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Effect of Training and Other Influences on the Development of Career Interest in Geriatric Psychiatry

Received December 2, 2002; revised February 17, 2003; accepted February 19, 2003. From the University of Toronto, Toronto, Ontario, Canada (SJL,GST) and the University of California–San Diego, California (LBD). Address correspondence to Dr. Susan Lieff, Baycrest Centre for Geriatric Care, Department of Psychiatry, 3560 Bathurst Street, North York, Ontario M6A 2E1, CANADA. e-mail: s.lieff{at}utoronto.ca

Objective: The authors examined the relationship between the timing and nature of educational exposure to geriatric psychiatry and other potential influences and subsequent development of career interest in geriatric psychiatry. Methods: A 46-item survey was distributed to residents and fellows who attended one of the two sponsored programs for residents at the three American Association of Geriatric Psychiatry (AAGP) annual meetings held between 2000 and 2002, inclusive. Results: Ninety-three percent of attendees responded (N=184). Sixty-five percent first developed interest in geriatric psychiatry during their residency years (the majority during their PGY1 or PGY2 year). The timing of individualized teaching exposure, as well as lectures in geriatric psychiatry, was associated with the development of first interest in the field. The most important influences on the development of interest in the field included specific teacher attributes, training experiences, personal experiences with seniors, and characteristics cited as unique to geriatric psychiatry, such as the medical, neuropsychiatric, and multifactorial nature of the field. Patient personal histories and outcomes, as well as non-educational experiences with seniors and cultural attitudes, also contributed to interest. Conclusion: It behooves geriatric psychiatry programs to create exemplary educators and commit them to teaching in the early years of general psychiatry programs as well as in medical school. These educators should be identifying potential recruits by enquiring about trainees' previous experiences with older persons as well as emphasizing the unique aspects of geriatric psychiatry that are attractive to trainees.

Key Words: geriatric psychiatry • recruitment • specialty training

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