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geriatric fellowship

Ronald L Ettinger, Zachary S Goettsche, Fang Qian
The aim of this study was to determine the number and size of postdoctoral teaching programs in geriatric dentistry in U.S. dental schools and other health professions educational institutions and those programs with Health Resources and Services Administration (HRSA) funding. In 2015, all 67 U.S. dental schools were contacted via email with a questionnaire to ask if they had a postdoctoral program in geriatric dentistry; if they did, they were asked to report the length and size of the program. Directors of all 16 HRSA-funded geriatric fellowships were also invited to participate in the survey...
October 2017: Journal of Dental Education
Alia T Tuqan, Ming Lee, Nancy T Weintraub, David B Reuben
BACKGROUND/OBJECTIVES: Although the Accreditation Council for Graduate Medical Education requires that geriatrics fellowship programs be evaluated, evaluation is challenging because of lack of appropriate instruments. The purpose of this study was to develop and validate a geriatrics knowledge test appropriate for evaluation of geriatrics fellowship programs. DESIGN: Initial and replication cross-sectional validation studies. SETTING: Academic medical center...
November 2017: Journal of the American Geriatrics Society
Ronald J Maggiore, William Dale, Arti Hurria, Heidi D Klepin, Andrew Chapman, Efrat Dotan, Supriya G Mohile, Arash Naeim, Ajeet Gajra, Mary K Buss
PURPOSE: Older adults compose the majority of patients with cancer in the United States; however, it is unclear how well geriatrics or geriatric oncology training is being incorporated into hematology-oncology (hem-onc) fellowships. METHODS: A convenience sample of hem-onc fellows completed a (written or electronic) survey assessing their education, clinical experiences, and perceived proficiency in geriatric oncology during training; knowledge base in geriatric oncology; confidence in managing older adults with cancer; and general attitudes toward geriatric oncology principles...
November 2017: Journal of Oncology Practice
Deborah Simpson, Rosanne M Leipzig, Karen Sauvigné
Changes in health care that are already in progress, including value- and population-based care, use of new technologies for care, big data and machine learning, and the patient as consumer and decision maker, will determine the job description for geriatricians practicing in 2025. Informed by these future certainties, 115 geriatrics educators attending the 2016 Donald W. Reynolds Foundation Annual meeting identified five 2025 geriatrician job roles: complexivist; consultant; health system leader and innovator; functional preventionist; and educator for big "G" and little "g" providers...
October 2017: Journal of the American Geriatrics Society
Dorthea Juul, Christopher C Colenda, Jeffrey M Lyness, Laura B Dunn, Rita Hargrave, Larry R Faulkner
The Institute of Medicine estimated that by 2030, from 10.1 to 14.4 million Americans aged 65 years or older will have mental health or substance use disorders. This article reviews the history and current status of training, certification, and practice in geriatric psychiatry against the backdrop of this "silver tsunami." The American Board of Psychiatry and Neurology (ABPN) administered the first subspecialty examination in geriatric psychiatry in 1991, and through 2015 3,329 certificates were awarded...
May 2017: American Journal of Geriatric Psychiatry
Ronald J Maggiore, Kathryn E Callahan, Janet A Tooze, Ira R Parker, Tina Hsu, Heidi D Klepin
The number of older adults with cancer is growing, necessitating more collaborative training in geriatric principles and cancer care. The authors administered a web-based survey to U.S. geriatrics program directors (PDs) addressing cancer-specific training and perspectives on optimal training content and roles for geriatricians in cancer care. Of 140 PDs contacted, 67 (48%) responded. Topics considered very important in training included cancer screening (79%) and cancer-related pain management (70%). Respondents strongly agreed that some of the geriatrician's roles in cancer care included assessing functional status (64%) and assessing physical/cognitive function for goals of care (64%)...
October 17, 2016: Gerontology & Geriatrics Education
Corina Naughton, Nicky Hayes, Zainab Zahran, Christine Norton, Geraldine Lee, Joanne M Fitzpatrick, Mary Crawford, Stephen Tee
BACKGROUND: Preparing the nursing workforce to meet the challenges of an ageing population is a priority for many countries. The development of an Older Person's Nurse Fellowship (OPNF) programme for senior clinical nurses is an important innovation. OBJECTIVES: This article describes the philosophical development, delivery and early evaluation of the OPNF. DESIGN: In 2014, Health Education England funded 24 senior clinical nurses to participate in the OPNF...
