Friday, April 6, 2007

A Coming Crisis - Fewer Medical Students Choose Geriatrics

Study: Not enough doctors for the aging

WASHINGTON, April 4 (UPI) -- The number of medical students choosing geriatrics is going down at the same time the number of seniors is going up, a new U.S. study says.

By the year 2030, an estimated 70 million Americans will be older than 65, but in the last decade the number of certified doctors specializing in treating older patients has declined from 8,800 to 7,100, according to a study released Thursday by researchers at the University of Cincinnati.

New geriatricians are also not forthcoming, the researchers said. From 1999 to 2006, the percentage of medical students entering family medicine, which includes geriatrics as a subspecialty, dropped 6.3 percent.

In addition, only two-thirds of geriatric fellowship positions were filled last year, the study found.

Doctors in other specialties who sometimes treat aging patients also said their training was inadequate.

The primary reason, according to the authors, is money. In 2006, the average student debt of a new doctor was $113,000. The relatively low salaries for geriatric specialists combined with the additional years of schooling required are discouraging medical students from pursing the field.

The perception that the work is unrewarding is also a factor, said study co-author Elizabeth Bragg, a researcher at the University of Cincinnati.

"Most people think working with older adults is depressing," she said. "Also, the procedures aren't as 'glamorous' as in other specialties," Bragg said. "There needs to be a big shift in attitudes when it comes to care for the older population."

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