ࡱ> mol3 E"bjbjCC ":!!0l8<PDX)F(<0l((((((($* ,(@8(0)Rl((X%'d,( pt`H((,()0X)(V-2hV-( Application Packet for the Advanced Geriatric Fellowship for Clinician-Educators Sponsored by: Multicampus Program in Geriatric Medicine and Gerontology David Geffen School of Medicine at UCLA and the Donald W. Reynolds Foundation For more information or to submit applications contact: Anne C. Hu, MPH 10945 Le Conte Ave., Suite 2339 Los Angeles, CA 90095-1687 Phone: 310 312-0531 Fax: 310 312-0546 E-mail: AnneHu@mednet.ucla.edu  BACKGROUND Health workforce studies indicate a serious shortage of physicians with specialty training in geriatrics. Inherent in this shortage is a lack of geriatrics faculty with training and experience in teaching and other education skills. The focus of this program is to provide experience and formal training for geriatrics clinician-educators. Geriatric medicine and other primary care training programs recognize the need for faculty with expertise in teaching, curriculum development, training program evaluation and management. Most programs rely on clinicians to supervise and direct their clinical education activities. Most clinicians have little preparation for these roles and limited opportunity for exposure to formal training in principles of medical education. PROGRAM DESCRIPTION The UCLA Reynolds Fellowship program provides a one-year experience in medical education and advanced geriatrics skills. Experience, training and personal mentorship are designed to prepare trainees for an academic career as a clinician educator. The program includes required coursework in medical education while developing experience in teaching, curriculum development, and program administration within the UCLA Multicampus Program in Geriatric Medicine and Gerontology. While maintaining a longitudinal clinical experience, trainees will also develop an individual area of specialized clinical skill and expertise as they build a foundation of writing and publication skills. PROGRAM OBJECTIVES At the conclusion of the program, graduates will be able to: Develop curriculum for teaching geriatrics; Evaluate outcomes of a teaching program; Utilize multimedia presentations and other technology for teaching; Demonstrate teaching skills in didactic lectures, small group discussions, problem based learning, and at the bedside; Demonstrate teaching skills for all levels of trainees including medical students, residents, fellows, and continuing medical education for physicians; Demonstrate teaching skills for other disciplines including the lay public; Demonstrate clinical knowledge and skill in an area of special interest; Demonstrate creativity in writing and publications. SETTINGS Training is integrated over the three campuses affiliated with the Multicampus Program in Geriatric Medicine and Gerontology including the UCLA Center for Health Sciences Campus, the West Los Angeles VA, and the Sepulveda VA Ambulatory Care Center and Nursing Home. Each of these campuses support unique clinical and academic experiences supervised by full time UCLA geriatrics faculty. The UCLA geriatrics faculty, many of whom are nationally and internationally recognized, are involved in a broad variety of research, education, clinical projects, subspecialty programs and other scholarly activities. Additional affiliations include the UCLA California Geriatrics Education Center, the UCLA Borun Center for Gerontological Research, and the UCLA Center on Aging. Together these programs host a large number of training programs for other disciplines and the lay public providing unique and almost endless opportunities for participating in ongoing education projects and program development. STIPENDS Stipends are based on the prevailing UCLA scale determined by the level of post-doctoral experience and training. Exact figures may vary. You may contact the program coordinator for an estimate. ELIGIBILITY AND CRITERIA FOR SELECTION All potential trainees must be a U.S. citizen, a non-citizen national, or a foreign national with a visa permitting permanent residence in the U.S. In addition, potential trainees must have: A currently valid Certificate of Added Qualifications in Geriatrics from the American Board of Internal Medicine or Academy of Family Practice, or completed training in Geriatric Medicine and be eligible for the Certificate of Added Qualifications. Or have completed Training in Geriatric Psychiatry and eligible or hold valid certification in Geriatric Psychiatry; A valid California Medical License; Clear commitment to a career in geriatric teaching and clinical care; Unequivocal evidence of high integrity; Evidence of superior performance in previous training and experience; PROGRAM DIRECTOR Bruce A. Ferrell, MD Fellowship Director, Multicampus Program in Geriatric Medicine and Gerontology Associate Chief for Education, Division of Geriatrics, David Geffen School of Medicine at UCLA APPLICATION PROCEDURE Completed application materials may be forwarded to the Anne Hu as indicated below. Qualifying applications will be reviewed and selected for interview by committee. Personal interviews with faculty are mandatory. Training cycles begin July 1st of each year. Anne C. Hu, MPH UCLA Multicampus Program in Geriatric Medicine and Gerontology 10945 Le Conte Ave., Suite 2339 Los Angeles, CA 90095-1687 Phone: 310 312-0531 FAX: 310 312-0546 E-mail: AnneHu@mednet.ucla.edu UCLA Reynolds Fellowship: Advanced Training for Geriatrics Clinician Educators Application Checklist: ( 1. Application Form (attached). ( 2. Current Curriculum Vitae (Should include complete record of undergraduate and graduate medical training, board certification status, and complete list of publications). ( 3. Personal Statement (limited to 2 pages), addressing the following: Your preparation or experience that makes you uniquely qualified for this program Your personal strengths and weaknesses as a clinician and as a teacher Specific skills and experience you expect to gain in the program ( 4. Three letters of recommendation including the director of your most recent training program, faculty or other current supervisors who can discuss your qualifications and commitment for this program. (1) Name______________________________________________________ Title:______________________________________________________ Institution:__________________________________________________ (2) Name______________________________________________________ Title:______________________________________________________ Institution:__________________________________________________ (3) Name______________________________________________________ Title:______________________________________________________ Institution:__________________________________________________ APPLICATION FORM Start Date for Training: Name of Applicant: Current Mailing Address: Telephone Numbers: Office: Fax: Home: E-mail: Current Position: School: Department: Title: California Medical License Number: Medical School: Name: Date of Graduation: Residency Training: Name of Program: Type of Training (e.g. Internal Medicine, Family Medicine): Dates of Training: Geriatrics Fellowship: Name of Program: Dates of Training: I am (Please check one):  FORMCHECKBOX  A US citizen  FORMCHECKBOX  A non-citizen national  FORMCHECKBOX  A foreign national with a visa permitting permanent residence in the U.S.  Signature Date   VW^m78Hh2O}~UV79HIYm[\]*=۹۵ۯ۫ۯۯۧۡ>*mHnHu mHnHu5CJ0 j jCJ5CJmH sH 5\CJH*CJOJQJ^J5CJmH sH 5CJCJCJ 5CJ\OJQJ6CJ(OJQJ]6CJ$OJQJ]< VWXYZ[\]^lm$a$$a$$a$0"@"D"78Hh23 ! 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