Geriatric Specialization in the U.S.: Profile and Prospects (Geriatrician, Health Manpower, Care; United States).

Abstract

Quality medical care for this country's elderly calls for rapid expansion of geriatric physician manpower. Yet, progress in geriatrices is impeded by ambiguity and negativity regarding this "specialty." This research sought basic descriptive data on the current supply of geriatric specialists, in order to put the manpower situation into social and historical perspective and to find ways to strengthen it. A national survey was conducted among physicians known to be involved in geriatrics, by virtue of membership in one of the major relevant professional societies. The mail questionnaire was completed by 731 of the r and omly selected physicians. Demographic characteristics, specialties, professional activities, medical training and reasons for selecting geriatrics were studied. Difficulties in identifying geriatric specialists were addressed, and alternative criteria examined. The data contradict the negative stereotypes of geriatricians and provide an new, more positive image. Worksettings and activities were quite varied and satisfaction very high. Geriatric education is lacking at all levels; continuing medical education (CME) was found to be the most prevalent and best formal source of geriatric knowledge. Geriatrics attract physicians of all ages and for many different reasons. It is commonly a mid- or late career change rather than an initial preference. Though the supply of geriatricians appears to be increasing rapidly, it still falls far short of the projected need. Implications and recommendations relate to geriatric manpower research, manpower development, and education. Geriatric CME is thought to have a critical role, and ways are proposed to make it both more effective and more attractive to physicians already working in geriatrics, potential recruits, and non-geriatricians who have elderly patients.