Cynthia Brown, DirectorThe Division of Gerontology, Geriatrics, and Palliative Care at the University of Alabama at Birmingham serves older adults and patients with advanced or life-threatening illness by providing leadership and core faculty for innovative models of clinical care; teaching and instructing students, fellows, and residents; and conducting research that generates new knowledge contributing to the advancement of science and the quality of life. Faculty and staff are dedicated to carrying out these activities in a caring manner that always respects the dignity of those we serve.

The Division includes fifty-six faculty members including thirty-five physicians, two nurses, and nineteen basic and social-behavioral scientists who work together to achieve the common goal of being one of the best such programs in the United States. The Division consists of four sections (Geriatric Medicine, Palliative and Supportive Care, Social and Behavioral Science, and Basic Science) and works closely with other UAB programs in aging. Division faculty provide leadership for a number of interdisciplinary centers and programs at UAB including the Comprehensive Center for Healthy Aging, Center for Palliative Care, Geriatric Education Center, Southeast Center of Excellence in Geriatric Medicine, Deep South Resource Center for Minority Aging Research,and the Reynolds Center for Geriatric Education.

The Division of Gerontology, Geriatrics, and Palliative Care provides primary care and specialty services that meet the needs of older adults and patients with advanced or life-threatening illness. The William Clifford and Margaret Spain McDonald Clinic houses several of the Division's outpatient clinical programs including the Geriatric Clinic, Geriatric Heart Failure Clinic, and the Camellia Medical Group. The Continence Clinic at the Kirklin Clinic offers comprehensive evaluation and treatment of urinary incontinence. An Acute Care for the Elderly (ACE) Program that includes Geriatric consults is offered at University Hospital. Palliative care inpatient units and consult services are available at both the University Hospital and the VA. Other VA-based programs include the Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC) Fall Prevention and Continence Clinics, an outpatient Geriatric Assessment Clinic, geriatric hospital consultations, Home-Based Primary Care, and an outpatient and home-based Palliative Care Program. The Division provides medical directorships for community-based continuing care communities, a Geriatric Health Center, assisted-living, geriatric care management, and several hospice providers.

The Division provides training in geriatric medicine and palliative care for medical students and medical residents. Division faculty members also provide services and medical education on the General Medicine Wards of the Birmingham Veterans Affairs Medical Center (BVAMC), the University Hospital, and in the VA outpatient clinic. The Division offers fellowship training in Geriatric Medicine that is designed to prepare the internists and family medicine physicians for an academic career in Geriatric Medicine and to provide leadership for health care programs that serve the needs of older adults. A fellowship program in Palliative Care is also offered.

Many Division faculty members are active in research activities that focus on mobility, urinary and fecal incontinence, Alzheimer's disease and related memory problems, nutrition, geriatric heart failure, end-of-life care, advanced illness management, functional outcomes of geriatric health care, and quality improvement. Basic biomedical research initiatives include studies of cellular and molecular mechanisms involved in atherosclerosis and Alzheimer's disease including the role of monocytes and macrophages, endothelial cells, apolipoproteins, dietary factors, and the anti-atherosclerotic and anti-inflammatory activity of peptide mimics of apolipoproteins.