Abstract
The rapidly expanding population of elderly, many of whom will experience a form of mental illness, argues for more providers with geriatric psychiatry expertise. Fellowship training in geriatric psychiatry provides a comprehensive experience in the diagnosis and management of psychiatric illness in late life. Few psychiatry trainees are choosing this critical subspecialty, despite alarming public health needs. Multifaceted policy efforts are needed to increase the geriatric psychiatry workforce. Mentorship, in medical school and residency, are key components in the development of a career interest in geriatric psychiatry. Strategies to increase recruitment into the field include structural changes to training programs and financial incentives such as loan repayment. Despite an evolving economic landscape, the decision to enter geriatric psychiatry remains a decision of the heart: a calling to take care of our most vulnerable citizens.
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References
Accreditation Council for Graduate Medical Education (2016) Data Resource Book Academic Year 2015–16; Chicago. http://www.acgme.org/About-Us/Publications-and-Resources/Graduate-Medical-Education-Data-Resource-Book
American Association for Geriatric Psychiatry (2011) Geriatricians loan forgiveness fact sheet. In: American Association for Geriatric Psychiatry supports the “H.R. 1457, the ‘Geriatrics Loan Forgiveness Act of 2009’”
American Association for Geriatric Psychiatry (2012) Medicare physician fee schedule fact sheet. In Retrieved from http://www.aagponline.org/index.php?src=gendocs&ref=FactSheetMedicarePhysicianFeeSchedule&category=Advocacy
American Board of Medical Specialties (2015) 2013–2014 ABMS Board Certification Member Boards. Retrieved from http://www.abms.org/news-events/2013-2014-abms-board-certification-report-now-available/
American Federation for Aging Research (2018) Medical Student Training in Aging Research. Retrieved from https://www.afar.org/research/funding/mstar/
American Psychiatric Association (2012) APA Supports Institute of Medicine Report Calling for Increased Mental Health Workforce Capacity to Care for Growing Geriatric Population [Press release]
Association of Directors of Geriatric Academic Programs (2007) Geriatrics in psychiatry residency programs. Train Prac Update 5(1):1–7
Association of Directors of Geriatric Academic Programs (2016) How many board certified geriatricians and geropsychiatrists are there in the U.S.? Retrieved from http://adgap.americangeriatrics.org/
Bartels SJ, Naslund JA (2013) The underside of the silver tsunami – older adults and mental health care. N Engl J Med 368(6):493–496. https://doi.org/10.1056/NEJMp1211456
Blazer D, Yaffe K, Liverman C (2015) Cognitive aging: progress in understanding and opportunities for action. Retrieved from Washington, DC
Bruce ML, Brown EL, Raue PJ, Mlodzianowski AE, Meyers BS, Leon AC et al (2007) A randomized trial of depression assessment intervention in home health care. J Am Geriatr Soc 55(11):1793–1800. https://doi.org/10.1111/j.1532-5415.2007.01419.x
Curran MA, Black M, Depp CA, Iglewicz A, Reichstadt J, Palinkas L, Jeste DV (2015) Perceived barriers and facilitators for an academic career in geriatrics: medical students’ perspectives. Acad Psychiatry 39(3):253–258. https://doi.org/10.1007/s40596-014-0208-6
Federal Interagency Forum on Aging-Related Statistics (2016) Older Americans 2016: key indicators of well-being. Paper presented at the Federal Interagency Forum on Aging-Related Statistics
Geriatric Workforce Policy Studies Center (2010) Table 3.5 Geriatric psychiatry fellowship programs 1995/96-2010/11. American Geriatrics Society
Halpain MC, Jeste DV, Katz IR, Lebowitz BD (1997) The first summer research Institute in Geriatric Psychiatry. Am J Geriatr Psychiatry 5(3):238–246
Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM (2013) Monetary costs of dementia in the United States. N Engl J Med 368(14):1326–1334. https://doi.org/10.1056/NEJMsa1204629
Institute of Medicine (2012) The mental health and substance use workforce for older adults: in whose hands? [press release]
Institute of Medicine Committee on the Future Health Care Workforce for Older Americans (2008) Retooling for an aging America: building the health care workforce. National Academies Press
