Geriatrics
AT MOUNT SINAI Winter 2022
Training Doctors to Improve Care of Older Adults As our population ages and lives longer,
Brookdale’s approach
there is a growing need for expertise in the
to creating the
care of older adults among all health care
necessary workforce is
providers. The Association of American
multidimensional and all
Medical Colleges estimates that by 2034
encompassing. It includes
the population of people aged 65 and older
courses and clinical
will grow by 42 percent compared to 2019.
rotations in medical school
The U.S. Department of Health and Human
and residency training,
Services projects a shortage of nearly
traditional post-graduate
27,000 geriatricians by 2025. As a result of
fellowship training, and mid-career training
leadership positions; within six years,
this gap in supply and demand, there is an
for practicing physicians interested in
100 percent have a leadership role. Our
increasing need to train all physicians in the
expanding their knowledge of
goal is to ensure that our graduates have
health care needs of older adults.
integrative care for older
the knowledge and skills to become the
adults and their loved ones.
transformative leaders our U.S. health
Caring for older patients is complex
Helen Fernandez, MD with Nitzy Casablanca, MD (GeriatricsNephrology Fellow), Rosmy Jimmy, MD (Geriatrics-Palliative Medicine Fellow), and Farah Adamali, MD (Geriatrics Fellow).
care system requires.
and involves not just treating a variety of
All the programs championed by
overlapping medical conditions, but taking
Dr. Fernandez advance her broad goals
As an advocate for our aging population,
into account all their medications, their
of improving care for patients and their
Dr. Fernandez seeks to reframe the
physical and cognitive function, and their
families, creating future leaders to affect
conversation about aging beyond medical
support network of family and friends.
system-wide change, innovating bold
training. By partnering with community
initiatives to meet the evolving needs of
organizations and government entities
an aging population, and developing
like the New York City Department for the
new educational approaches to teach this
Aging, the Brookdale Department strives
field of study throughout the continuum
to influence their approach to our aging
of medical education and training.
population. Messaging is important to
The Brookdale Department of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount
One of Brookdale’s newest initiatives
Sinai is the nation’s largest training program
is the Learn, Educate, Advocate, and
in the field and has trained one out of five
Promote (LEAP) into Geriatrics Leadership
geriatricians nationwide. The Mount Sinai
program. The objective of our newest
Hospital is ranked number one in Geriatrics
program is to train future leaders in
by U.S. News & World Report. For Helen
geriatrics to lead hospitals, health systems,
M. Fernandez, MD, named Vice Chair of
and quality improvement programs, and
Education in June 2021 and Brookdale
to assume leadership positions with
Geriatrics Fellow ‘01, her goal goes beyond
payer organizations. Typically, within
training outstanding clinicians in the field,
one year of fellowship graduation, 50
it’s about transforming medical education.
percent of our fellowship graduates attain
Dr. Fernandez, and that means thinking broadly about how to educate the public— from elementary school teachers to legislators—about avoiding stereotypes and creating a more inclusive environment. “We need to help people understand that older adults have a lot to share with the younger generations and contribute to society,” she says. “We need to appreciate what they have to offer and not think of it as ‘us vs them.’”