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

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Table 5.2 Academic Geriatric Programs in Osteopathic Medical Schools Total Academic Academic Program Year Reporting State Medical School Enroll 1 Leader Rank Structure Started Relationship AZ Arizona College of 482 Karen Nichols, D.O. . . . Dean Osteopathic Medicine CA Touro University College of 339 Joseph P. McNerney, D.O. Professor . . Dean Osteopathic Medicine CA Western University of 699 Mike Y. Jeong, D.O., C.M.D. Assistant Professor 1 2000 Dean Health Science FL NOVA Southeastern University 680 Charlotte A. Paolini, D.O. Assistant Professor 2 1991 Chair, Dept Family Med IA Des Moines University 805 Robert H. McKinney, D.O. Assistant Professor 2 1999 Dean Chair, Dept Internal Med IL Chicago College of 640 Frank J. Prerost, Ph.D. . . . Dean Osteopathic Medicine KY Pikeville College 1002 William T. Betz, D.O. . . . Chair, Dept Family Med ME University of New England 463 James B. Donahue, D.O. Associate Professor 2 1996 Chair, Dept Family Med MI Michigan State University 523 Larry Lawhorne, M.D. . . . Chair, Dept Family Med MO Kirksville College of 616 Donald R. Noll, D.O. Associate Professor 2 . Dean Osteopathic Medicine MO University of Health Sciences 871 Mike Johnston, D.O. . . . Dean NJ University of Medicine and 309 Thomas Cavalieri, D.O. Professor 4 1987 Dean Dentistry New Jersey NY New York College of Osteopathic 1065 Robert Mancini, D.O.,Ph.D. . . . Dean Medicine OH Ohio University College of 416 Wayne Carlsen, D.O. Associate Professor 1 1998 Dean Osteopathic Medicine OK Oklahoma State University 352 Charles Henley, D.O. . . . Dean PA Lake Erie College of Osteopathic 576 Jacques Gilloteaux, D. S. . . . . Medicine PA Philadelphia College of 1002 Katherine E. Galluzzi, D.O. Professor 1 1989 Dean Osteopathic Medicine TX University of North Texas 455 Janice A. Knebl, D.O. Associate Professor 2 1986 Chair, Dept Internal Med Health Sciences Center WV West Virginia School of 285 Marlene A. Wager, D.O. Professor 2 . Division Chief Osteopathic Medicine Structure: 1 = Department; 2 = Division/Section; 3 = Unit within 2 Departments; 4 = Program/Center/Institute; . = not reported 1 Total medical student enrollment, AACOM, 2002, Annual Osteopathic Medical School Questionnaire, AY2000-2001 Source: IHPHSR ADGAP Database Project, 2001 Program Resources Faculty and Staff The number of professional faculty and staff in geriatrics varied considerably among the medical school programs. For example, the mean number of physician faculty was 7.5 FTEs (median 5.0, range 0 to 42). Fifty one percent of the programs had 6 or fewer physician faculty, while 8% had 18 or more (Figure 5.3). The mean number of physician faculty was lower at the osteopathic schools (3.3 FTEs) as compared to the allopathic schools (8.2 FTEs). Overall, only 30.2% of schools had 9 or more physician faculty in geriatric medicine. Academic geriatric medicine programs had developed interdisciplinary faculties and staffs as seen in Table 5.3. The number of women and minority faculty is shown in Table 5.4. Salaries for geriatrics faculty appear generally comparable to those of primary care and specialty faculty (Table 5.5). (See Table 4.19 in Chapter 4 for practicing physicians’ compensation.) Budgets Fifty-eight percent of the programs had annual budgets of one million dollars or less. Osteopathic program budgets were significantly smaller (p
Figure 5.1 Number of Years as Academic Leader in Geriatrics (n=118) % Academic Leaders 50 40 30 20 10 0 44.1 21.2 ≤4 >4-8 >8-12 >12-16 >16-20 >20-24 >24 Years Median 5.0 years, Range 0-27 years Source: IHPHSR ADGAP Database Project, 2001 for the reporting allopathic academic geriatric programs (Table 5.6). For medical schools with affiliated Geriatric Research, Education, and Clinical Centers (GRECCs), the VHA contribution to total program revenue ranged from 5% to 48%. Five schools with GRECCs did not report the VHA as a revenue source, so our data may slightly underestimate the overall contribution of the VHA to academic geriatric programs. (Tables 5.7 & 5.8 list the sources of revenues for individual schools.) The percentage of program revenues from educational and/or research grants and contracts was significantly positively correlated to the schools’ annual budgets (p
Page 1 and 2: The Association of Directors of Ger
Page 3 and 4: The Association of Directors of Ger
Page 5 and 6: National Oversight Panel M. Brownel
Page 7 and 8: The American Geriatrics Society . .
