Geriatric Research Education and Clinical Center (GRECC)
The Pittsburgh GRECC has been serving older Veterans in Pennsylvania, Delaware and parts of West Virginia since 1999.
Research Focus Areas
Speech Rehabilitation Post-stroke
Barriers of Delivery of Care to the Elderly
Pain Assessment and Treatment in the Elderly
Research at the Pittsburgh GRECC includes neuronal cell death in stroke and neurodegenerative diseases; hearing, communication disorders, and aphasia rehabilitation in stroke and aging; geriatric cardiology; polypharmacy; stroke related outcome measures; avoiding inappropriate prescribing and medication errors in long term care; barriers of delivery of care to the elderly; and pain assessment and treatment in the elderly.
Education and Evaluation
The Pittsburgh GRECC offers interdisciplinary clinical and didactic educational experiences for numerous health care disciplines, including Geriatric Medicine Fellows, Geriatric Psychiatry Fellows, Internal Medicine Residents, Medical Students, Psychology Fellows, Psychology Interns, Pharmacy Residents, Clinical Pastoral Residents, Nurse Practitioner Trainees, Speech Pathology Clinical Fellows, Audiology Doctoral Trainees, Social Work Trainees, Physician Assistant Trainees, and Occupational Therapy Trainees. GRECC trainees rotate through several geriatric-specific clinics. The main GRECC clinical training sites are the Geriatric Evaluation and Management Clinic (GEM), Home Based Primary Care (HBPC), Program for Intensive Residential Aphasia Treatment and Education (PIRATE), Pain Clinic, and Neurology Clinic. The Pittsburgh GRECC offers three didactic experiences that include a Core Lecture series consisting of an interdisciplinary 16-part teaching conference to help trainees understand core geriatrics concepts from multiple perspectives; an Interdisciplinary Case Conferences which involves the presentation of a patient case by a trainee with feedback and discussion to suggest how each discipline contributes to the care of older adults; and a noon Conference Series which is a weekly conference that highlights recent advances in research, education, and clinical practice.
The Pittsburgh GRECC provides consultative interdisciplinary geriatric services through its Geriatric Evaluation and Management Clinic, Dementia Clinic, and Geriatric Driving Safety Clinic. A Polypharmacy E-consult service helps evaluate medications in rural older Veterans. The TeleDementia Clinic (part of the GRECC CBOC connection) is a clinical demonstration project which provides the team based dementia care to Veterans in 15 rural CBOCs throughout Western Pennsylvania via Clinical Video Telehealth (CVT). There is also a Tele-dementia caregiver support program conducted via CVT. The Program of Intensive Residential Aphasia Treatment & Education (PIRATE) provides intensive speech therapy to treat aphasia in Veterans from around the country. The third clinical demonstration project is a Geriatric Cardiac Rehabilitation program that incorporates a home based or hybrid program using telehealth modalities.