Geriatric Medicine

The two-campus Division of Geriatric Medicine offers a multi-faceted program led by 16 physicians and 14 nurse practitioners who work together with an extensive interprofessional staff of clinicians and administrators to create a comprehensive program of education, research, administration and clinical care. Ten of the faculty leaders have worked at VCU for 10 years or more, and there is a wealth of experience and sustained excellence of performance. We are growing rapidly, having added 5 faculty members and 3 new programs in the past thee years. The interprofessional nature of our program is reflected in close collaboration and leadership initiatives with 5 well-known VCU schools including Medicine, Nursing, Social Work, Pharmacy, and Allied Health (Physical and Occupational Therapy as well as Health Administration). We have a truly team-based approach to education, research and clinical care.

The VCU Medical Center campus has 7 clinical sections: ambulatory care, house calls, transitional care, long term care, inpatient consults, PACE, and palliative care. These venues support educational programs for more than 500 learners each year, including all 400 M1 and M2 students, all 90 internal medicine residents, all of the 5 geriatric fellowship positions, all Orthopedic residents, and a variety of other learners including nurse practitioner, social work, and pharmacy students.

At the Hunter Holmes McGuire Veterans Affairs Medical Center geriatricians work and teach in the Geriatric Health Care Center which is an outpatient clinic, the on-site nursing home care unit, the inpatient palliative care unit, and the home-based primary care program. The VA medical center serves as the home base for the geriatric fellowship, which involves both campuses so that the fellows have a broad base of experience when they graduate, and is effectively led by Angela Gentili and re-accredited for 5 years in 2012. Eight of our faculty members are graduates from our fellowship.

The Division is proud of several successful initiatives including: two Reynolds grants (2001 and 2010); a Geriatric Education Center (2010) which is a statewide collaboration directed by Ed Ansello in the Center on Aging and co-directed by Peter Boling; and full accreditation of our House Calls program from the Joint Commission in 2012 with a perfect score. VCU House Calls was also approved July 31, 2012 for participation in the national Independence at Home demonstration program working in collaboration with Medstar Washington Hospital Center and the University of Pennsylvania as the Mid-Atlantic Independence at Home Consortium. Leaders of the Consortium were directly responsible for creating the demonstration through the legislative and regulatory process. The Next Steps grant from the Reynolds Foundation is launching a unique new program of education that will involve more than 500 students from Medicine, Nursing, Pharmacy and Social Work in August 2012. In addition, the VCU program faculty and staff have led the growth and development of the 21-hour Virginia Geriatrics Society conference which attained its highest participation yet with 350 participants and 35 exhibitors in April 2012.

About the Chair

About the Chair

About the Chair

Peter A. Boling, MD is a Professor of Internal Medicine and is the Division chair. Dr. Boling’s work has centered on geriatric education and on improving care of people with advanced chronic illness with a focus on home-based care. He attended Amherst College (BA in English with honors in 1976) and received his MD from the University of Rochester School of Medicine and Dentistry in 1981 with a student pathology fellowship in 1978-1979.

Learn more about Dr. Boling

VCU Medical Center

Center for Advanced Health Management

Hunter Homes McGuire Medical Center Campus (VAMC)

Advanced Care Practitioners

  • Marie Gerardo, NP
  • Beth Hungate, NP
  • Coleen Kenny, NP
  • Tamera Krukiel, NP
  • Susanna Payne, NP
  • Martha Purvis, NP
  • Cindy Rollins, NP
  • Lana Sargent, NP
  • Ruth Wiese, NP

The Division of Geriatric Medicine provides these comprehensive services through the VCU Medical Campus.  Services offered through the McGuire VA Medical Center are also outlined below.

The Division has several faculty members that are engaged in research. Educational research is being done as a component of our large educational grant programs (Reynolds and VGEC), looking at the impact of several educational models, curricula, and venues on learner knowledge, skills, and attitudes related to aging, as well as function on inter-professional teams.

Below are descriptions of ongoing research in Geriatrics:

  • Divisional faculty members are looking at tiered population health management in a younger population with a subset that has advanced chronic illness in the Virginia Coordinated Care program. Working with Dr. Wally Smith, Dr. Boling co-wrote a $1.2 million, two-year grant funded by AHRQ for this evaluation which involves Dr. Arline Bohannon who is medical director for that program. Dr. Bohannon has a longstanding interest in health disparities and quality of care for minority populations.
  • The impact of the geriatric medicine consultation service is under evaluation by Dr. Sarah Hobgood who has worked with two AFAR student grantees on this initiative and has presented several abstracts, including promising initial data related to the geriatric trauma patient population.
  • VCU Transitional Care, with data gathered since 2000, has generated abstracts regarding cost savings and improved quality. These data along with data from the House Calls program that has operated for 25 years helped to anchor the Independence at Home (IAH) Act, and the subsequent approval of the mid-Atlantic Independence at Home consortium as one of the demonstration sites. Overall evaluation of the IAH demonstration is under CMS contract to an outside vendor.
  • Pam Parsons, MSN, PhD has internal funding to examine the impact of inter-professional service learning venues on clinical care outcomes and learner skills and behaviors, working with Pharmacy and Social Work. She has also developed pilot data on biopsychosocial causes of the symptom of fatigue in elders that live in low income housing, and has published on coordination of care and use of ambulance care for emergency services in this publication. She has recently completed work on a contract from HUD to look at unmet needs and service use by elders in low income housing which is an area of particular interest for her.
  • Dr. Michael Godschalk has study male health problems with a particular focus on urinary incontinence, as well as male sex hormone changes with age.
  • Dr. Angela Gentili is engaged in a VA study of personalized care for older adults with low back pain working with Deborah Weiner at the University of Pittsburgh.

Along with medical education, the Division is interested in health services research related to a number of topics in the realm of improved chronic illness care, as well as clinical research on specific conditions and therapies, and research on aging itself.

Division of Geriatric Medicine
West Hospital, 2nd Floor
Box 980055
Richmond, VA 23298
Phone:  (804) 828-9357


Division Contacts

Medicine

Peter Boling, MD
Division Chair
Box: 980102
Richmond, Virginia 23298 
E-mail: peter.boling@vcuhealth.org

Administration

Wendy Walker
Division Administrator
Box 980102
Richmond, Virginia 23298-0102
Phone: (804) 828-5323
Fax: (804) 828-8660
Email: wendy.walker@vcuhealth.org