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Updated: Jul 14, 2026

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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
Salvaging a geriatric medicine academic program in disaster mode-the LSU training program post-Katrina.
Charles A Cefalu1, Robert S Schwartz
1Section of Geriatric Medicine, Department of Family Medicine, New Orleans, LA, USA. ccefal@lsuhsc.edu
Journal of the National Medical Association
|May 31, 2007
Summary
Geriatric medicine training in Louisiana faces significant challenges, with the sole program operating in survival mode. Post-disaster analysis reveals crucial lessons for future geriatric education initiatives.
Area of Science:
- Geriatric Medicine
- Medical Education
- Public Health
Background:
- The landscape of formal geriatric medicine training in Louisiana is nascent.
- This article details the operational challenges and resilience of the state's only active geriatric medicine fellowship program.
- The program's experience is framed within the context of post-disaster recovery and adaptation.
Discussion:
- The program navigated extreme adversity, highlighting the fragility of specialized medical training in disaster-prone regions.
- Opportunities for program development and innovation emerged from the crisis, demonstrating adaptive capacity.
- Lessons learned underscore the need for robust infrastructure and support systems for geriatric medical education.
Key Insights:
- Disasters can paradoxically create unique opportunities for program innovation and strengthening.
- Resilience in medical training programs is paramount, especially in specialized fields like geriatrics.
- Effective crisis management and strategic planning are vital for the survival and growth of niche medical programs.
Outlook:
- Future geriatric medicine training programs in Louisiana can benefit from the documented experiences and adaptive strategies.
- There is a need to build more resilient and sustainable geriatric medicine training models in the region.
- Continued focus on disaster preparedness and response within medical education curricula is recommended.
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