The clinical focus of this fellowship is Geriatric Emergency Medicine. It is intended to allow the fellow to develop focussed expertise in care of older patients in the Emergency Department in multiple domains -- clinical practice; education; research; quality improvement, and programme development. The enhanced training will take place both in the ED and in multiple other settings over the course of the year -- in-patient geriatric medicine and psychiatry, palliative care, community-based care, long-term care and complex and continuing care.