September 2016: Nurse Education Today
Vincent Laliberté, Mark J Rapoport, Kiran Rabheru, Soham Rej
Geriatric psychiatry was officially recognized as a subspecialty by the Royal College of Physicians and Surgeons of Canada (RCPSC) in 2009, with the first RCPSC exam written in 2013 (Andrew and Shea, 2010). The unique mental health needs of Canadians' seniors requires geriatric psychiatrists trained to address them (Herrmann, 2004), but current rates of recruitment in informal fellowship programs have been inadequate (Bragg et al., 2012). One hope of subspeciality recognition was to increase recruitment in Canada, but there have been some challenges in accrediting psychiatrists already caring for older adults...
October 2016: International Psychogeriatrics
Sandra S Swantek, Susan M Maixner, Maria D Llorente, Josepha A Cheong, Laura Edgar, Christopher R Thomas, Iqbal Ahmed
OBJECTIVE: The Accreditation Council of Graduate Medical Education (ACGME) Milestone Project is the next step in a series of changes revamping the system of graduate medical education. In 2013 the ACGME completed the general psychiatry milestones. The ACGME then pursued creation of milestones for accredited psychiatric subspecialty fellowships. This article documents the work of the geriatric psychiatry subspecialty milestones work group. It reports the history and rationale supporting the milestones, the milestone development process, and the implications for geriatric psychiatry fellowship training...
September 2016: American Journal of Geriatric Psychiatry
Steven Denson, Deborah Simpson, Kathryn Denson, Diane Brown, Gabriel Manzi, Judith Rehm, Bambi Wessel, Edmund H Duthie
Caring for the growing elderly population will require specialty and subspecialty physicians who have not completed geriatric medicine fellowship training to participate actively in patient care. To meet this workforce demand, a sustainable approach to integrating geriatrics into specialty and subspecialty graduate medical education training is needed. This article describes the use of a geriatrics education team (GET) model to develop, implement, and sustain specialty-specific geriatrics curricula using a systematic process of team formation and needs assessment through evaluation, with a unique focus on developing curricular interventions that are meaningful to each specialty and satisfy training, scholarship, and regulatory requirements...
April 2016: Journal of the American Geriatrics Society
Christie M Hogue, Allen D Andrade, Jorge G Ruiz, Gretchen Gibson
PURPOSE/OBJECTIVES: The healthcare workforce is challenged with preparing for the increasing number of older persons and complexities of their healthcare needs. Fellowship trained geriatric dentists are charged with the task of addressing the dental needs of this vastly growing cohort.The purpose of this study is to formulate a set of competencies for Geriatric Dental Fellowship Training Programs. METHODS: The Delphi technique-a series of three rounds of anonymous questionnaires to obtain the opinions of experts without bringing them together...
July 2016: Special Care in Dentistry
Veronica Rivera, Michi Yukawa, Louise Aronson, Eric Widera
The entire healthcare workforce needs to be educated to better care for older adults. The purpose of this study was to determine whether fellows are being trained to teach, to assess the attitudes of fellowship directors toward training fellows to be teachers, and to understand how to facilitate this type of training for fellows. A nine-question survey adapted from a 2001 survey issued to residency program directors inquiring about residents-as-teachers curricula was developed and administered. The survey was issued electronically and sent out three times over a 6-week period...
December 2014: Journal of the American Geriatrics Society
Soham Rej, Vincent Laliberté, Mark J Rapoport, Dallas Seitz, Melissa Andrew, Marla Davidson
OBJECTIVES: In spite of a rapidly increasing need, there remains a shortage of geriatric psychiatrists in North America. The factors associated with psychiatric residents' interest in geriatric psychiatry have not yet been examined in a nationally representative sample. DESIGN: Cross-sectional study. SETTING: Web-based online survey of Canadian psychiatry residents. PARTICIPANTS: 207 psychiatry residents (24.3% response rate)...
