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Supplement: Improving Geriatrics Training: Training Internists in the Care of Older Adults |

Improving Geriatrics Training in Internal Medicine Residency Programs: Best Practices and Sustainable Solutions

David C. Thomas, MD; Rosanne M. Leipzig, MD, PhD; Lawrence G. Smith, MD; Kathel Dunn, MSLS; Gail Sullivan, MD; and Eileen Callahan, MD
[+] Article, Author, and Disclosure Information

From Mount Sinai School of Medicine and New York University School of Medicine, New York, New York; and University of Connecticut Health Sciences Center, Farmington, Connecticut.

Grant Support: In part by the Society of General Internal Medicine through a grant from the John A. Hartford Foundation, Inc.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: David C. Thomas, MD, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1087, New York, NY 10029; e-mail, david.thomas@msnyuhealth.org.

Current Author Addresses: Dr. Thomas: Mount Sinai School of Medicine, One Gustave Levy Place, Box 1087, New York, NY 10029.

Drs. Leipzig and Callahan: Mount Sinai School of Medicine, One Gustave Levy Place, Box 1070, New York, NY 10029.

Dr. Smith: Mount Sinai School of Medicine, One Gustave Levy Place, Box 1118, New York, NY 10029.

Ms. Dunn: Frederick L. Ehrman Medical Library, New York University School of Medicine, 550 First Avenue, New York, NY 10006.

Dr. Sullivan: Center on Aging, University of Connecticut Health Sciences Center, Farmington, CT 06030.

Ann Intern Med. 2003;139(7):628-634. doi:10.7326/0003-4819-139-7-200310070-00037
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Most internal medicine residency programs provide geriatrics training to their residents. In the 1997–1998 National Study of Graduate Education in Internal Medicine survey, 99% of respondents indicated that geriatrics topics are part of their didactic curriculum, while 79% required that their residents have an ambulatory geriatrics experience. Yet in a recent national survey, 31% of internal medicine residents who had nearly completed their training indicated that they were “somewhat or very unprepared” to care for nursing home patients (1). The need for additional geriatrics training is apparent even to graduates of internal medicine residency programs with well-developed geriatrics experiences (2).

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