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Training Physicians to Care for Older Americans Progress, Obstacles, and Future Directions (1994) / Chapter Skim
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5 STRATEGIES TO STRENGTHEN GERIATRICS TRAINING FOR PHYSICIANS
Pages 35-43

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From page 37...
... GERIATRICS CURRICULUM AND IMPLEMENTATION GRANTS Besdine (1993J has recommended the establishment of geriatrics curriculum development and implementation grants to medical schools that develop and implement mandatory basic science and clinical curriculum components on aging. He also recommends similar awards to residency programs for the addition of mandatory training in geriatrics.
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From page 38...
... report on leadership for academic geriatric medicine also recommended the creation of centers of academic excellence. The conferees at the IOM prereport writing conference had clearly been influenced by the recognition of the need for contributions from several of the relevant disciplines involved in academic training programs in order to implement strong clinical and research programs in geriatrics in academic medical centers.
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From page 40...
... Unfortunately, the majority of the geriatric fellowship programs in the United States focus heavily on clinical training in the usual 2-year fellowship program. The majority of the programs are unable to produce graduates who can compete successfully for Research Career Development Awards and other research grants required to build a successful academic career.
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From page 41...
... The requirement for initiating such a program would be the need for a strong host institution with established excellence in both geriatric medicine and subspecialty training, a faculty with the innovative bent and energy needed to put forth the effort required to establish and maintain a successful dual training program, and greater flexibility in the financial support for the combined training effort. SOLVING THE ACADEMIC LEADERSHIP CRISIS IN GERIATRICS BY RETRAINING SPECIALISTS FOR LEADERSHIP IN AGING It has been estimated (Lundberg, 1991)
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From page 42...
... Current stipends for midcareer training under the Bureau of Health Professions fellowship training grants are tied to fellowship salaries, which are frequently less than one third of midcareer faculty salaries. Such salary reductions, even if only transient, might be a deterrent rather than an incentive to retraining and would seriously impair recruitment efforts.
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From page 43...
... INCREASING THE GERIATRIC MEDICINE CONTENT IN NATIONAL EXAMINATIONS Nationally sponsored examinations throughout the medical educational continuum are often not considered to have any major effect on the course content of the undergraduate, graduate, or fellowship training curricula. The realities are that, from the potential examiners' perspective, they very much influence what students learn.
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Key Terms

  • geriatrics medicine
  • fellowship training
  • academic programs
  • health professions
  • medical students

  • aging research
  • clinical training
  • medical education
  • academic leadership
  • development awards

  • retraining specialists
  • fellowship programs
  • medical schools
  • hartford foundation
  • compete successfully

  • leadership positions
  • residency programs
  • academic geriatrics
  • midcareer training
  • educational training

  • training effort
  • policy initiatives
  • subspecialty training
  • faculty training
  • faculty leadership

  • geriatric training
  • graduate training
  • payment review
  • programs sponsored
  • effort required


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