The training of geriatricians in the United States: Three decades of progress
The training of geriatricians in the United States: Three decades of progress
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DOI：
10.1046/j.1365-2389.2003.51345.x
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发表时间：
2003-07-01
影响因子：
6.3
通讯作者：
Bragg, EJ
中科院分区：
文献类型：
--
作者：
Warshaw, GA;Bragg, EJ
在过去的三十年里，美国医生在照顾不断增长的老年人口方面取得了重大进展。本文回顾了老年医学内科医生和家庭医生的培训和认证进展。国家老龄化研究所的成立、一系列医学研究所报告、退伍军人健康管理局举措以及公共部门和私人基金会的领导和投资支持了老年医学培训项目的发展。 1988 年，研究生医学教育认证委员会最初认证了 62 个内科 (IM) 和 16 个家庭实践 (FP) 老年医学奖学金项目。截至 2001-2002 学年，120 个老年医学奖学金培训了 338 名研究员。最近对美国医学院的一项调查发现，共有 869 名全职等效 (FTE) 老年病学教员。他们的老年病学项目的 FTE 医师教职人员中位数为 5.0 名，范围为 0 到 42 人。最近对 IM 和 FP 住院医师项目的调查发现，有 803 名老年病学教员在 IM 住院医师项目中教学（53% 的回复率），453 名老年病学教员在 FP 住院医师项目中教学（75% 的回复率）。从1988年到2002年，共颁发了10,207份老年病学附加资格证书。这些执业老年病学家的分布因州而异，全国平均水平为每 10,000 名 75 岁及以上老年人中有 5.5 名。各个州的税率范围为 2.2 至 15.9。尽管老年医学培训在过去三十年里有了显着增长，但这种增长仍然没有产生足够的老年科医生来照顾不断增长的老年人口。因此，需要扩大对老年医学专家和从业人员培训的投资。
During the past 3 decades, significant progress has been made in preparing U.S. physicians to care for the growing elderly population. This paper reviews progress in training and certifying internists and family physicians in geriatric medicine. The establishment of the National Institute on Aging, a series of Institute of Medicine reports, Veterans Health Administration initiatives, and leadership and investment by the public sector and private foundations have supported the development of geriatric medicine training programs. In 1988, the Accreditation Council for Graduate Medical Education initially accredited 62 internal medicine (IM) and 16 family practice (FP) geriatric medicine fellowship programs. By academic year 2001-2002, 120 geriatric medicine fellowships were training 338 fellows. A recent survey of U.S. medical schools found a total of 869 full-time equivalent (FTE) geriatrics faculty members. Their geriatrics programs had a median of 5.0 FTE physician faculty members, with a range of 0 to 42. Recent surveys of IM and FP residency programs found 803 geriatrician faculty members teaching in IM residency programs (53% response rate) and 453 teaching in FP residency programs (75% response rate). From 1988 through 2002, 10,207 Certificates of Added Qualifications in Geriatrics were awarded. The distribution of these practicing geriatricians varied considerably by state, with the national average being 5.5 per 10,000 persons aged 75 and older. Individual state rates ranged from 2.2 to 15.9. Although geriatric medicine training has grown remarkably over the past 3 decades, this growth is still not producing the number of geriatricians needed to care for the growing elderly population. Thus, expanded investment in the training of geriatricians as faculty and practitioners is needed.