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Evolution of Geriatric Medicine Fellowship Training in the United States

Received December 11, 2002; revised February 19, 2003; accepted February 20, 2003. From the Institute for Health Policy and Health Services Research, University of Cincinnati (EJB) and the Office of Geriatric Medicine and Department of Family Medicine, University of Cincinnati (GAW). Address correspondence to Gregg A. Warshaw, M.D., Office of Geriatric Medicine and Department of Family Medicine, University of Cincinnati, Box 670504, Cincinnati, OH 45267-0504. e-mail: warshaga{at}fammed.uc.edu

ABSTRACT

The authors describe the history of subspecialty training in geriatric medicine and geriatric psychiatry, from the time before the formal accreditation of geriatric medicine fellowship programs, in 1988, through the following decade of 2-year accreditation programs, from 1988 to 1997, and then the recent experience with 1-year accredited geriatric medicine programs, from 1998 to the present. They present the history and development of the accrediting organizations, the development of relevant tests and curricula, and the opportunities for grants, funding, and career development, as well as a summary of present status and satisfaction of current practitioners, and provide recommendations for enhancing recruitment and retention.

Key Words: fellowship programs • specialty education

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