School of Medicine

Residency Training Track

Care of Medically Vulnerable Populations




Dedicated “selectives” – Residents in the CMVP track will choose two electives that focus on the care of the medically vulnerable. Electives can be taken in any of the four targets for this project, or can be developed by the resident in conjunction with Dr. Montgomery. Administrative and faculty support is provided to develop electives.

As rotations are developed, they will be posted online and will be available for ongoing use be residents.

Current selectives being used include:

  • Opioid Use, Abuse and Dependence - Sybil Marsh, MD
    • Observation and participation in care of patients who use opioids in a variety of settings- appropriate chronic pain management, detoxification, buprenorphine (Suboxone) and methadone maintenance treatment for opioid dependence.
  • Obesity - Vanessa Maier, MD
    • Observation and participation in dietary counseling to observe and participate in medical and psychological evaluations for children and learn practical tips for counseling patients on nutrition – especially in regards to obesity, eight loss, and diabetes.
  • Adolescent Medicine - Vanessa Maier, MD
    • Community outpatient pediatrics
  • Palliative Care- Communication and Prognosis - Beth McLaughlin, MD
    • A 10 half-day rotation focusing on learning the skills of prognostication and communication about prognosis and health-care goals with patients and their families.
  • Palliative Care- Symptom Management - Beth McLaughlin, MD
    • A 10 half-day rotation focusing on learning the art and science of treating distressing physical symptoms in patients with complex medical problems.
  • Care of Homeless Persons – Lisa Navracruz, MD
    • Outpatient patient care and online study
  • Medical House Calls – Peter DeGolia, MD
    • Hands on experience of managing frail and vulnerable elders in the home setting; may include acute care of the elderly in the home.
  • Transitions of Care – Peter DeGolia, MD
    • Practical experience of understanding the system complexities and medical risks associated with the transfer of vulnerable persons from one site of care to another.
  • Comprehensive Geriatric Assessment – Peter DeGolia, MD
    • An in-depth experience working with consultant evaluating geriatric syndromes and the array of psychosocial problems confronting frail older adults.
    • Evaluate and assess complex patients in the hospital setting.
    • Participate in Interdisciplinary team collaborative work, become familiar with the skills and services provided by gerontologic nurses and social workers.
    • Perform specific screening and evaluation tests
  • Geriatric Inpatient Consultation – Peter DeGolia, MD
    • Work side by side with a geriatric consultant evaluating complex problems related to frail hospitalized elders.
    • Evaluate and assess complex patients in the hospital setting.
  • Underserved Maternal Child Health – Alan Cadesky, MD
    • Outpatient experience focused on underserved women and infants, including experiences at Womankind, WIC, the DV Center, Help Me Grow, the UH Loctation Center, and Bellefaire JCB.