Contents

• COMMITTEE ON STRENGTHENING THE GERIATRIC CONTENT OF MEDICAL TRAINING
• Acknowledgments
• Foreword
• 1. Introduction
  • HEALTH CARE REFORM
  • MEDICAL EDUCATION
• 2. Geriatric Medicine and Geriatricians
  • HISTORICAL DEVELOPMENT AND CURRENT TRENDS IN HEALTH CARE DELIVERY TO OLDER PEOPLE
  • UTILIZING AND FINANCING HEALTH SERVICES
  • ROLES OF PHYSICIANS: GENERALISTS AND SPECIALISTS
  • CERTIFICATION OF GERIATRICIANS
  • REVIEW OF LAST DECADE OF INITIATIVES AND PROGRAMS IN EDUCATION AND TRAINING IN GERIATRIC MEDICINE
  • PROFILES AND INVENTORY OF GERIATRICIANS
• 3. Analysis of Effectiveness of Past Efforts to Build Geriatrics
  • INCREASE IN NUMBER OF GERIATRICIANS
  • INCREASE IN NUMBER OF GERIATRICS FACULTY
  • OUTCOMES OF MIDCAREER TRAINING PROGRAMS
  • INCREASE IN NUMBERS OF GERIATRICS FELLOWSHIP PROGRAMS
  • NUMBER OF UNFILLED FELLOWSHIPS SLOTS
  • GERIATRICS IN RESIDENCY TRAINING
  • NUMBER OF MEDICAL SCHOOLS WITH REQUIRED COURSES IN GERIATRICS OR GERONTOLOGY: CHANGE OVER TIME
  • STUDENT RESEARCH OR OTHER PARTICIPATION IN GERIATRICS
  • CONTINUING MEDICAL EDUCATION
  • OTHER MEASURES OF GROWTH IN GERIATRICS
  • OBSTACLES AND CONSTRAINTS TO THE DEVELOPMENT OF ACADEMIC GERIATRICS
• 4. Assessment of Level of Need for Geriatricians and Faculty
  • FACULTY FOR TEACHING NEEDS
  • FACULTY FOR RESEARCH NEEDS
  • PHYSICIANS FOR CLINICAL NEEDS
• 5. Strategies to Strengthen Geriatrics Training for Physicians
  • REVISION IN REIMBURSEMENT POLICIES
  • ALLIANCE FOR AGING RESEARCH EFFORTS
  • ADGAP PLAN
  • GERIATRICS CURRICULUM AND IMPLEMENTATION GRANTS
  • INCREASING EXPERTISE IN NON-PRIMARY CARE SPECIALTIES
  • CENTERS OF EXCELLENCE
  • REPLICATING THE USPHS AND NIH MODEL
  • JOINT GERIATRIC OR OTHER SUBSPECIALTY TRAINING PROGRAMS
  • SOLVING THE ACADEMIC LEADERSHIP CRISIS IN GERIATRICS BY RETRAINING SPECIALISTS FOR LEADERSHIP IN AGING
  • STRENGTHENING FACULTY DEVELOPMENT AND RETENTION PROGRAMS TO REDUCE ATTRITION FROM FACULTY LEADERSHIP ROLES
  • RECRUITMENT AND MARKETING STRATEGY
  • INCREASING THE GERIATRIC MEDICINE CONTENT IN NATIONAL EXAMINATIONS
  • VISIBILITY OF GERIATRICS MEDICINE ON THE NATIONAL AND STATE LEGISLATIVE SCENE
• 6. The 1993 Institute of Medicine Report
• References
• Acronyms

Support for this project was provided by The John A. Hartford Foundation under Grant No. 93146-G.

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.