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A Combined Longitudinal Nursing Home Experience for Family Practice and Internal Medicine Residents

ABSTRACT With the limited availability of FP (Family Practice) and IM (Internal Medicine) faculty well-trained to teach in the nursing home setting, it would be efficient to combine faculty and training programs for FP and IM residents training in the same community. In this paper we describe a seven-year experience with the training of FP and IM residents on a common, longitudinal nursing home rotation with an interdisciplinary faculty. On one afternoon a month, the residents, four IM and FP faculty, three or four IM/FP geriatric medicine fellows, and a physician assistant meet at the nursing home. Each second- and third-year FP and IM resident is assigned two- to-three nursing home patients to follow longitudinally over the last two years of their training program. With an attendance record of 66%, most residents spend at least 16 afternoons in the nursing home during their training. Preliminary evaluation of trainee attitudes suggests that among one cohort of resident trainees, positive attitudes towards the care of older patients were prevalent and that the nursing home experience was highly rated.