Geriatric Medicine Training and Practice in the United States at the ...
Geriatric Medicine Training and Practice in the United States at the ...
Geriatric Medicine Training and Practice in the United States at the ...
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$195.9 million NIA extramural support<br />
$578.2 million NIA extramural support<br />
$29.5 billion Medicare disbursements $95.3 billion Medicare disbursements<br />
$186.7 billion Medicare disbursements<br />
25.7 million Americans age 65 & over 31.2 million Americans age 65 & over 35 million Americans age 65+ 70 million Americans age<br />
(12.4% of US popul<strong>at</strong>ion) 65+ (20.6% of US popul<strong>at</strong>ion)<br />
1980 1990 2000 2030<br />
] [ ]<br />
1980s Early US geri<strong>at</strong>ric medic<strong>in</strong>e textbooks published,<br />
<strong>in</strong>clud<strong>in</strong>g Cl<strong>in</strong>ical Aspects of Ag<strong>in</strong>g: A Comprehensive<br />
Text prepared under <strong>the</strong> direction of AGS, editor,<br />
William Reichel & Pr<strong>in</strong>ciples of <strong>Geri<strong>at</strong>ric</strong> <strong>Medic<strong>in</strong>e</strong>,<br />
edited by Reub<strong>in</strong> Andres, Edw<strong>in</strong> Bierman, William Hazzard<br />
1980s GM Fellowship programs exp<strong>and</strong>ed from a few to more<br />
than 93 programs <strong>in</strong> 1986<br />
Early 1990s Associ<strong>at</strong>ion of Directors of<br />
<strong>Geri<strong>at</strong>ric</strong> Academic Programs (ADGAP)<br />
established<br />
1980 DVA began support for <strong>Geri<strong>at</strong>ric</strong> Psychi<strong>at</strong>ry<br />
Fellowships<br />
1980 NIA began GM Academic Teach<strong>in</strong>g Nurs<strong>in</strong>g<br />
Home Program<br />
2000 Hartford Found<strong>at</strong>ion/AAMC started<br />
awards to 40 US medical schools to enhance<br />
geri<strong>at</strong>ric curriculum<br />
2000 ADGAP received grant from D W Reynolds<br />
Found<strong>at</strong>ion to cre<strong>at</strong>e longitud<strong>in</strong>al, n<strong>at</strong>ional d<strong>at</strong>abase<br />
on geri<strong>at</strong>ric medic<strong>in</strong>e tra<strong>in</strong><strong>in</strong>g & practice<br />
1981 Group on <strong>Geri<strong>at</strong>ric</strong> Educ<strong>at</strong>ion established with<strong>in</strong><br />
Society of Teachers of Family <strong>Medic<strong>in</strong>e</strong><br />
1981 Robert Wood Johnson Found<strong>at</strong>ion's f<strong>in</strong>ancial<br />
support helps to acceler<strong>at</strong>e growth of academic<br />
nurs<strong>in</strong>g homes<br />
1981 American Feder<strong>at</strong>ion for Ag<strong>in</strong>g Research (AFAR)<br />
founded to assist scientists' fur<strong>the</strong>r careers <strong>in</strong> ag<strong>in</strong>g<br />
research <strong>and</strong> geri<strong>at</strong>ric medic<strong>in</strong>e<br />
1982 Mt S<strong>in</strong>ai Medical School <strong>in</strong> NYC became 1 st<br />
medical school to establish freest<strong>and</strong><strong>in</strong>g US<br />
Department of <strong>Geri<strong>at</strong>ric</strong>s<br />
1983 T. Frankl<strong>in</strong> Williams named 2 nd director of NIA<br />
1991 Initial Claude Denison Pepper Older<br />
Americans Independence Centers established<br />
by NIA<br />
1992-1993 AAMC reported only 9 of <strong>the</strong> 129<br />
medical schools required a separ<strong>at</strong>e course <strong>in</strong><br />
geri<strong>at</strong>rics (AY 1992-93)<br />
1993 Richard J. Hodes named 3 rd director of NIA<br />
1993 IOM report Streng<strong>the</strong>n<strong>in</strong>g <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>in</strong> <strong>Geri<strong>at</strong>ric</strong>s for<br />
Physicians recommended 6 months of geri<strong>at</strong>rics tra<strong>in</strong><strong>in</strong>g<br />
