How did you become interested in geriatrics?
My journey into geriatrics began with my family. I grew up in a multigenerational household, deeply connected to my grandmother, who lived in Colombia. In our culture, care for older adults is very home-centric. When she began dealing with chronic illnesses and experienced her first stroke, my family had to navigate her care from a distance. We traveled to Colombia each summer to coordinate how she could stay at home, supported by people she cherished, while respecting what was most important to her. Those experiences—watching my family work through these challenges and being involved in her care—were my first lessons in the importance of holistic, person-centered care.
Later, during my internal medicine and pediatrics residency, geriatrics found me. On my first day, I worked with Dr. Rosanne Leipzig, who saw in me the makings of a geriatrician. At the time, I planned to pursue pediatrics, but my experience in the ACE unit changed everything. The way we listened deeply to patients and crafted care plans around their values reminded me of the care my family provided my grandmother. Those moments, combined with additional geriatrics electives and a research project, cemented my decision to pursue this field during my third year of residency.
My father also had a profound impact on my career choice. As a cardiologist who practiced primary care well into his 80s, he approached medicine with compassion and gratitude. We lived above his practice, and our living room often served as the waiting room. I accompanied him on house calls, carried his bag, and saw how he cared for patients as whole people. While he hoped I would follow in his footsteps as a cardiologist, his dedication to meeting patients where they were inspired me to pursue geriatrics, where I could focus on comprehensive care.
What is your favorite part of working with older adults?
The diversity in how older adults age and approach life is my favorite thing about this work. Their life stories and wisdom are endlessly inspiring. In my practice, where the average patient is 86, I’ve built long-term relationships, often spanning decades. One patient, who ran his last marathon at 96 and is now 103, exemplifies the resilience I see daily. These relationships remind me that my work isn’t just about addressing medical needs—it's about honoring who my patients are and advocating for what matters to them.
It’s fulfilling to guide my patients through their health journeys and bring medical students along for this ride, allowing them to develop as compassionate caregivers. These relationships evolve as students grow in their professional identities, with students becoming strong advocates for their patients. For example, during the pandemic, one of my students helped a patient who was uncomfortable with learning new technology navigate telehealth step-by-step, ensuring they could access care during a challenging time when access was notoriously difficult.
What are you most proud of in your career?
I’m most proud of my work developing innovative training programs that prepare geriatricians to be leaders in the field. During my time as a Program Director and now as Vice Chair of Education, I’ve focused on creating pathways that integrate leadership, collaboration, and advanced skills into geriatrics education.
A key accomplishment was launching an integrated geriatrics and palliative medicine fellowship program at Mount Sinai in 2010. This program addressed the overlap in competencies between the two specialties and provided a unified pathway for fellows to train in both fields simultaneously. Over the past 15 years, the program has grown to 12 institutions nationwide, graduating more than 80 fellows who are now leaders in geriatrics and palliative medicine. This program is now a standard pathway through the American Board of Internal Medicine (ABIM), and American Board of Family Medicine (ABFM).
I’m also proud of the Med-Geri pathway, which integrates geriatrics training into the residency experience. Internal medicine and family medicine residents begin their geriatrics fellowship within their intern year and complete the program over four years. This structure provides mentorship, training, mentorship, and six months of protected time for scholarship giving trainees a more comprehensive education. Since its inception, the Med-Geri pathway has expanded to 14 programs, fostering early interest in geriatrics and preparing residents for leadership roles.
What are you working on right now?
Currently, my work focuses on leadership development for fellows and early-career professionals. In 2019, I helped to launch a national leadership curriculum. Two years later, with AGS as a partner, we were able to tailor that curriculum to AGS members and provide fellows and early career professionals with tools to strengthen their communication, emotional intelligence, and resilience. The curriculum expanded to a self-paced course with video companions, webinars, and community-building opportunities. To date, we’ve trained over 200 participants, and the program continues to grow. This has since evolved into a series of leadership sessions held at the AGS Annual Scientific Meeting to make these resources available to a wider audience.
This work is about preparing future geriatricians to meet the challenges of an aging population. It’s incredibly rewarding to see how these programs inspire fellows to take on leadership roles and improve care at all levels.
What piece of advice would you share with someone considering a career in geriatrics or just starting out?
Geriatrics offers incredible opportunities and a bright future. There are diverse career paths, from ambulatory and inpatient care to hospital-at-home programs and research. Geriatrics is increasingly collaborating with fields like oncology, cardiology, and more, expanding the potential for cross-disciplinary work. The research arena is also ripe with unanswered questions on topics surrounding care models and the needs of the "older old”. Age-friendly health systems are on the rise and geriatricians are leading the way in shaping these systems.
The strength of geriatrics lies in its sense of community. It’s a field full of mentors and role models who genuinely want to see you succeed. AGS has played a vital role in supporting my career, offering platforms for innovation, collaboration, acknowledgement and professional growth.
If you’re considering geriatrics, know that you’re entering a field with abundant opportunities to collaborate, innovate, and make a real difference in the lives of older adults. There’s never been a better time to start.
What is your favorite thing about the AGS or your favorite memory involving the AGS?
The AGS has been like family to me. It has provided me a network of friendships and professional connections that have supported me throughout the years. One of my favorite things about AGS is the sense of community and belonging it provides. The annual meetings in particular are a highlight. They give us the opportunity to share ideas, check in as people, and build lasting collaborations.
AGS has provided me with invaluable platforms for collaboration and connection through committee work. Whether it was serving on the Ethnogeriatrics, Education, Fellowship, or Nominating committees, these experiences gave me a voice, helped me listen and learn from others, and opened doors to new projects and opportunities.
One memory that stands out is how AGS came together during the pandemic. Members and staff came together to provide my faculty and fellows with resources like masks and iPads for isolated patients when resources were low. When I got sick, they offered me their support – sending their well wishes, organizing calls, and even raising awareness to help me when I needed it most. That level of care, compassion, and camaraderie is truly unmatched.
The recognition and support I have received from AGS means a great deal. Being the first clinician educator mid-career awardee and receiving other accolades has helped not only with my personal growth but also in highlighting the importance of representation. I’ve been fortunate to represent the value and success that someone from a diverse background can bring to and achieve in this field.
What makes AGS so special is its openness and willingness to support members at every stage. It’s a place where even those just starting out can find mentorship, join committees, and contribute to important initiatives. AGS values the voices of everyone, no matter how early in their career, and this inclusivity allows ideas to flourish.