Training In Geriatric Medicine Research Articles

Focus Group Evaluation of Physician Training in Geriatric Medicine: Does a Geriatrics Rotation Make a Difference?

This article reports on the analysis of content from focus groups held to assess medical residents' attitudes about geriatric health care. Internal medicine residents volunteered to participate in a curriculum discussion. Discussions were guided by a moderator to elicit attitudes toward older people and caring for them and were recorded via audiotape, transcribed, and qualitatively analyzed. Residents distinguished “old” from “geriatric” and recognized the importance of taking care of older persons. Residents who had taken a formal rotation in geriatrics expressed more comfort and confidence regarding the care of older persons than did residents who did not have a geriatrics rotation. They also had more knowledge and clinical skills necessary to care for geriatric patients. Focus groups permit the assessment of attitudes in a way not possible with standard surveys. This technique has utility in medical education and curriculum analysis. Internal medicine trainees do gain from specific structured geriatric rotations beyond what is available in the standard residency experience.

Clinical fellowship training in geriatric medicine

Clinical fellowship training in geriatric medicine

Geriatric medicine training and family practice residency

Geriatric medicine training and family practice residency

From psychiatry to geriatrics and back again.

Skill in physical medicine is important in the care of the elderly psychiatric patient. The need for reciprocal training in geriatric medicine and old age psychiatry has been highlighted. This is most often undertaken at higher training level. This paper describes a six-month sabbatical from psychiatry as a senior house officer in geriatric medicine.

MAJOR ISSUES IN GERIATRICS OVER THE LAST FIVE YEARS

We congratulate Drs. Morley and Solomon on their excellent review entitled “Major Issues in Geriatrics over the Last Five Years.”1 It provided not only an excellent review, but also suggested areas in which further work is needed. However, the authors made a glaring error of omission. They stated that “the development by the American Boards of Internal Medicine of a certificate of added qualification in geriatric medicine represents a major advance in the recognition of the role of the geriatrician.” Their statement tells only half the story. What the authors omitted was the fact that 2 boards were involved in the process: the American Boards of Family Practice and Internal Medicine. Both Boards worked together to develop joint requirements for added qualification in geriatric medicine and fellowship training programs. The development of the exam for added qualifications was also a joint project by the 2 boards. This historic cooperation guarantees that family physicians and internists will have identical fellowship training requirements and will take the same certifying exam. The 2 Boards also stipulated that to remain certified in geriatric medicine, physicians must remain certified in their respective specialties. The importance and significance of the cooperation of both Boards should not be dismissed. The authors go on to imply that the time needed to train in geriatrics may differ between the specialties. “At least in the case of the internist, this is insufficient time to acquire the nuances of geriatric care.” Statements of this sort threaten the continued spirit of cooperation between the specialties of family medicine and internal medicine. The continued cooperation between family medicine and internal medicine is essential to the continued survival of geriatrics as a specialty. In many teaching institutions, the teaching of geriatrics is a joint venture between family medicine and internal medicine because of the difficulty in finding sufficient numbers of academic geriatricians. This alliance has been beneficial to both groups.

Psychologists in geriatric medicine: Results of a national survey.

Physician directors of geriatric medicine fellowship programs (N=51) were surveyed on their current and desired involvement with psychologists, perceived areas of expertise of psychologists, comparisons of psychologists with overlapping health care professions, and factors limiting involvement of psychologists in geriatric medicine. Results indicate that psychologists are quite involved in most geriatric medicine training programs and that directors of these programs welcome their greater involvement. Significantly, psychologists and psychiatrists are rated as similar in expertise in most areas of clinical practice.

Reciprocal training in old age psychiatry and geriatric medicine in South Gwent

Skill in physical medicine is an often neglected area in psychiatric training. It is nonetheless very important, particularly in the care of the elderly. The need for reciprocal training in geriatric medicine and old age psychiatry was highlighted in Care of Elderly People with Mental Illness (1989), the Joint Report of the Royal College of Physicians and the Royal College of Psychiatrists on services for the elderly and medical training. It recommends that, “Higher professional training for specialisation in the psychiatry of old age should include at least two months experience in geriatric medicine”, and suggests that this previously optional experience should become an obligatory part of specialist training. It indicates the alternative ways of gaining such experience: a short secondment, a weekly sessional commitment or a direct exchange of posts.

