Medicine-Geriatrics Integrated Residency and Fellowship

The AGS/ADGAP AIRE Medicine-Geriatrics Integrated Residency and Fellowship (Combined Med-Geri Pathway) provides an alternative pathway for training geriatricians by integrating the clinical experiences required in a geriatrics fellowship across the internal medicine or family medicine residency and meeting geriatric competencies in an innovative four-year (48 month) program. This competency based combined training model does not shorten the total training time for either residency or fellowship, but rather, integrates training to allow for early exposure to geriatrics principles of care and enhanced professional development opportunities during the fellowship year. In this training model, IM or FM residents will continue to meet all of their residency requirements in a 3-year period, and will continue to sit for their IM or FM board certification examination at the usual time. Further, in this training model, geriatric fellows will continue to meet all of their fellowship requirements and will continue to have a minimum of 12-months of clinical geriatric experiences. The changes proposed in this training model involve the chronological sequence of training and does not suggest waiving any certification or accreditation requirements.

Call for Proposals - Deadline: January 20, 2023

AGS/ADGAP is continuing to accept program applications for the Medicine-Geriatrics Integrated Residency and Fellowship. Applications are due January 20, 2023. If your institution already applied for the November 2022 deadline, you do not need to apply again. This application cycle is for trainees starting in July 2024. If your program intends to apply, please email Jen Cross at to request an application form.

The Combined Med-Geri Pathway is overseen by a Med-Geri Leadership Team, chaired by Drs. Angela Beckert and Ed Duthie from the Medical College of Wisconsin. The leadership team is available to answer questions and help with the application process. If you have any questions or would like to be connected to a member of the leadership team, please contact Marianna Drootin at

The Combined Med-Geri Pathway was approved by Accreditation Council for Graduate Medical Education in April 2020, with support from the American Board of Family Medicine and the American Board of Internal Medicine.

For more information, please review the FAQ here or contact Marianna Drootin, Director of ADGAP & Special Projects.

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