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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions

David B. Reuben

and

John C. Beck

A Background Paper Prepared for the Committee on Strengthening the Geriatric Content of Medical Education

Division of Health Care Services

INSTITUTE OF MEDICINE

NATIONAL ACADEMY PRESS
Washington, D.C. 1994

Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
×

National Academy Press
2101 Constitution Avenue, NW, Washington, DC 20418

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

Support for this project was provided by The John A. Hartford Foundation under Grant No. 93146-G.

Additional copies of this background paper are available from:

Division of Health Care Services

Institute of Medicine

2101 Constitution Avenue, N.W.

Washington, DC 20418

Copyright 1994 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatlichemuseen in Berlin.

Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
×

COMMITTEE ON STRENGTHENING THE GERIATRIC CONTENT OF MEDICAL TRAINING

JOHN A. BENSON, Jr., * Chair, President Emeritus,

American Board of Internal Medicine, Portland, Oregon

GENE D. COHEN, deputy director,

National Institute on Aging, National Institutes of Health, Bethesda, Maryland

LEO M. COONEY, Jr., Humana Foundation Professor of Geriatric Medicine,

Yale University School of Medicine, and Yale-New Haven Hospital

BERNICE C. HARPER, medical care adviser and acting director,

Office of Professional and Business Affairs, Health Care Financing Administration, U.S. Department of Health and Human Services, Washington, D.C.

WILLIAM R. HAZZARD, * professor and chair,

Department of Internal Medicine, The Bowman Gray School of Medicine, Wake Forest University

LISSY F. JARVIK, professor of psychiatry and biobehavioral science,

Neuropsychiatric Institute, University of California at Los Angeles School of Medicine, and

distinguished physician,

West Los Angeles Veterans Affairs Medical Center

MARY O. MUNDINGER, dean,

School of Nursing, Columbia University

DAVID B. REUBEN, associate professor of medicine,

Department of Medicine, Multicampus Program in Geriatric Medicine and Gerontology, University of California, Los Angeles

JOANNE G. SCHWARTZBERG, director,

Department of Geriatric Health, American Medical Association, Chicago

Staff

JOSEPH S. CASSELLS, study director

JO HARRIS-WEHLING, senior program officer

MARY JAY BALL, senior project assistant

NINA H. SPRUILL, financial associate

KARL D. YORDY, director (until 10/1/93)

KATHLEEN N. LOHR, director (as of 10/1/93)

TOM BURROUGHS, consultant

JOHN C. BECK, consultant

*

Member, Institute of Medicine

Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
×

Acknowledgments

The authors thank the following individuals who provided unpublished data for this paper:

Brownell Anderson, Association American of Medical Colleges

Linda L. Blank, American Board of Internal Medicine

Wendy Colquitt, Association American of Medical Colleges

W. F. Dube, U.S. Department of Veterans Affairs

Jeffrey Foster, American Association for Geriatric Psychiatry

Carol Gleich, Council on Graduate Medical Education

Marsha Goodwin, U.S. Department of Veterans Affairs Central Office

Robert Haynes, Association of American Medical Colleges

Gail Jacoby, National Institute on Aging

Paul Jolly, Association of American Medical Colleges

Ann Kahl, Bureau of Health Professions

Susan Klein, Bureau of Health Professions

Sheila Kopic, University of California, Los Angeles, Medical Center

Jerome Kowal, Association of Directors of Geriatric Academic Programs

Karen Lambert, Accreditation Council for Graduate Medical Education

Anita Landry, Boston University

Stephanie Lederman, American Federation for Aging Research, Inc.

Angie Legaspi, American Geriatrics Society

David Lipshitz, Association of Directors of Geriatric Academic Programs

Chris Lyttle, National Study of Internal Medicine Manpower

John Morley, St. Louis University School of Medicine

Donna Regenstreif, The John A. Hartford Foundation

Patricia Reineman, University of Michigan

Laura Robbins, The John A. Hartford Foundation

Joanne Schwartzberg, American Medical Association

Melissa Silvestri, American Geriatrics Society

Brooke Whiting, Association of American Medical Colleges

David Woodwell, National Ambulatory Medical Care Survey

Tom Yoshikawa, U.S. Department of Veterans Affairs Central Office

Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
×

Foreword

In December 1993, the Institute of Medicine (IOM) released the report Strengthening Training in Geriatrics for Physicians, which was the product of a nine-member Committee on Strengthening the Geriatric Content of Medical Training. The work of that committee was enhanced by a background paper authored by committee member David B. Reuben and John C. Beck. Their paper, Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions, is published in this volume.

In this paper the authors address the progress in geriatric and gerontological education that has been made throughout the educational continuum for physicians. The interpretations and conclusions expressed are their own, and do not necessarily reflect the views of the IOM Council, the committee, or IOM staff. Because this publication postdates the release of Strengthening Training in Geriatrics for Physicians, the authors have added a chapter that summarizes the committee's recommendations found in that report.

The IOM committee's work and the publication of both its report and this background paper were supported by The John A. Hartford Foundation. We are particularly grateful to the Foundation's senior program officer, Donna Regenstreif, and program officer, Laura Robbins, for the encouragement they provided for publishing the paper. In addition, Mary Jay Ball, IOM project assistant, played an essential role in preparing this manuscript for publication; we appreciate her quality work.

John A. Benson, Jr., Chair

Committee on Strengthening the Geriatric Content of Medical Training

Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
×
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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Suggested Citation:"FRONT MATTER." Institute of Medicine. 1994. Training Physicians to Care for Older Americans: Progress, Obstacles, and Future Directions. Washington, DC: The National Academies Press. doi: 10.17226/9162.
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