The fellowship supports adult-gerontology nurse practitioners' (A/GNP) transition into practice and expands the fellow's leadership skills in integration of geriatrics into primary care.
While engaging in clinical care of frail elders as a primary care A/GNP, fellows receive mentoring and practical experience leading programs focused on community care of older adults. Over the course of a year, A/GNP fellows enroll in shared coursework with advanced trainees in geriatric medicine and psychiatry who share a specific focus on community-based geriatrics care and the variety of models and systems by which it is delivered.
Candidates for the A/GNP fellowship must meet the following criteria:
Graduate of an accredited adult-gerontology primary care nurse practitioner program
Hold a master's degree or higher
Board certified as an A/GNP
Licensed to practice in North Carolina
The A/GNP Fellowship Connection With the Federally-Funded Geriatric Workforce Enhancement Project (GWEP)
The Duke Geriatric Workforce Enhancement Program (GWEP) is one of over 50 GWEPs funded through the U.S. Health Resources and Services Administration (HRSA). The Duke GWEP aims to strengthen a community’s capacity to provide patient-centered coordinated health care for a growing population of seniors. At Duke we have brought together nationally acclaimed geriatrics training programs, primary care practices, community agencies and health care organizations to implement a new model of workforce development that strives to improve outcomes for older adults in a sustainable manner by implementing innovative interprofessional (IP) training models that emphasize accelerated translation of best practices into primary care. A/GNP fellows are an integral part of the Duke GWEP.
Specific objectives include:
- Objective 1: Collaborate with community agencies, primary care practices and long-term care services to a) create a Best Practices Compendium for the care of vulnerable older adults residing in the community with linkages to related care and training resources and b) create a coordinated and sustainable model for linking primary care practices to geriatric assessment expertise and resources through community-based interagency care teams (ICTs).
- Objective 2: Expand expertise in geriatric care management and delivery, IP teamwork and quality improvement (QI) in collaboration with community partners through advanced traineeships in geriatric medicine, geriatric psychiatry and advanced practice nursing.
- Objective 3: Develop and implement innovative models for training interprofessional clinical teams and pre-professional learners in community-based settings on best practices for care of older adults and their caregivers in the context of expanded engagement with community-based agencies.
- Objective 4: Engage and empower seniors, family caregivers and community leaders in teaching and learning about geriatric care management and resources, communication and advocacy.
- Objective 5: Evaluate the impact of workforce development innovations on community capacity to implement and sustain IP teams that deliver evidence-based care in a collaborative manner and on appropriate patient-level and system-level outcomes, such as preventing avoidable hospitalizations and improving function and quality of life among seniors.
A/GNP fellows are fully immersed in the following activities as part of the GWEP program:
- Weekly geriatric grand rounds
- Weekly GWEP interagency care team consultation meetings
- Monthly partnership for seniors meetings
- Duke NICHE (Nurses Improving Care for Healthsystem Elders) programs
- Opportunities to engage with innovative senior learning communities
Adult/Geriatric Nurse Practitioner Fellowship Program Faculty and Leadership
Advanced Practice Nursing Faculty
- Loretta M. Matters, MSN, RN, Associate Director, Center of Geriatric Nursing Excellence
- Eleanor McConnell, PhD, RN, GCNS-BC, Associate Professor
- Valerie Sabol, PhD, AGACNP-BC, ANEF, FAANP, Professor
Geriatric Physician Faculty
- Gwendolen Buhr, MD, MEd, Assistant Professor
- Mitchell T. Heflin, MD, MHS, Associate Professor
- Tracey C. Holsinger, MD, Associate Professor
- Mamata Yanamadala, MBBS, MSc, Assistant Professor