• Gregg A Warshaw, David C Thomas, Eileen H Callahan, Elizabeth J Bragg, Ruth W Shaull, Christopher J Lindsell, and Linda M Goldenhar.
• Office of Geriatric Medicine and Institute for Health Policy and Health Services Research, University of Cincinnati, 231 Albert Sabin Way, PO Box 670504, Cincinnati, OH 45267-0504, USA. warshaga@fammed.uc.edu
• J Gen Intern Med. 2003 Sep 1; 18 (9): 679684679-84.

ObjectivesThe dramatic increase in the U.S. elderly population expected over the coming decades will place a heavy strain on the current health care system. General internal medicine (GIM) residents need to be prepared to take care of this population. In this study, we document the current and future trends in geriatric education in GIM residency programs.Design, Setting, ParticipantsAn original survey was mailed to all the GIM residency directors in the United States (N = 390).ResultsA 53% response rate was achieved (n = 206). Ninety-three percent of GIM residencies had a required geriatrics curriculum. Seventy one percent of the programs required 13 to 36 half days of geriatric medicine clinical training during the 3-year residency, and 29% required 12 half days or less of clinical training. Nursing homes, outpatient geriatric assessment centers, and nongeriatric ambulatory settings were the predominant training sites for geriatrics in GIM. Training was most often offered in a block format. The average number of physician faculty available to teach geriatrics was 6.4 per program (2.8 full-time equivalents). Conflicting time demands with other curricula was ranked as the most significant barrier to geriatric education.ConclusionsA required geriatric medicine curriculum is now included in most GIM residency programs. Variability in the amount of time devoted to geriatrics exists across GIM residencies. Residents in some programs spend very little time in specific, required geriatric medicine clinical experiences. The results of this survey can guide the development of future curricular content and structure. Emphasizing geriatrics in GIM residencies helps ensure that these residents are equipped to care for the expanding aging population.

14 keywords...

hide…