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Training Physicians to Care for Older Americans Progress, Obstacles, and Future Directions (1994) / Chapter Skim
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4 ASSESSMENT OF LEVEL OF NEED FOR GERIATRICIANS AND FACULTY
Pages 30-34

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From page 30...
... have also made estimates. The former estimated that 1600 academic geriatricians are needed for the approximately 800 internal medicine and family practice residency programs; the AAFP estimated that 400 qualified faculty are needed for the existing family practice residency programs.
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From page 31...
... Congress, made the observation that the number of trainees in clinical and biomedical research on aging was far short of the number needed at that time and recommended that the first step that needed to be taken to repair this deficiency included the provision of support for 200 additional trainees per year in basic biomedical science. In the same report, NIA predicted that there was a need for 1,500 nonbiomedical faculty, including behavioral and social scientists, by 1990 to fulfill the research needs in the field of aging and that more than 3,500 such professionals would be needed by the year 2000.
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From page 32...
... The present academic leadership in geriatric medicine believes that the training capacity at the various Centers of Excellence exceeds the level of funding needed to support advanced trainees and that if adequate funding was provided to meet the present training capacity, competent advanced trainees would oversubscribe the training programs (Kowal, 1993~. The IOM committee suggested that an additional 200 doctoral trainees in the behavioral and social sciences and an additional 140 trainees in health services research would be needed each year.
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From page 33...
... The result of the study suggested that by the year 2000 the number of FTE physicians needed to provide medical care for older people will increase above the mid 1980s level by 34-51 percent. Estimates of the number of FTE positions in the primary care specialties of internal medicine and family and general practice needed in the year 2000 were far greater (146-151 percent)
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From page 34...
... The most commonly cited factors included limited time in residency, insufficient numbers of trained faculty, insufficient funds, lack of organization of geriatrics specialists, and lacl; of special clinical units for geriatric patients.
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Key Terms

  • residency programs
  • national ambulatory
  • ambulatory medical
  • geriatrics physician
  • physician faculty

  • care survey
  • people age
  • advanced trainees
  • basic scientists
  • surgical residency

  • training capacity
  • geriatric psychiatrists
  • current supply
  • services research
  • fellowship programs

  • practice residency
  • doctoral trainees
  • academic geriatric
  • aging research
  • provided formal

  • certified geriatric
  • family practice
  • ten people
  • fellowship training
  • status assessment

  • formal training
  • report observed
  • ambulatory visits
  • geriatric patients
  • adequate funding


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