Geriatrics residents will train at the following sites with whom the TMU School of Medicine has clinical affiliations:

William Osler Health System includes Brampton Civic Hospital (BCH) and Peel Memorial Centre (PMC) in Brampton, ON, as well as Etobicoke General Hospital (EGH) in Etobicoke, ON.

• This site offers robust inpatient geriatric consultion services at community hospitals and co-management/consult services in the Brampton Civic Hospital Acute Care of the Elderly Unit – which holds the distinction of being the world’s first accredited inpatient emotion’s based geriatric care unit (Meaningful Care Matters has accredited the BCH ACE unit with Level 1 Accreditation in The Butterfly Approach). This care paradigm focuses on delivering care that connects with patients by recognizing that a person’s emotional needs are as important as their physical and medical needs, especially in the setting of dementia.
• Multidisciplinary Hospital Elder Life Programs (HELP) that aim to keep hospitalized older adults mentally and physically active to prevent delirium and functional decline during hospital stays. This program includes Behavioural Interventionists, Elder Life Specialists, and the hospital volunteer program.

• Interdisciplinary outpatient geriatric subspecialty clinics are available at Peel Memorial Centre (PMC) – including a Memory Clinic, Behaviors and Psychological Symptoms of Dementia (BPSD) clinic, Falls and Frailty Clinic, Parkinson’s Disease, Incontinence Clinic and Osteoporosis Clinic. These clinics have a large, dedicated, experienced complement of allied health professionals including Occupational Therapists, Physical Therapists, Social Workers, Speech Language Pathologists, Registered Dieticians, Nurse Practitioners, and Registered Nurses, Continence Nurses, and a Geriatric Outreach Team. The allied health staff have subspecialized training, expertise and interest in Geriatric Medicine. Residents will have daily opportunities to interact with, and learn from, allied staff regarding their patients.
• A robust Regional Geriatric Medical Outreach Program that includes an interdisciplinary team including a Registered Nurse, Occupational Therapist, Social Worker, and Geriatricians that aims to improve the health and overall quality of life of patients, especially those that need increased support at home and to facilitate keeping the frail elderly aging in place in the community.

Region of Peel operates Peel Manor Long-Term Care Home and other long-term care facilities in the region.

• Peel Manor offers a state-of-the-art Transitional Behavioural Support Unit (TBSU), which incorporates non-pharmacologic and emotion-based management as well as in-depth pharmacologic management of BPSD.
• The THRIVE program based out of Peel Manor LTC Home is an adult day care program that helps seniors age at home safely, it gives clients access to a specialized primary care led team that works together to solve complex client and caregiver needs. The interdisciplinary team includes primary care, a Neurobehavioural Nurse Practitioner, a Registered Nurse, a Registered Social Worker, and the entire Adult Day Services team trained in emotion-based care.
• Additionally, residents will have an opportunity to work with Family Physicians with expertise in care of the frail elderly, both on inpatient long term care wards as well as in primary care senior’s focused clinics.

Trillium Health Partners includes Mississauga Hospital and Credit Valley Hospital (Mississauga, ON). This site offers:

• A robust Regional Geriatric Medical Outreach Program that engages an interdisciplinary team including Nurse Practitioners, Occupational Therapists, Social Workers, Pharmacists, and Geriatricians that aims to improve the health and overall quality of life of patients.
• A Centre for Seniors’ Medical Psychiatry where Geriatric Psychiatrists and Geriatricians liaise on outpatient cases in collaboration with the patient’s primary care practitioner that involves RN Care Managers and allied health professionals.
• A multidisciplinary Hospital Elder Life Program (HELP) that aims to keep hospitalized older adults mentally and physically active to prevent delirium and functional decline during hospital stays.
• A Seniors and Rehabilitation Day Hospital designed to help patients safely transition from the hospital back to their home and community. This program coordinates services for people recovering from functional decline following a recent injury or illness while taking an individualized approach to re-integration.

Halton Healthcare includes Oakville Trafalgar Memorial Hospital, Milton District Hospital Hospital and Georgetown Hospital. This site offers:

• Robust Outpatient clinics including a Falls Prevention Clinic, Osteoporosis clinic, and an Urgent Geriatric Assessment Clinic to provide timely comprehensive geriatric assessments for patients seen in the ER not requiring admission, and those patients who are post-hospital discharge.
• A Geriatric Assessment and Rehabilitation Unit that works on a consultative model and inpatient consult services across all three clinical sites.

Residency training will leverage a distributed model which may include training at any of these sites for learning in environments, which include community and clinical settings, urban and rural environments, and inpatient and outpatient settings. While the majority of resident training will be focused in Peel and surrounding communities, additional learning experiences may take place at other training sites within Canada through Inter-University Affiliation Agreements. These agreements are subject to change and result in training at sites other than those that are listed above.

Travel to various locations will be required. Access to a personal vehicle will be beneficial, though anyone with access to a reliable means of transportation is encouraged to consider this program.