Geriatric Medicine Training and Practice in the United States at the ...

Table 5.1 Academic Geriatric Programs in Allopathic Medical Schools, continued
State Medical School Total NIH Academic Academic Program Year Reporting
Enroll 1 Rank 2 Leader Rank Structure Started Relationship
TN University of Tennessee Memphis 671 63 Rodney L. Holladay, M.D. . . . Dean
Chair, Dept Internal Med
TN Vanderbilt University 418 19 Robert S. Dittus, . 2 . .
School of Medicine
M.D., M.P.H.
TX Baylor College 668 7 George E. Taffet, M.D. Associate 4 1987 Chair, Dept Internal Med
Professor 2 1989
TX Texas Tech University 482 109 Glen Provost Other 4 2000 Chancellor/Vice Chair
Health Science Center
TX The Texas A & M University System 271 93 David L. Hackethorn, M.D. . . . Hospital
TX University of Texas Houston 817 51 James N. Kvale, M.D. Professor 2 1997 Chair, Dept Family Med
TX University of Texas 810 47 James S. Goodwin, M.D. Professor 2 1992 Dean
Medical Branch at Galveston 4 1992 Chair, Dept Internal Med
Hospital
TX University of Texas 824 46 Michael S. Katz, M.D. Professor 2 1987 Chair, Dept Internal Med
Medical School at San Antonio
Hospital
TX University of Texas 825 18 Craig D. Rubin, M.D. Professor 2 1989 Division Chief
Southwestern Medical Center
UT University of Utah 406 41 Gerald Rothstein, M.D. . . . .
School of Medicine
VA Eastern Virginia Medical School 111 105 Stefan Gravenstein, M.D. Professor 2 1996 Dean
3 1996 Chair, Dept Internal Med
4 1996
VA University of Virginia 559 29 Mark E. Williams, M.D. Professor 2 1980 Chair, Dept Internal Med
VA Virginia Commonwealth University 683 59 Thomas M. Mulligan, M.D.* Professor 2 1985 Chair, Dept Internal Med
Hospital
VT University of Vermont 384 56 Naomi K. Fukagawa, . . . Chair, Dept Internal Med
College of Medicine
M.D., Ph.D.
WA University of Washington 784 6 Itamar B. Abrass, M.D. Professor 2 1978 Chair, Dept Internal Med
School of Medicine
WI Medical College of Wisconsin 794 45 Edmund H. Duthie, M.D. Professor 2 1981 Chair, Dept Internal Med
4 1990
WI University of Wisconsin 586 31 Michael J. Siebers, M.D. Associate 4 . Chair, Dept Internal Med
Medical School Professor 2 1986
WV Marshall University 207 117 Shirley M. Neitch, M.D. Professor 2 . Dean
School of Medicine 2 1989 Chair, Dept Internal Med
WV West Virginia University 358 101 Richard D. Layne, M.D. Professor 3 1995 Chair, Dept Internal Med
School of Medicine 2 2000
Structure: 1 = Department; 2 = Division/Section; 3 = Unit within 2 Departments; 4 = Program/Center/Institute; . = not reported
*Academic leader during our survey in the spring of 2001, not the current academic leader.
1 Total medical student enrollment, JAMA, 2001
2
Ranking of NIH extramural funding by medical school, http://grants1.nih.gov/grants/award/rank/medttlnod.htm
Source: IHPHSR ADGAP Database Project, 2001
reported to the chair of internal medicine, and 12% reported to the
chair of family medicine. At osteopathic schools, 66% of DGAPs
reported directly to their dean, 11% to the chair of internal medicine
and 22% reported to the chair of family medicine. Eighty-eight percent
of all DGAPs were members of important medical center committees,
including the curriculum, medical school executive, promotion and
tenure, admissions, and health system executive committees.
The DGAPs reported that they spend a median of 12 hours per
week in administrative tasks associated with leading their academic
programs (range, less than one to 50 hours). Eighty-three percent of
the DGAPs received institutional support for a portion of their salary.
The median salary support level was 50%; 28% received 75% or
more of their salary support directly from their colleges.
The NIA has an academic leadership award program (K07). These
“organizer” awards give senior individuals the resources needed to
enhance their respective institutions’ capacity to conduct relevant
research on some aspect of aging. Among the current DGAPS, 10%
have received this award.
Program Structure
Identifiable academic geriatric units were present in 95 out of 103 and
10 out of 18 of the responding allopathic and osteopathic medical
schools, respectively. The academic units were varied, and in 32
schools the programs were organized into several units. The DGAPs
were not always the leader of each of these units. The majority of
these geriatric academic units were established after 1985 (Figure
5.2). The academic leader, structural units, and year of establishment
at each school are listed in Tables 5.1 & 5.2. There are currently six
departments of geriatric medicine, three each in allopathic and
osteopathic colleges of medicine. The most common academic unit
was a division within a department, which existed at two-thirds of the
schools with identifiable programs. Forty-four schools (40 allopathic
and 4 osteopathic) had an interdisciplinary structure, consisting of
either a department, a unit within two or more departments, or a
freestanding program, center, or institute.
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