Big 'G' and Little 'g' Geriatrics Education for Physicians

被引:35
作者
Callahan, Kathryn E. [1 ]
Tumosa, Nina [2 ]
Leipzig, Rosanne M. [3 ]
机构
[1] Wake Forest Sch Med, Dept Internal Med, Sect Gerontol & Geriatr Med, Winston Salem, NC USA
[2] Hlth Resources & Serv Adm, Rockville, MD USA
[3] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, New York, NY 10029 USA
关键词
geriatrics; education and training; fellowships; workforce; CARE; COMPETENCES; RESIDENTS; CONSENSUS; PROGRAMS; OUTCOMES; TRIPLE; AIM;
D O I
10.1111/jgs.14996
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
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.
引用
收藏
页码:2313 / 2317
页数:5
相关论文
共 29 条
[1]   A Collaborative National Model to Assess Competencies for Medical Students, Residents, and Other Healthcare Practitioners in Gait and Falls Risk Evaluation [J].
Atkinson, Hal H. ;
Tan, Zaldy S. ;
Brennan, Maura ;
Granville, Lisa .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2014, 62 (06) :1155-1160
[2]   Proposed Competencies in Geriatric Patient Care for Use in Assessment for Initial and Continued Board Certification of Surgical Specialists [J].
Bell, Richard H., Jr. ;
Drach, George W. ;
Rosenthal, Ronnie A. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2011, 213 (05) :683-690
[3]   From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider [J].
Bodenheimer, Thomas ;
Sinsky, Christine .
ANNALS OF FAMILY MEDICINE, 2014, 12 (06) :573-576
[4]  
Burns Edith, 2003, WMJ, V102, P14
[5]   Expanding the Field of Surgical Researchers: The Jahnigen Career Development Award [J].
Deiner, Stacie .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2017, 65 (10) :E146-E150
[6]   Improving Specialty Care of Older Adults: Creating Champions, Supporting Research, Fostering Partnerships [J].
Drach, George W. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2017, 65 (10) :2151-2152
[7]  
Foley K, 2013, FAM MED, V45, P719
[8]   Nurses Improving Care for Healthsystem Elders (NICHE): Using outcomes and benchmarks for evidenced-based practice [J].
Fulmer, T ;
Mezey, M ;
Bottrell, M ;
Abraham, I ;
Sazant, J ;
Grossman, S ;
Grisham, E .
GERIATRIC NURSING, 2002, 23 (03) :121-127
[9]   Orthogeriatric Care Models and Outcomes in Hip Fracture Patients: A Systematic Review and Meta-Analysis [J].
Grigoryan, Konstantin V. ;
Javedan, Houman ;
Rudolph, James L. .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2014, 28 (03) :E49-E55
[10]   Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians [J].
Ickowicz, Elvy .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2012, 60 (10) :E1-E25