Steven R. Simon, MD, MPH; Anne R. Fabiny, MD; Jamie Kotch, SM
Acknowledgments: The authors thank the key informants and summit conference participants for their contributions.
Grant Support: In part by a grant from the Society of General Internal Medicine and the John A. Hartford Foundation, Inc.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Steven R. Simon, MD, MPH, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215; e-mail, email@example.com.
Current Author Addresses: Dr. Simon and Ms. Kotch: Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215.
Dr. Fabiny: Hebrew Rehabilitation Center for Aged, 1200 Centre Street, Boston, MA 02131.
Simon SR, Fabiny AR, Kotch J. Geriatrics Training in General Internal Medicine Fellowship Programs: Current Practice, Barriers, and Strategies for Improvement. Ann Intern Med. 2003;139:621-627. doi: 10.7326/0003-4819-139-7-200310070-00036
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Published: Ann Intern Med. 2003;139(7):621-627.
Leaders in general internal medicine, as in other medical subspecialties, have recognized the need for general internists to develop greater competency in geriatric medicine (1-8). Preparing general internists to care for elderly patients, to conduct research related to aging, and to teach geriatric topics requires different types of exposures and experiences in geriatrics, depending on the general internist's stage of training.
More than 100 internists each year complete general internal medicine fellowship training in more than 60 programs in the United States (9-12). Emphasizing fellows' preparation for careers as clinician-educators or clinician-investigators, general internal medicine fellowship programs offer no advanced certification to their graduates, yet they draw competitive pools of talented internists who wish to develop the knowledge, attitudes, and skills to become leaders in academic general internal medicine. General internal medicine fellowships offer a valuable opportunity to extend geriatrics education and training to academic general internists, but little is known about how these fellowships have incorporated geriatrics into their formal and informal curricula. We therefore sought to define the current practice of geriatrics training in general internal medicine fellowships, identify barriers to increasing and enhancing geriatrics training for general internal medicine fellows, and explore possible strategies for incorporating geriatrics training into general internal medicine fellowship programs.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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