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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Table 5.1 Academic <strong>Geri<strong>at</strong>ric</strong> Programs <strong>in</strong> Allop<strong>at</strong>hic Medical Schools, cont<strong>in</strong>ued<br />
St<strong>at</strong>e Medical School Total NIH Academic Academic Program Year Report<strong>in</strong>g<br />
Enroll 1 Rank 2 Leader Rank Structure Started Rel<strong>at</strong>ionship<br />
TN University of Tennessee Memphis 671 63 Rodney L. Holladay, M.D. . . . Dean<br />
Chair, Dept Internal Med<br />
TN V<strong>and</strong>erbilt University 418 19 Robert S. Dittus, . 2 . .<br />
School of <strong>Medic<strong>in</strong>e</strong><br />
M.D., M.P.H.<br />
TX Baylor College 668 7 George E. Taffet, M.D. Associ<strong>at</strong>e 4 1987 Chair, Dept Internal Med<br />
Professor 2 1989<br />
TX Texas Tech University 482 109 Glen Provost O<strong>the</strong>r 4 2000 Chancellor/Vice Chair<br />
Health Science Center<br />
TX The Texas A & M University System 271 93 David L. Hackethorn, M.D. . . . Hospital<br />
TX University of Texas Houston 817 51 James N. Kvale, M.D. Professor 2 1997 Chair, Dept Family Med<br />
TX University of Texas 810 47 James S. Goodw<strong>in</strong>, M.D. Professor 2 1992 Dean<br />
Medical Branch <strong>at</strong> Galveston 4 1992 Chair, Dept Internal Med<br />
Hospital<br />
TX University of Texas 824 46 Michael S. K<strong>at</strong>z, M.D. Professor 2 1987 Chair, Dept Internal Med<br />
Medical School <strong>at</strong> San Antonio<br />
Hospital<br />
TX University of Texas 825 18 Craig D. Rub<strong>in</strong>, M.D. Professor 2 1989 Division Chief<br />
Southwestern Medical Center<br />
UT University of Utah 406 41 Gerald Rothste<strong>in</strong>, M.D. . . . .<br />
School of <strong>Medic<strong>in</strong>e</strong><br />
VA Eastern Virg<strong>in</strong>ia Medical School 111 105 Stefan Gravenste<strong>in</strong>, M.D. Professor 2 1996 Dean<br />
3 1996 Chair, Dept Internal Med<br />
4 1996<br />
VA University of Virg<strong>in</strong>ia 559 29 Mark E. Williams, M.D. Professor 2 1980 Chair, Dept Internal Med<br />
VA Virg<strong>in</strong>ia Commonwealth University 683 59 Thomas M. Mulligan, M.D.* Professor 2 1985 Chair, Dept Internal Med<br />
Hospital<br />
VT University of Vermont 384 56 Naomi K. Fukagawa, . . . Chair, Dept Internal Med<br />
College of <strong>Medic<strong>in</strong>e</strong><br />
M.D., Ph.D.<br />
WA University of Wash<strong>in</strong>gton 784 6 Itamar B. Abrass, M.D. Professor 2 1978 Chair, Dept Internal Med<br />
School of <strong>Medic<strong>in</strong>e</strong><br />
WI Medical College of Wiscons<strong>in</strong> 794 45 Edmund H. Duthie, M.D. Professor 2 1981 Chair, Dept Internal Med<br />
4 1990<br />
WI University of Wiscons<strong>in</strong> 586 31 Michael J. Siebers, M.D. Associ<strong>at</strong>e 4 . Chair, Dept Internal Med<br />
Medical School Professor 2 1986<br />
WV Marshall University 207 117 Shirley M. Neitch, M.D. Professor 2 . Dean<br />
School of <strong>Medic<strong>in</strong>e</strong> 2 1989 Chair, Dept Internal Med<br />
WV West Virg<strong>in</strong>ia University 358 101 Richard D. Layne, M.D. Professor 3 1995 Chair, Dept Internal Med<br />
School of <strong>Medic<strong>in</strong>e</strong> 2 2000<br />
Structure: 1 = Department; 2 = Division/Section; 3 = Unit with<strong>in</strong> 2 Departments; 4 = Program/Center/Institute; . = not reported<br />
*Academic leader dur<strong>in</strong>g our survey <strong>in</strong> <strong>the</strong> spr<strong>in</strong>g of 2001, not <strong>the</strong> current academic leader.<br />
1 Total medical student enrollment, JAMA, 2001<br />
2<br />
Rank<strong>in</strong>g of NIH extramural fund<strong>in</strong>g by medical school, http://grants1.nih.gov/grants/award/rank/medttlnod.htm<br />
