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.
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.
AGS/ADGAP is accepting program applications for the AIRE Medicine-Geriatrics Integrated Residency and Fellowship (Combined Med-Geri Pathway). Applications are due November 21, 2025 with an additional opportunity to apply by January 16, 2026.
This application cycle is for trainees starting in July 2027. The 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. If your program intends to apply, please email Jen Sicherman at jcross@americangeriatrics.org to request the application materials.
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 Jen Sicherman at jcross@americangeriatrics.org.