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Clinical funding for geriatric fellowship programs.
1Department of Health Care Sciences, George Washington University Medical Center, Washington, DC 20037.
Journal of the American Geriatrics Society
|July 1, 1989
Summary
Medicare funding for geriatric fellowships is lower than for other programs, despite training focusing on Medicare recipients. New legislation offers an opportunity to increase this funding for geriatrics.
Area of Science:
- Geriatric Medicine
- Medical Education Funding
- Public Health Policy
Background:
- Medicare is the primary funder for housestaff training.
- Geriatric fellowship training disproportionately serves Medicare recipients.
- Current Medicare funding for geriatric fellowships is lower than for other specialties.
Purpose of the Study:
- To analyze Medicare funding for geriatric fellowship programs.
- To understand the implications of new legislation on geriatric medical education funding.
- To identify barriers to capitalizing on increased Medicare funding opportunities.
Main Methods:
- Analysis of Medicare funding streams for graduate medical education.
- Review of recent congressional legislation impacting medical training funding.
- Discussion of budgetary pressures on housestaff training programs.
Main Results:
- Geriatric fellowships receive a smaller proportion of Medicare funding compared to other specialties.
- Recent legislation presents a potential avenue for increased Medicare support for geriatrics.
- Understanding new funding mechanisms is crucial for effective implementation.
Conclusions:
- Increased Medicare funding for geriatric fellowships is possible under new legislation.
- Strategic understanding and planning are necessary to leverage this funding opportunity.
- Addressing broader housestaff budget constraints is essential for program growth.