Training in geriatric medicine in United Kingdom.

Training in geriatric medicine in United Kingdom.

Editor's book choice: Vascular Brain Disease in Old Age, Teaching and Training in Geriatric Medicine No 2. Ed. WMeier‐Ruge. Karger, Basle, 1989, viii + 188 pp, £11.70.

International Journal of Clinical PracticeVolume 44, Issue 2 p. 51-51 Clinical Studies Editor's book choice: Vascular Brain Disease in Old Age, Teaching and Training in Geriatric Medicine No 2. Ed. W Meier-Ruge. Karger, Basle, 1989, viii + 188 pp, £11.70. Eric Trimmer, Eric TrimmerSearch for more papers by this author Eric Trimmer, Eric TrimmerSearch for more papers by this author First published: 01 February 1990 https://doi.org/10.1111/j.1742-1241.1990.tb10733.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume44, Issue2February 1990Pages 51-51 RelatedInformation

The first certifying examination in geriatric medicine.

On April 22, 1988, the first Certifying Examination in Geriatric Medicine was administered jointly by the American Board of Internal Medicine and the American Board of Family Practice to 4,282 diplomates (ABIM = 2,202; ABFP = 2,080). This paper addresses both an analysis of the examination and the relationship between performance on that examination and a group of characteristics of the examinees, collected as part of the registration process. The pass rate was 56%. Performance on the examination was positively correlated with scores on the general certifying examinations and with training in geriatric medicine. Data provided by the candidates in an addendum to the application were also available for analysis and were used to derive correlations with groups of questions. The performance of candidates was positively correlated with seeing large numbers of elderly in hospitals, nursing homes, or home settings, working in a University Hospital, teaching and research, and the size of the community in which the candidate practiced. Physicians from long-term care settings did exceptionally well. Working in a solo practice setting was negatively correlated with performance on the examination as was working in a for-profit setting.

Medical Care in the Nursing Home

EVERY day more than 1.5 million Americans awaken in 1 of close to 20 000 nursing homes.1Some of these facilities provide excellent care, but the poor quality of care provided by many nursing homes has been repeatedly documented in the lay press, medical literature, and congressional testimony (Los Angeles Times. February 17, 1989; pt 1:3).2-4While the problems of many nursing home residents are more functional and psychosocial than medical,1,5the increasing acuity of medical conditions in this population since the implementation of the prospective payment system6,7demands that physicians be intimately involved in care provided in nursing homes. Yet, the majority of primary care physicians do not participate in the care of nursing home residents,8and very few of those who do provide care for substantial numbers of nursing home residents have received formal training in geriatric medicine or long-term care. Physician visits

An ambulatory geriatric evaluation unit in a family geriatric curriculum.

Training in Geriatric Medicine has become increasingly important in the education of family physicians. This paper describes the experience of a community-based Family Medicine residency in developing an ambulatory Geriatric Evaluation Unit (GEU) as part of a comprehensive geriatric curriculum. The experience demonstrates the value of a multidisciplinary team approach, systematic development and integration of additional education activities as effective techniques for training family physicians and ancillary health care providers.

Physician Assistant Training and Practice in Geriatric Medicine

This study reports on an increasing educational emphasis by physician assistant (PA) programs on didactic and clinical experiences in geriatrics. Of a random sample of physician assistants known to be caring for elderly patients, some physician assistants may see a large number of elderly patients depending on their practice setting. When asked to rate the importance of various topics to a physician assistant's scope of practice with elderly patients, there was exceptional congruence in the relative weights of the items given by educators and practicing physician assistants.

Medical audit in geriatric medicine.