Page 9 and 10: List of Tables and Figures Chapter
Page 11 and 12: Figure 7.4 Figure 7.5 Figure 7.6 Fi
Page 13 and 14: the fastest acceleration in 12 year
Page 15 and 16: esidency review committee provide a
Page 17 and 18: Project Methodology National Oversi
Page 19 and 20: Table 2.2 Secondary Data and their
Page 21 and 22: 3 Historical Development of Geriatr
Page 23 and 24: $195.9 million NIA extramural suppo
Page 25 and 26: important political decision by the
Page 27 and 28: 4 The Practice Of Geriatric Medicin
Page 29 and 30: participants. Geriatricians have be
Page 31 and 32: Table 4.8 Medicaid Recipients and P
Page 33 and 34: Figure 4.1 Distribution of Certifie
Page 35 and 36: Figure 4.3 Geriatric Caseload for P
Page 37 and 38: Table 4.19 Total Annual Compensatio
Page 39 and 40: panel felt were most important for
Page 41 and 42: 5 Academic Geriatrics Programs in U
Page 43 and 44: Table 5.1 Academic Geriatric Progra
Page 45: Table 5.1 Academic Geriatric Progra
Page 49 and 50: Table 5.4 Women and Minority Facult
Page 51 and 52: Figure 5.6 Physician Faculty Vacanc
Page 53 and 54: Table 5.7 Sources of Geriatric Prog
Page 55 and 56: Table 5.9 Allopathic Medical School
Page 57 and 58: Table 5.11 Allocation of Faculty an
Page 59 and 60: Table 5.12 Allocation of Faculty an
Page 61 and 62: Table 6.1 Geriatric Medicine and Ge
Page 63 and 64: Table 6.4 Sources of Financial Supp
Page 65 and 66: investigators receive $60,000 of su
Page 67 and 68: Table 6.7 Program Directors Reporte
Page 69 and 70: Table 6.10 Program Directors Report
Page 71 and 72: Fellowship Training Activities for
Page 73 and 74: Table 6.16 Fellowship-Trained Geria
Page 75 and 76: 7 Preparing All Physicians To Care
Page 77 and 78: General Internal Medicine The 1999
Page 79 and 80: Trends in GIM Residency Programs Re
Page 81 and 82: Nursing homes and home care experie
Page 83 and 84: Geriatric Education Retreats (GERs)
Page 85 and 86: and GIM programs a mean of 2.8 avai
Page 87 and 88: chapter. The goals of these student
Page 89 and 90: This program awarded 20 two-year, $
Page 91 and 92: Conclusion This report summarizes r
Page 93 and 94: Bureau of Health Professions, HRSA,
Page 95 and 96: U.S. Centers for Medicare & Medicai
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APPENDIX A. Research Focus of Curre
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APPENDIX C. RESEARCH FOCUS OF NATIO
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APPENDIX E. SELECTED GERIATRIC MEDI
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Appendix F. Geriatric Medicine and
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Helen Hoenig, M.D., M.P.H., Duke Un
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APPENDIX H. RESIDENCY REVIEW COMMIT
Page 113 and 114:
Appendix H. Residency Review Commit
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Association of Directors of Geriatr
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