Vivyenne Roche, M.D., is a Professor in the Department of Internal Medicine at UT Southwestern Medical Center, and a member of its Geriatric Medicine Division. A specialist in geriatric medicine, her interests include memory disorders, helping patients maintain or improve their functional status, polypharmacy, and quality improvement.

Dr. Roche earned her medical degree at the Royal College of Surgeons in Ireland. She completed residencies in internal medicine at Dublin, Ireland; at Perth, Western Australia; at Saint Joseph Hospital in Denver; and at UT Southwestern. She received advanced training in geriatric medicine through a fellowship at the University of Colorado Health Sciences Center.

Certified by the American Board of Internal Medicine in geriatric medicine, she joined the UT Southwestern faculty in 1999.

A Distinguished Teaching Professor, Dr. Roche serves as Director of the Geriatric Care Center Clinic at UT Southwestern. In addition, she is the Course Director of Frontiers in Aging, a one-month selective block rotation for fourth-year medical students; Director of UT Southwestern Home Health Care; and Director of the UTSW Geriatrics Fellowship Program.

She is a Fellow of the American Geriatrics Society, serving nationally as a member of its Ethnogeriatrics Committee and its Ethics Committee, as well as Co-Chair of its Quality Indicators Subcommittee. She is also a member of the Association of Directors of Geriatric Academic Programs and a Fellow of the American College of Physicians.

Dr. Roche has delivered countless invited lectures, contributed to the book Geriatric Urology, and published multiple academic articles.

In 2016, she was elected to the UT Southwestern Academy of Teachers. In 2019, she was elected to the UT Kenneth I. Shine, M.D., Academy of Health Science Education.


Medical School
Royal College of Surgeons in Ireland (1987)
Beau Meyer, M.D. (1988), Internal Medicine
Beau Meyer, M.D. (1990), Medicine
Sir Charles Gardiner Hospital (1992), Internal Medicine
University of Colorado School of Medicine (1995), Geriatrics
St. Joseph's Hospital (1996), Internal Medicine
Parkland Health & Hospital System (1999), Internal Medicine

Research Interest

  • Functional status following ICU admission in an elderly cohort
  • Geriatrics
  • PEG tube feedings
  • Social support and major life events related to CABG patient outcome


Featured Publications LegendFeatured Publications

Predicting which patients can resume oral nutrition after percutaneous endoscopic gastrostomy tube placement.
Naik AD. Abraham NS. Roche VM. Concato J. Alimentary Pharmacology & Therapeutics May 2005 21(9) 1155-61
Normative values for the American Urological Association Symptom Index (AUA-7) and short form Urogenital Distress Inventory (UDI-6) in patients 65 and older presenting for non-urological care.
Svatek R., Roche V., Thornberg J., Zimmern P. Neurourology & Urodynamics 2005 24(7) 606-10
Percutaneous endoscopic gastrostomy. Clinical care of PEG tubes in older adult.
Roche V Geriatrics November 2003 58(11) 22-6, 28-9
Etiology and Management of Delirium.
Roche VML American Journal of the Medical Sciences January 2003 325(1) 20-30
Normal D-dimer levels in patients with pulmonary embolism.
Kutinsky I, Blakley S, Roche V. Arch Int Med. 1999 159 1569-157

Professional Associations/Affiliations

  • American College of Physicians
  • American Geriatrics Society
  • Dallas County Medical Association
  • Texas Medical Association