A Report Card on Geriatrics Fellowship Training Programs

Reuben, David B.

doi:10.1111/j.1532-5415.1997.tb00989.x

Cited by 9 publications

(8 citation statements)

References 5 publications

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“…Furthermore, whereas in the 1980s, most geriatric medicine fellows had been U.S. medical student graduates (USMGs), in 1993, the National Study of Internal Medicine Manpower (NaSIMM) found that more than half of fellows were international medical graduates (IMGs). In an effort to reverse these trends, an editorial accompanying the NaSIMM report outlined the arguments for reducing the length of fellowship training to 1 year 19 . This change was made, and starting in 1998, candidates who had completed 1‐year programs were eligible to sit for the CAQ examination 20 .…”

Section: The Growth and Development Of Geriatric Medicine Fellowship mentioning

confidence: 99%

The Training of Geriatricians in the United States: Three Decades of Progress

Warshaw¹,

Bragg

2003

J American Geriatrics Society

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During the past 3 decades, significant progress has been made in preparing U.S. physicians to care for the growing elderly population. This paper reviews progress in training and certifying internists and family physicians in geriatric medicine. The establishment of the National Institute on Aging, a series of Institute of Medicine reports, Veterans Health Administration initiatives, and leadership and investment by the public sector and private foundations have supported the development of geriatric medicine training programs. In 1988, the Accreditation Council for Graduate Medical Education initially accredited 62 internal medicine (IM) and 16 family practice (FP) geriatric medicine fellowship programs. By academic year 2001–2002, 120 geriatric medicine fellowships were training 338 fellows. A recent survey of U.S. medical schools found a total of 869 full‐time equivalent (FTE) geriatrics faculty members. Their geriatrics programs had a median of 5.0 FTE physician faculty members, with a range of 0 to 42. Recent surveys of IM and FP residency programs found 803 geriatrician faculty members teaching in IM residency programs (53% response rate) and 453 teaching in FP residency programs (75% response rate). From 1988 through 2002, 10,207 Certificates of Added Qualifications in Geriatrics were awarded. The distribution of these practicing geriatricians varied considerably by state, with the national average being 5.5 per 10,000 persons aged 75 and older. Individual state rates ranged from 2.2 to 15.9. Although geriatric medicine training has grown remarkably over the past 3 decades, this growth is still not producing the number of geriatricians needed to care for the growing elderly population. Thus, expanded investment in the training of geriatricians as faculty and practitioners is needed.

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Section: The Growth and Development Of Geriatric Medicine Fellowship mentioning

confidence: 99%

The Training of Geriatricians in the United States: Three Decades of Progress

Warshaw¹,

Bragg

2003

J American Geriatrics Society

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“…It is clear that recruiting fellows to enter a geriatric fellowship is difficult. Many family practice geriatric fellowship positions are vacant (Reed, Weiss, & Senf, 1990;Reuben & Solomon, 1997;Lawlor, Lyttle, & Moldwin, 1997;Reuben, 1994). This low '' ll rate'' for geriatric fellowships is a growing embarrassment for the program director (AGS Education Committee, 1998;Reuben, 1994).…”

Section: Discussionmentioning

confidence: 95%

“…Of this group approximately 15-20% are family physicians, with the majority being internists. An alternative pathway of training mid-career academicians to join the ranks of current geriatrics medicine faculty has been proDownloaded by [Selcuk Universitesi] at 22:45 27 December 2014 posed as a more cost-e ective means of meeting geriatric training needs (Reuben & Solomon, 1997;Lawlor, Lyttle, & Moldwin, 1997;Reuben, 1994). However, family medicine already has a signi cant faculty shortage which was recently estimated to provide education to general family practice residents and the retaining of a signi cant number of current faculty.…”

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confidence: 99%

Factors Influencing the Decision to Enter a Geriatric Fellowship Program

Abyad¹

2000

Educational Gerontology

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“…To gain insight into the evolving status of the field of geriatric medicine, we conducted a national survey of physicians who completed formal geriatric fellowships in the United States and Puerto Rico from 1990 to 1998. This is the most recent attempt to characterize the career patterns of fellowship‐trained geriatricians 35–40 . The goals of this survey were to determine the timing and most important factors in the decision to pursue a career in geriatric medicine, document core elements and experiences of fellowship training, identify current professional activities and practice settings, and examine the relationship between length of training and overall academic career‐development activities.…”

mentioning

confidence: 99%

“…This is the most recent attempt to characterize the career patterns of fellowship-trained geriatricians. [35][36][37][38][39][40] The goals of this survey were to determine the timing and most important factors in the decision to pursue a career in geriatric medicine, document core elements and experiences of fellowship training, identify current professional activities and practice settings, and examine the relationship between length of training and overall academic career-development activities.…”

mentioning

confidence: 99%

The Current State of Geriatric Medicine: A National Survey of Fellowship‐Trained Geriatricians, 1990 to 1998

Medina‐Walpole¹,

Barker

Katz³

et al. 2002

J American Geriatrics Society

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The rapid growth of the older population has focused national attention on the need for physicians trained in geriatric medicine. To gain insight into the evolving status of the field, with particular focus on career decision-making and academic career development of trainees, we conducted a survey of physicians recently completing geriatric fellowships. The 107 accredited extant geriatric fellowship programs in the United States and Puerto Rico were contacted to identify trainees from 1990 to 1998. A mailed survey addressed relevant career development and training issues. Four hundred ninety out of 787 (62%) physicians responded; 20% completed 1 year and 80% 2 or more years of training. Half made the decision to pursue a career in geriatrics during residency, 27% decided before/during medical school, and a mentor influenced 48%. Currently, 80% have a Certificate of Added Qualifications in geriatric medicine, 69% hold academic appointments, 78% teach, 39% participate in research, and 44% author publications. Most are doing predominantly clinical work in multiple settings. Further analysis of the 1996-to-1998 cohort revealed that those completing fellowships of 2 or more years are more likely to identify all geriatrics as their professional focus, conduct and author research, work with multidisciplinary teams, and participate in professional geriatric societies. This national survey documents career decision-making and the academic and clinical profiles of physicians completing geriatric fellowship training in the past decade. Longer fellowship training is associated with academic career development. Although there is a national need to train clinical geriatricians, the additional need to train and fund future geriatric academic leaders requires increased attention.

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A Report Card on Geriatrics Fellowship Training Programs

Cited by 9 publications

References 5 publications

The Training of Geriatricians in the United States: Three Decades of Progress

The Training of Geriatricians in the United States: Three Decades of Progress

Factors Influencing the Decision to Enter a Geriatric Fellowship Program

The Current State of Geriatric Medicine: A National Survey of Fellowship‐Trained Geriatricians, 1990 to 1998

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