hinda and Arthur Marcus Institute for Aging Research, which conducts influential research that has improved the standard of care and quality of life for seniors around the world.

Hebrew SeniorLife Block Rotation

The Hebrew SeniorLife rotation is approximately 7.5 weeks usually at the Hebrew Rehabilitation Center (HRC) location site. It comprises two main roles for the geriatric fellows: 1. Primary care for long-term care frail nursing home residents and 2.Responsibility for selected patients in a skilled nursing facility admitted for short-term rehabilitation. The unique interaction at HRC between long-term and rehabilitative care offers the fellow an opportunity to learn about the critical interface of these two settings in the continuum of geriatric care which is not duplicated elsewhere in the fellowship program.

As part of the long-term care experience, the fellow will assume primary care responsibilities for approximately 40 long-stay residents (one nursing unit) within HRC. This coverage includes admitting new residents, managing urgent clinical matters, directing quarterly care reviews, communicating with family members, working with interdisciplinary team members (including nurse practitioners), and coordinating care with consultants.

The fellow will spend approximately two half days per week at HRC providing care for patients in the short-term care skilled nursing facility. This includes admitting patients, providing urgent clinical care, coordinating discharges, and serving as a liaison with community primary care providers. The fellow will participate in discharge planning meetings and will understand the importance of good transitional care.

In addition, the fellow will have the opportunity to regularly participate in wound care rounds. Additional clinical opportunities include direct teaching from the geriatric psychiatrists and palliative care team.