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