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Comment
. 2017 Oct;65(10):2313-2317.
doi: 10.1111/jgs.14996. Epub 2017 Jul 10.

Big 'G' and Little 'g' Geriatrics Education for Physicians

Kathryn E Callahan  1 , Nina Tumosa  2 , Rosanne M Leipzig  3
Affiliations
Comment

Big 'G' and Little 'g' Geriatrics Education for Physicians

Kathryn E Callahan et al. J Am Geriatr Soc. 2017 Oct.

Abstract

In the July 2016 issue of this journal, Dr. Mary Tinetti proposed that geriatric medicine abandon attempts to increase the numbers of board-certified geriatricians and change focus to the development of a "small elite workforce." What would be gained and what sacrificed by accepting this challenge? We agree that the best clinical use of a scarce resource, specialty trained geriatricians, is to care for frail, complex, severely ill elderly adults and to help design and study novel interventions in research, education, and care models to improve the care of all older adults, but for this to happen, all other providers must attain specific competency in the care of older adults. This article responds and discusses alternative pathways for teaching geriatrics care, training specialists, and geriatrics fellows.

Keywords: education and training; fellowships; geriatrics; workforce.

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Conflict of interest statement

Conflict of Interest: None.

Comment on

References

    1. Tinetti M. Mainstream or extinction: Can defining who we are save geriatrics? J Am Geriatr Soc 2016;64:1400–1404. - PubMed
    1. Quill TE, Abernethy AP. Generalist plus specialist palliative care—creating a more sustainable model. N Engl J Med 2013;368:1173–1175. - PubMed
    1. Leipzig RM, Granville L, Simpson D et al. Keeping granny safe on July 1: A consensus on minimum geriatrics competencies for graduating medical students. Acad Med 2009;84:604–610. - PubMed
    1. Williams BC, Warshaw G, Fabiny AR et al. Medicine in the 21st century: Recommended essential geriatrics competencies for internal medicine and family medicine residents. J Grad Med Educ 2010;2:373–383. - PMC - PubMed
    1. Hogan TM, Losman ED, Carpenter CR et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Acad Emerg Med 2010;17:316–324. - PMC - PubMed

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