The Looming Geriatrician Shortage: Ramifications and Solutions.

Abstract:

:Objective: Geriatricians are skilled in the recognition of asymptomatic and atypical presentations that occur in the elderly and provide comprehensive medication management including recognizing adverse drug events, reducing polypharmacy, and de-prescribing. However, despite the increasing average age of the U.S. population, with the number of individuals above 65 years old predicted to increase 55% by 2030, the geriatric workforce capacity in the United States has actually decreased from 10,270 in 2000 to 8,502 in 2010. Method: We describe physiologic changes in older adults, historical trends in geriatric training, and propose solutions for this looming crisis. Results: Many factors are responsible for the shortage of skilled geriatric providers. Discussion: We discuss the historical context of the lack of geriatricians including changes to the training system, describe the impact of expert geriatric care on patient care and health system outcomes, and propose methods to improve recruitment and retention for geriatric medicine.

journal_name

J Aging Health

authors

Lester PE,Dharmarajan TS,Weinstein E

doi

10.1177/0898264319879325

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1052-1062

issue

9

eissn

0898-2643

issn

1552-6887

journal_volume

32

pub_type

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