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Geriatrics in residency programs.

D B Reuben1, A Fink, S Vivell

  • 1Multicampus Division of Geriatric Medicine and Gerontology, UCLA School of Medicine 90024-1686.

Academic Medicine : Journal of the Association of American Medical Colleges
|June 1, 1990
PubMed
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Geriatric medicine integration into residency training is lacking due to insufficient faculty and clinical sites. Most programs need more geriatrics education to meet the needs of an aging population.

Area of Science:

  • Medical Education
  • Geriatric Medicine
  • Residency Training

Background:

  • The integration of geriatric medicine into residency programs is crucial for addressing the healthcare needs of an aging population.
  • Previous assessments of geriatrics training in residency programs are limited.

Purpose of the Study:

  • To evaluate the extent of geriatrics integration into family practice and internal medicine residency training programs in the United States.

Main Methods:

  • A random 33% sample of US family practice (n=126) and internal medicine (n=140) residency programs were surveyed in 1988.
  • Data collected included geriatrics faculty numbers, availability of clinical training sites, and existence of geriatrics curricula.

Main Results:

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  • Internal medicine programs had more geriatrics faculty than family practice programs, but numbers were insufficient for both.
  • Fewer than half of residencies offered specialized geriatrics training sites (inpatient units, ambulatory clinics, consult services).
  • Nursing homes were more accessible training sites, particularly for family practice programs (93% vs. 58%).
  • Geriatrics curricula were more prevalent in family practice (80%) than internal medicine (36%) programs.

    • Conclusions:

    • Geriatrics content integration into residency training is not yet universal.
    • Shortages of qualified geriatrics faculty and dedicated clinical training sites significantly hinder comprehensive geriatrics education.
    • Further development of geriatrics training resources is essential to prepare physicians for the care of older adults.