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Durham Veterans Affairs Health Care System is one of the sites for the Geriatric and Extended Care Nurse Practitioner Residency (GEC-NPR) Program by the Office of Academic Affiliations

(OAA). The GEC-NPR program at the DVAHCS is affiliated with the Duke University School of Nursing. The GEC-NPR program will enhance the novice nurse practitioners' knowledge and skills

acquired during their nursing practice and graduate-level academic education and prepare them to be proficient in the care of aging Veterans with multimorbidity and frailty. By successfully

completing this post -graduate training, the residents will improve their confidence and competence in the following:  *  Comprehensive geriatric evaluation *  Assessment, diagnostic

testing, treatment, and planning of care for aging Veterans with complex medical and psychosocial needs. *  Management of polypharmacy, including consideration of risks and benefits of

medications in the older Veteran *  Palliative care, end-of-life care, and advanced care planning *  Transitions of care  *  System-based approach to anticipate and deploy resources to

optimize outcomes *  Leadership of interprofessional teams in providing high quality care and designing quality improvement initiatives  The trainees will spend 40 hours in clinical and

didactic learning activities weekly to become proficient in 24 competencies specified in GEC-NPR curriculum. * Residency curriculum includes: 80% experiential and 20% didactic learning. *

GEC NP Residency clinical sites include various clinical areas of the Durham VA Medical Center, community-based programs, and home-based programs of the Durham VA Health Care System.  *

Clinical rotation sites include: Community Living Center, Geri-PACT, Perioperative Optimization of Senior Health (POSH), Home Based Primary care (Durham, Raleigh, Clayton and other areas),

Hospice and Palliative Care, Caring for Older Adults and Caregivers at Home (COACH), and other geriatric models of care and selected specialty clinics  (80%) * Clinical and didactic

activities are planned as face-to-face activities. * Integrated and parallel clinical didactic sessions (20%) * Quality-improvement project * Didactic sessions frequently occur in

conjunction with other DVAHCS-Duke University training programs including the Geriatric Medicine fellowship, VA Quality Scholars Program, Geriatric Scholar program and the Primary Care and

Mental Health NP residencies to promote interprofessional learning. * Faculty mentors and supervising clinicians will facilitate the novice NP’s journey to a proficient advanced practice

provider with expertise in geriatrics. * Upon successful completion of the residency, the trainees will be given the opportunity to apply for available vacancies within the VA Health Care

System across the country. CONTACT INFORMATION LETHA JOSEPH, DNP, AGPCNP-BC, FFNMRCSI, FAANP Geriatric and Extended Care Nurse Practitioner Residency (GEC-NPR) Program Director Durham VA

Health Care System [email protected] ELEANOR S. (ELLIE) MCCONNELL, PHD, RN Associate Professor, Duke University School of Nursing Core Investigator, Geriatric Research, Education and

Clinical Center (GRECC) Durham VA Health Care System [email protected] CLAUDETTE FORREST RN Nurse Recruiter Durham VA Health Care System Phone: 919-286-6858 [email protected]