Abstract

Juul et al. 1 Juul D. Colenda C.C. Lyness J.M. et al. Subspecialty training and geriatric psychiatry: a 25 year overview. Am J Geriatr Psychiatry. 2017; 25: 445-453 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar describe the growing shortage of subspecialty trained geriatric psychiatrists. The workforce deficiency is most striking in geographic areas that are underserved by generalist psychiatrists and in areas over-represented by the economically disadvantaged. Data provided in their article raise the concern that the American Board of Psychiatry and Neurology (ABPN) will find it increasingly difficult to support the infrastructure required to maintain the accreditation process. A further decline in fellowship positions would threaten the future of geriatric psychiatry as a subspecialty and high-quality psychiatric care for older persons. We describe reasons for the decline in fellowship applicants and possible methods to reverse this trend. Subspecialty Training and Certification in Geriatric Psychiatry: A 25-Year OverviewThe American Journal of Geriatric PsychiatryVol. 25Issue 5PreviewThe Institute of Medicine estimated that by 2030, from 10.1 to 14.4 million Americans aged 65 years or older will have mental health or substance use disorders. This article reviews the history and current status of training, certification, and practice in geriatric psychiatry against the backdrop of this “silver tsunami.” The American Board of Psychiatry and Neurology (ABPN) administered the first subspecialty examination in geriatric psychiatry in 1991, and through 2015 3,329 certificates were awarded. Full-Text PDF

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