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A Report Card on Academic Geriatrics in 1991: The Struggle for Academic Respectability

William R. Hazzard, MD
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Grant Support: By a grant from the John A. Hartford Foundation and grant #AH64028 of the Appalachian Geriatric Education Center.

Requests for Reprints: William R. Hazzard, MD, Department of Internal Medicine, Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1052.

Bowman Gray School of Medicine of Wake Forest University
Winston-Salem, NC 27157-1052

Ann Intern Med. 1991;115(3):229-230. doi:10.7326/0003-4819-115-3-229
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This excerpt has been provided in the absence of an abstract.

Geriatrics has clearly come a long way since a classic 1978 Institute of Medicine study (1) outlined the challenge to the academic medical establishment of the impending demographic imperative of an aging population. In contrast to 1978, many undergraduate medical curricula now contain substantial gerontologic and geriatric content (albeit on average far less than recommended) (2); geriatric experience is a "must" in residencies in internal medicine and family practice (although in 1990 it could be identified in only 36% of internal medicine programs) (3); accredited geriatric fellowship programs have been established at over 100 centers in the Department of Internal




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