July 2015: American Journal of Geriatric Psychiatry
Paul Kirwin, Michelle Conroy, Constantine Lyketsos, Blaine Greenwald, Brent Forester, Christine deVries, Iqbal Ike Ahmed, Ilse Wiechers, Kristina Zdanys, David Steffens, Charles F Reynolds
Dire shortages of psychiatrists with special expertise in geriatrics, substance abuse, forensics, and psychosomatics create barriers to care for populations with complex mental disorders and pose a significant public health concern. To address these disparities in access to care, we propose streamlining graduate medical education to increase efficiency and enhance cost-effectiveness while simultaneously increasing the number of psychiatric subspecialists in these key areas. We propose that trainees interested in subspecialties complete their general training in 3 years, while meeting ACGME required milestones, and then utilize their 4th year to complete subspecialty fellowship training...
February 2016: Academic Psychiatry
Susan M Parks, G Michael Harper, Helen Fernandez, Karen Sauvigne, Rosanne M Leipzig
This article describes the curricular milestones for geriatric fellows and the process used to develop them. The curricular milestones were developed to determine what every graduating geriatric fellow should be able to demonstrate to ensure that they will be able to practice effectively and safely in all care settings and with different older adult populations. Three major domains were identified: Caring for the Elderly Patient, Systems-Based Care for Elder Patients, and Geriatric Syndromes. Six hundred thirty-five geriatricians each reviewed and commented on one domain...
May 2014: Journal of the American Geriatrics Society
Ronald J Maggiore, Rita Gorawara-Bhat, Stacie K Levine, William Dale
The aging of the U.S. population continues to highlight emerging issues in providing care generally for older adults and specifically for older adults with cancer. The majority of patients with cancer in the U.S. are currently 65 years of age or older; therefore, training and research in geriatrics and geriatric oncology are viewed to be integral in meeting the needs of this vulnerable population. Yet, the ways to develop and integrate best geriatrics training within the context of hematology/oncology fellowship remain unclear...
January 2014: Journal of Geriatric Oncology
Jessica L Kalender-Rich, Jonathan D Mahnken, Lei Dong, Anthony M Paolo, Deon Cox Hayley, Sally K Rigler
BACKGROUND: The number of older adults needing primary care exceeds the capacity of trained geriatricians to accommodate them. All physicians should have basic knowledge of optimal outpatient care of older adults to enhance the capacity of the system to serve this patient group. To date, there is no knowledge-assessment tool that focuses specifically on geriatric ambulatory care. OBJECTIVE: We developed an examination to assess internal medicine residents' knowledge of ambulatory geriatrics...
December 2013: Journal of Graduate Medical Education
S S Levitte, L Ganzini, G A Keepers
The authors surveyed all Accreditation Council for Graduate Medical Education-accredited psychiatry residency training programs in the United States to determine 1) the type and amount of geriatric training provided, and 2) differences in the programs that door do not offer geriatric training for residents. Substantial geriatric training was offered in 50.7% of all programs. Compared with the programs without geriatric training, these programs were more likely to be in a Psychiatry Department, with a Division of Geriatric Psychiatry and/or a geriatric fellowship program...
December 1996: Academic Psychiatry
Kevin Foley, Marolee Neuberger, Mary Noel, Deborah Sleight, John vanSchagen, William Wadland
BACKGROUND AND OBJECTIVES: Our nation faces unprecedented challenges in caring for older adults. Geriatricians who provide care and teach geriatrics are underrepresented in the workforce, especially in non-metropolitan communities. In Michigan, geriatricians and geriatrics fellowship (GF) programs are clustered in the Southeast, suggesting that training site demographics may influence fellows' career location decisions. A project was undertaken at Michigan State University to determine if an established family medicine residency network (FMRN) could facilitate the accreditation of new GF programs in non-metropolitan communities, recruit fellows, and retain graduates to practice and teach in neighboring areas...
November 2013: Family Medicine
Misuzu Yuasa, Christina L Bell, Michiko Inaba, Bruce K Tamura, Samina Ahsan, Valisa Saunders, Kamal Masaki
Effectively handling telephone calls about nursing home (NH) residents is an important skill for healthcare professionals, but little formal training is typically provided. The objective of the current study was to describe and evaluate the effectiveness of a novel structured role-playing didactic session followed by an on-call NH longitudinal clinical experience. The effectiveness of the structured role-playing didactic session was compared in different learners, including geriatric medicine fellows (n = 10), family medicine residents and faculty (n = 14), nurse practitioner students (n = 31), and other learners (n = 7)...
November 2013: Journal of the American Geriatrics Society
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