Source: IHPHSR ADGAP D<strong>at</strong>abase Project, 2001<br />
reported to <strong>the</strong> chair of <strong>in</strong>ternal medic<strong>in</strong>e, <strong>and</strong> 12% reported to <strong>the</strong><br />
chair of family medic<strong>in</strong>e. At osteop<strong>at</strong>hic schools, 66% of DGAPs<br />
reported directly to <strong>the</strong>ir dean, 11% to <strong>the</strong> chair of <strong>in</strong>ternal medic<strong>in</strong>e<br />
<strong>and</strong> 22% reported to <strong>the</strong> chair of family medic<strong>in</strong>e. Eighty-eight percent<br />
of all DGAPs were members of important medical center committees,<br />
<strong>in</strong>clud<strong>in</strong>g <strong>the</strong> curriculum, medical school executive, promotion <strong>and</strong><br />
tenure, admissions, <strong>and</strong> health system executive committees.<br />
The DGAPs reported th<strong>at</strong> <strong>the</strong>y spend a median of 12 hours per<br />
week <strong>in</strong> adm<strong>in</strong>istr<strong>at</strong>ive tasks associ<strong>at</strong>ed with lead<strong>in</strong>g <strong>the</strong>ir academic<br />
programs (range, less than one to 50 hours). Eighty-three percent of<br />
<strong>the</strong> DGAPs received <strong>in</strong>stitutional support for a portion of <strong>the</strong>ir salary.<br />
The median salary support level was 50%; 28% received 75% or<br />
more of <strong>the</strong>ir salary support directly from <strong>the</strong>ir colleges.<br />
The NIA has an academic leadership award program (K07). These<br />
“organizer” awards give senior <strong>in</strong>dividuals <strong>the</strong> resources needed to<br />
enhance <strong>the</strong>ir respective <strong>in</strong>stitutions’ capacity to conduct relevant<br />
research on some aspect of ag<strong>in</strong>g. Among <strong>the</strong> current DGAPS, 10%<br />
have received this award.<br />
Program Structure<br />
Identifiable academic geri<strong>at</strong>ric units were present <strong>in</strong> 95 out of 103 <strong>and</strong><br />
10 out of 18 of <strong>the</strong> respond<strong>in</strong>g allop<strong>at</strong>hic <strong>and</strong> osteop<strong>at</strong>hic medical<br />
schools, respectively. The academic units were varied, <strong>and</strong> <strong>in</strong> 32<br />
schools <strong>the</strong> programs were organized <strong>in</strong>to several units. The DGAPs<br />
were not always <strong>the</strong> leader of each of <strong>the</strong>se units. The majority of<br />
<strong>the</strong>se geri<strong>at</strong>ric academic units were established after 1985 (Figure<br />
5.2). The academic leader, structural units, <strong>and</strong> year of establishment<br />
<strong>at</strong> each school are listed <strong>in</strong> Tables 5.1 & 5.2. There are currently six<br />
departments of geri<strong>at</strong>ric medic<strong>in</strong>e, three each <strong>in</strong> allop<strong>at</strong>hic <strong>and</strong><br />
osteop<strong>at</strong>hic colleges of medic<strong>in</strong>e. The most common academic unit<br />
was a division with<strong>in</strong> a department, which existed <strong>at</strong> two-thirds of <strong>the</strong><br />
schools with identifiable programs. Forty-four schools (40 allop<strong>at</strong>hic<br />
<strong>and</strong> 4 osteop<strong>at</strong>hic) had an <strong>in</strong>terdiscipl<strong>in</strong>ary structure, consist<strong>in</strong>g of<br />
ei<strong>the</strong>r a department, a unit with<strong>in</strong> two or more departments, or a<br />
freest<strong>and</strong><strong>in</strong>g program, center, or <strong>in</strong>stitute.<br />
43