A form developed to audit the case notes of general medical patients was modified for use in geriatric medicine. The case notes of 41 admissions to the geriatric wards of a teaching hospital were audited with the new form and their contents did not come up to the standard set. Deficiencies were found in those parts of the notes considered to reflect the distinctive features of the specialty, e.g. the functional history, the assessment of mobility and the recording of multidisciplinary case conferences. The introduction of a standard history and examination form to meet the needs of patients admitted to geriatric wards, better training in geriatric medicine for junior doctors and closer scrutiny of medical records by consultants are suggested as ways of improving documentation in the case notes.

Performance of candidates on the geriatric medicine items of the American Board of Internal Medicine Certifying Examination.

The performance of candidates on the geriatric medicine items on the American Board of Internal Medicine's 1980, 1981, and 1982 Certifying Examinations was analyzed. For the 1981 and 1982 examinations, candidates who trained in residency programs having a special emphasis on geriatric medicine performed significantly better on the geriatric item than did candidates who attended other residency programs, regardless of overall medical knowledge. This finding suggests the efficacy of training in geriatric medicine as measured by a written examination.

Career aspirations of geriatric medicine trainees.

The views of trainees in geriatric medicine on preferred career styles were studied by questionnaire. As expected, the majority of respondents did not intend a career in geriatric medicine upon graduation. Whilst a majority would prefer a post wholly dedicated to the care of elderly patients, half the sample would prefer their service to be integrated with general medical services. The majority are optimistic for the future of geriatric medicine in the United Kingdom.

CONFERENCE ON VOCATIONAL TRAINING IN GERIATRIC MEDICINE

Journal Article CONFERENCE ON VOCATIONAL TRAINING IN GERIATRIC MEDICINE Get access J. C. BROCKLEHURST J. C. BROCKLEHURST Professor of Geriatric Medicine University of Manchester, University Hospital of South ManchesterNell Lane, Manchester M20 8LR Search for other works by this author on: Oxford Academic PubMed Google Scholar Age and Ageing, Volume 13, Issue 3, May 1984, Pages 179–180, https://doi.org/10.1093/ageing/13.3.179 Published: 01 May 1984

The Core of Geriatric Medicine: A Guide for Students and Practitioners

This is a good book that can be used, as its title implies, as a guide for health practitioner students. It is not a comprehensive treatise on gerontology or geriatric medicine and is directed to psychiatric and rehabilitative aspects of the older patient. This is understandable, since Dr Libow is nationally recognized for his pioneering efforts in establishing the first-rate Geriatric Rehabilitation and Care Center, where most of the material in the book was developed. Dr Sherman formerly worked with Dr Libow at this center. If used along with one of the newer, more comprehensive texts in geriatric medicine, it would be useful to medical students and resident physicians who are training in geriatric medicine. Even without a more comprehensive text, the book will be useful to nurses and other health professionals. One of the hazards of any how-to book, as some may consider this work, is that it could

Geriatric medicine: a statement from the Federated Council for Internal Medicine.

The body of knowledge pertinent to the care of the elderly lies largely within internal medicine and its subspecialties. A growing number of elderly persons have great need for medical and social services. The Federated Council for Internal Medicine (FCIM) recommends increased emphasis on geriatric medicine in the medical school curriculum, the medical residency, and continuing medical education; new affiliations of medical schools with geriatric care institutions; and the development of postresidency advanced training in geriatric medicine, aimed primarily at creating teacher-scientists, but also preparing for a consultant role. The FCIM opposes the creation of separate medical school departments and favors inclusion of an administrative mechanism for geriatrics within the department of medicine, preferably linked to the division or section of general internal medicine. The FCIM encourages the American Board of Internal Medicine to continue to explore forms of recognition of advanced training and particular competence in geriatric medicine but opposes the creation of a separate certifying board for geriatrics.

Geriatric medicine training in a family medicine residency.

While the need for training programs in geriatric medicine is widely recognized, there are substantial obstacles to developing such training. Obstacles include shortage of faculty members and negative attitudes toward geriatrics on the part of students. For the past two years, family medicine residents have participated in a required rotation in geriatric medicine at the Duke University Medical Center. The program has been successful as measured by regular monthly evaluations of the resident on the rotation, resident acceptance, requests by other learners in the university to participate, and career choices of graduates of the program.