Adam G. Golden, MD, MBA; Michael A. Silverman, MD, MPH, CMD; Michael J. Mintzer, MD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-3079.
Golden A., Silverman M., Mintzer M.; Dialogue on Geriatrics: How Should We Fix the Problem?. Ann Intern Med. 2012;157:458-459. doi: 10.7326/0003-4819-157-6-201209180-00022
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Published: Ann Intern Med. 2012;157(6):458-459.
Several comments state that our line of reasoning may be “dubious” or “negative.” Drs. Burton and Durso even contend that “geriatrics is very much alive” based on teaching and research efforts occurring at academic medical centers. However, no evidence is provided to dispute that the clinical subspecialty of geriatric medicine in the United States remains an unpopular career choice, is poorly reimbursed, and lacks sufficient research demonstrating its effectiveness compared with nongeriatricians (1). In addition, we agree with Dr. Hamerman that despite much progress in the basic science of aging, these efforts have not translated into geriatrician-specific medical interventions.
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