As the population ages, medical
schools are falling short in training specialists in aspects
of geriatric care, a new study warns.
"Until recently, most physician
visits by geriatric patients were to primary-care providers.
The changing needs of the geriatric population have shifted
that trend. Now, more than 50 percent of all outpatient visits
by geriatric patients are to non-primary-care specialists,"
lead author Elizabeth Bragg, of the University of Cincinnati's
Institute for the Study of Health, said in a prepared statement.
That means non-primary-care
specialists are having to deal with more and more visits from
older adults, she said.
The Cincinnati study found
that in 2001, 53 percent of outpatient visits by people 65
and older were to non-primary-care specialists -- up 13 percent
from 1980. Experts estimate that by 2030, there will be more
than 70 million people age 65 and older in the United States.
Bragg and her colleagues reviewed
the program requirements of 91 specialties in 2003 and found
that only 27 had specific geriatric training requirements.
"In other words, 70 percent
of the graduate medical education specialties training non-pediatric
physicians do not have specific geriatrics curriculum requirements,"
she said. "Yet once these physicians establish their clinical
practices, many adults over the age of 65 will become their
patients," the study authors wrote in the March issue of the
journal Academic Medicine.
"We know there's a shortage
of trained geriatric specialists in the United States," study
co-author Dr. Gregg Warshaw, professor of geriatric medicine
and family medicine, added in a prepared statement. "It only
makes sense that we improve geriatric education within medical
specialties in order to achieve a well-trained physician workforce
prepared to handle the medical needs of this population."
More information
The U.S. National Center for
Chronic Disease Prevention and Health Promotion has details
on healthy
aging.