In the July 2016 issue of this journal, Dr. Mary Tinetti proposed that geriatric medicine abandon attempts to increase the numbers of board-certified geriatricians and change focus to the development of a "small elite workforce." What would be gained and what sacrificed by accepting this challenge? We agree that the best clinical use of a scarce resource, specialty trained geriatricians, is to care for frail, complex, severely ill elderly adults and to help design and study novel interventions in research, education, and care models to improve the care of all older adults, but for this to happen, all other providers must attain specific competency in the care of older adults. This article responds and discusses alternative pathways for teaching geriatrics care, training specialists, and geriatrics fellows.
机构:
Univ Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
Bodenheimer, Thomas
;
Sinsky, Christine
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Med Associates Clin & Hlth Plan, Dubuque, IA USA
Amer Med Assoc, Chicago, IL 60610 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
机构:
Icahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA
Mt Sinai Sch Med, New York, NY USAIcahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA
机构:
Brigham & Womens Hosp, Div Aging, Boston, MA 02115 USAUniv Cincinnati, Coll Med, Cincinnati, OH USA
Javedan, Houman
;
Rudolph, James L.
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机构:
Brigham & Womens Hosp, Div Aging, Boston, MA 02115 USA
VA Boston Healthcare Syst, GRECC, Boston, MA 02130 USAUniv Cincinnati, Coll Med, Cincinnati, OH USA
机构:
Univ Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
Bodenheimer, Thomas
;
Sinsky, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Med Associates Clin & Hlth Plan, Dubuque, IA USA
Amer Med Assoc, Chicago, IL 60610 USAUniv Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA
机构:
Icahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA
Mt Sinai Sch Med, New York, NY USAIcahn Sch Med Mt Sinai, Dept Anesthesiol, New York, NY 10029 USA
机构:
Brigham & Womens Hosp, Div Aging, Boston, MA 02115 USAUniv Cincinnati, Coll Med, Cincinnati, OH USA
Javedan, Houman
;
Rudolph, James L.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Aging, Boston, MA 02115 USA
VA Boston Healthcare Syst, GRECC, Boston, MA 02130 USAUniv Cincinnati, Coll Med, Cincinnati, OH USA