by 1996 <strong>and</strong> 9 months by 1999 for primary care residents<br />
1993 ACGME accredited 1 st <strong>Geri<strong>at</strong>ric</strong> Psychi<strong>at</strong>ry<br />
Fellowship programs<br />
2001 D. W. Reynolds Found<strong>at</strong>ion awarded 10<br />
Comprehensive <strong>Geri<strong>at</strong>ric</strong> <strong>Medic<strong>in</strong>e</strong> Educ<strong>at</strong>ion<br />
Awards to US medical schools<br />
1984 NIA Alzheimer's Disease Centers' program<br />
established.<br />
1984 Panel on St<strong>at</strong>istics for an Ag<strong>in</strong>g Popul<strong>at</strong>ion<br />
established by N<strong>at</strong>ional Research Council to study<br />
adequancy of current st<strong>at</strong>istical <strong>in</strong>form<strong>at</strong>ion &<br />
methodology, particularly <strong>in</strong> area of health & medical<br />
care for an ag<strong>in</strong>g popul<strong>at</strong>ion<br />
1994 84 IM & 17 FP fellowship programs accredited by<br />
ACGME<br />
1994 F<strong>in</strong>al year non-fellowship-tra<strong>in</strong>ed c<strong>and</strong>id<strong>at</strong>es could<br />
sit for GM fellowship CAQ exam<br />
1994 Hartford Found<strong>at</strong>ion/AGS Projects to Increase<br />
<strong>Geri<strong>at</strong>ric</strong>s Expertise <strong>in</strong> Surgical <strong>and</strong> Medical Specialties<br />
<strong>and</strong> Subspecialties of IM began<br />
1986 Alliance for Ag<strong>in</strong>g Research founded to<br />
promote medical research on human ag<strong>in</strong>g<br />
1987 IOM's Committee on Leadership for Academic<br />
<strong>Geri<strong>at</strong>ric</strong> <strong>Medic<strong>in</strong>e</strong> promoted a Center-of-Excellence<br />
str<strong>at</strong>egy to <strong>in</strong>vigor<strong>at</strong>e <strong>the</strong> development of academic<br />
geri<strong>at</strong>rics<br />
1995 ABIM <strong>and</strong> ABFP changed requirement for length<br />
of geri<strong>at</strong>ric medic<strong>in</strong>e fellowship tra<strong>in</strong><strong>in</strong>g to 1 year<br />
1995 Initial Paul Beeson Physician Faculty<br />
Scholars <strong>in</strong> Ag<strong>in</strong>g Research Program awarded<br />
by AFAR with support from Hartford, Commonwealth,<br />
& Starr Found<strong>at</strong>ions & Alliance for Ag<strong>in</strong>g Research<br />
1997 D.W. Reynolds Center on Ag<strong>in</strong>g<br />
established <strong>at</strong> U of Arkansas<br />
1988 1 st certify<strong>in</strong>g exam<strong>in</strong><strong>at</strong>ion <strong>in</strong> geri<strong>at</strong>ric medic<strong>in</strong>e,<br />
jo<strong>in</strong>tly developed by <strong>the</strong> ABIM & ABFP<br />
1988 ACGME <strong>in</strong>itially accredited 62 IM & 16 FP<br />
<strong>Geri<strong>at</strong>ric</strong> <strong>Medic<strong>in</strong>e</strong> Fellowship programs<br />
1988 Study of IM & FP Residency Programs found<br />
th<strong>at</strong> 36% of IM & 80% of FP programs had geri<strong>at</strong>rics<br />
curricula<br />
1988 The <strong>Geri<strong>at</strong>ric</strong>s Interest Group (SGIG) with<strong>in</strong> <strong>the</strong><br />
Society of General Internal <strong>Medic<strong>in</strong>e</strong> established with<br />
Rebecca Silliman, MD as Chair<br />
1989 Formal requirement for GM tra<strong>in</strong><strong>in</strong>g <strong>in</strong> IM<br />
residency programs <strong>in</strong>cluded by <strong>the</strong> IM RRC<br />
1999 D.W. Reynolds Department of<br />
<strong>Geri<strong>at</strong>ric</strong>s established <strong>at</strong> U of Oklahoma<br />
1980 1990 2000 2030<br />
] [ ]<br />
N<strong>at</strong>ional Research Council, 1988, Reuben, F<strong>in</strong>k, Vivell et al., 1990, US Sen<strong>at</strong>e Special Committee on Ag<strong>in</strong>g, 2002<br />
21
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