Clinical Rotations

Clinical rotations place trainees in real care environments where clinical decisions, coordination, and adaptability are part of everyday practice. Training emphasizes hands-on experience with older adult populations across primary care, long-term care, and community-based settings. Training is delivered across a network of community health centers, hospitals, and long-term care settings throughout Hawaiʻi and the Pacific region, with a focus on rural and medically underserved communities. These sites are selected to reflect where care is most needed and where trainees can engage with diverse patient populations.
Trainee Placements Across TTOUR Sites
Trainee placements are distributed across clinical and community-based sites to expand workforce capacity and increase exposure to varied care environments

Click here to explore trainee distribution by location, site, and training setting

Fellowship & Primary Care Rotations

Geriatric medicine fellows complete longitudinal rotations within community health centers, including Waianae and Wahiawa. These placements focus on managing complex care needs among older adults, emphasizing continuity of care, population health, and team-based primary care.

Medical Student Rotations (Neighbor Island Training)

Medical students participate in rotations on neighbor islands, including Kauaʻi, where they engage in rural and community-based care. These experiences strengthen understanding of access, resource limitations, and culturally responsive practice in non-urban settings.

Social Work Practicum Training

Social work trainees complete structured practicum placements (approximately 225 hours) focused on care coordination, resource navigation, and supporting older adults and their families. Training emphasizes interdisciplinary collaboration and community-based service delivery.

Interdisciplinary Clinical Practice

Across all sites, trainees work within interdisciplinary teams that may include physicians, nurses, social workers, and community-based providers. These experiences strengthen communication, shared decision-making, and the delivery of person-centered care.

These clinical training experiences contribute directly to workforce development, program reach, and service delivery across communities.
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