Advanced Fellowship Training

We are proud to offer opportunities for fellows to pursue additional training and development in preparation for careers in academic geriatrics through our advanced fellowship. Fellows selected to stay for advanced training may pursue a variety of pathways, including those in research, clinical education and health policy and leadership.

In addition to pathway-specific curricula and goals, all advanced fellows will receive additional support and development via the following mechanisms:

  • Skill development: Coursework aimed at building skills specific to their area of interest---for example, research fellows pursue courses in biostatics and research design through the Clinical Research Training Program. Clinician educators participate in courses and workshops to improve teaching and curriculum development skills---such as the Harvard Macy Program.
  • Project support: Fellows design and implement projects and receive mentoring from expert faculty.   In addition to working with clinical faculty, fellows have access to statistical and database support, gerontologists, and PhD educators to help see their projects through to completion, presentation and publication.
  • Career planning: Work in the advanced fellowship is also focused on preparing for obtaining a position as a leader in academic geriatrics.  This includes CV preparation, interview preparations, references and mentoring and support through the negotiation and decision making processes.
  • Advanced clinical training: Some fellows also choose to pursue advanced clinical training in particular area. Examples of such training have included perioperative medicine, long term care, and acute care consultation.

Advanced fellowship positions are filled in the fall of the year to begin the following summer. Fellows are selected based on specific interests, performance in first year, and ability to articulate a clear plan for the fellowship and beyond.

Specific components of the advanced fellowship include:

Research Pathway

We are committed to investing in the next generation of clinician scientists. Our faculty - both within the division and through affiliations with the Duke Aging Center and Pepper OAIC - include leading researchers in many age-related fields. Duke Geriatrics offers fellows the training they need to become leaders in their field – whether the basic biology of aging or the development of interventions to enhance nursing home quality.

Fellows interested in research have the option of up to two additional years of support. During this time, fellows - working with their research mentors - complete an independent research project. Fellows also have the opportunity to develop skills in cutting-edge research methodologies through formal curricula and informal mentoring.    In addition to leading basic and translational aging research, Duke is also home to world-renown clinical researchers with expertise in many diverse areas of interest, such as vaccinology, perioperative care of older adults, prevention of fractures, and racial disparities in access and utilization of palliative care services. We also have formal partnerships across a variety of medical specialties, including anesthesiology, psychiatry, oncology, nephrology, neurology, and rheumatology, from which fellows can build mentoring relationships and explore research interests.

Clinician-educator Pathway

Fellows interested in careers in academic scholarship are able to further develop these skills both here at Duke and beyond. Duke AHEAD offers support and a certificate program for faculty development in health professions education and quality education research. Advanced fellows in this pathway are also provided support in pursuing other workshops to improve their teaching and curriculum development skills, such as the Harvard Macy Program. Through strong mentorship with geriatric faculty leaders in clinical education, fellows develop projects and complete coursework preparing them for academic careers.

Leadership Pathway

Duke Geriatrics is home to national leaders in many facets of geriatrics – from post-acute and long-term care medicine to geriatric workforce development. Our faculty recognize the important of developing the next generation of leadership in geriatric medicine. To that end, we have developed a highly customizable leadership pathway for fellows interested in establishing themselves as change agents in the evolving healthcare system, academia, government, or industry. Fellows interested in the leadership track work with faculty mentors to develop an individualized curriculum that supports their career goals. Fellows have multiple opportunities – both didactic and experiential – to enhance their leadership skills.

In collaboration with health system leadership and the population health management office, fellows have the opportunity to join an existing initiative or propose one of their own. Fellows work throughout their second year to implement their vision with mentorship from division and health system leadership.  Duke geriatrics department has a strong partnership with the Accountable Care Organization (ACO) with available opportunities to partner with existing projects promoting age friendly policies. 

Additional opportunities include:

  • 1 week “boot camps” are available through the Feagin Leadership program and Fuqua Health Service Management to engage with the leaders across the Duke system.
  • Contingent on the availability of funding, fellows can complete the one year Master of Management in Clinical Informatics offered through the School of Medicine, which equips graduates with the informatics skills to serve in key managerial and executive positions.
  • Opportunities to engage with local government agencies to advocate for policy changes and service delivery for older adults
  • Fellows interested in entrepreneurship can tap into Duke’s rich ecosystem of pitch competitions, angel investors, and business resources to launch startups.