Jeste DV, Halpain MC, Trinidad GI, Reichstadt JL, Lebowitz BD (2007) UCSD’s short-term research training programs for trainees at different levels of career development. Acad Psychiatry 31(2):160–167. https://doi.org/10.1176/appi.ap.31.2.160
Jeste DV, Depp CA, Vahia IV (2010) Successful cognitive and emotional aging. World Psychiatry 9(2):78–84
Juul D, Scheiber SC (2003) Subspecialty certification in geriatric psychiatry. Am J Geriatr Psychiatry 11(3):351–355
Kirwin, P. (2009, March 18) Testimony on behalf of the American Association for Geriatric Psychiatry to the United States House of Representatives, Appropriations Subcommittee on Labor, Health and Human Services, and Education/Interviewer: A. S. o. L. United States House of Representatives, Health and Human Services, and Education
Kirwin P, Conroy M, Lyketsos C, Greenwald B, Forester B, deVries C, … Reynolds CF 3rd (2016) A call to restructure psychiatry general and subspecialty training. Acad Psychiatry 40(1):145–148. https://doi.org/10.1007/s40596-014-0144-5
Lehmann SW, Blazek MC, Popeo DM (2015) Geriatric psychiatry in the psychiatry clerkship: a survey of current education practices. Acad Psychiatry 39(3):312–315. https://doi.org/10.1007/s40596-015-0316-y
Lieff SJ, Tolomiczenko GS, Dunn LB (2003) Effect of training and other influences on the development of career interest in geriatric psychiatry. Am J Geriatr Psychiatry 11(3):300–308
Lieff SJ, Kirwin P, Colenda CC (2005) Proposed geriatric psychiatry core competencies for subspecialty training. Am J Geriatr Psychiatry 13(9):815–821. https://doi.org/10.1176/appi.ajgp.13.9.815
McFarlane WR, Dixon L, Lukens E, Lucksted A (2003) Family psychoeducation and schizophrenia: a review of the literature. J Marital Fam Ther 29(2):223–245
Office of the Surgeon General (1999) Mental health: a report of the surgeon general. Retrieved from https://profiles.nlm.nih.gov/ps/retrieve/ResourceMetadata/NNBBHS
Partnership for Health in Aging (2010) Multidisciplinary competencies in the care of older adults at the completion of the entry-level health professional degree. Retrieved from Partnership for Health in Aging website: http://epadgec.jefferson.edu/pdfs/PHA-Multidisc-Competencies.pdf
Rej S, Laliberte V, Rapoport MJ, Seitz D, Andrew M, Davidson M (2015) What makes residents interested in geriatric psychiatry? A pan-Canadian online survey of psychiatry residents. Am J Geriatr Psychiatry 23(7):735–743. https://doi.org/10.1016/j.jagp.2014.08.015
Rosen A (2005, January 24th) Testimony on behalf of the National Coalition on Mental Health and Aging to the White House Conference on Aging Steering Committee/Interviewer: W. H. C. o. A. S. Committee
Scheinthal S, Gross C, Morales-Egizi L (2015) Appendix 2: AOA specialty board certification. Certification statistics as of December 2014. J Am Osteopath Assoc 114(4):275–278. https://doi.org/10.7556/jaoa.2015.051
Toot S, Orrell M, Rymaszewska J, Ihl R (2012) A survey of geriatric psychiatry training across Europe. Int Psychogeriatr 24(5):803–808. https://doi.org/10.1017/S1041610211002341
United Nations (2002) Political declaration and Madrid international plan of action on ageing. New York. Retrieved from http://www.un.org/en/events/pastevents/pdfs/Madrid_plan.pdf
United Nations (2015) World population ageing. New York. Retrieved from http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf
University of California San Diego (2018) Jackuelyn Harris high school summer training in aging research program. Retrieved from https://medschool.ucsd.edu/research/aging/training/Pages/For-High-School-Students.aspx
Unutzer J, Katon W, Callahan CM, Williams JW Jr, Hunkeler E, Harpole L, … IMPACT Investigators. Improving Mood-Promoting Access to Collaborative Treatment (2002) Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA 288(22):2836–2845
World Health Organization (2015) WHO report on ageing and health. Geneva. Retrieved from http://www.who.int/ageing/publications/world-report-2015/en/
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Vahia, I.V., Kirwin, P.D. (2018). Education in Geriatric Psychiatry. In: Hermans, M., Hoon, T., Pi, E. (eds) Education about Mental Health and Illness. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0866-5_15-1
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DOI: https://doi.org/10.1007/978-981-10-0866-5_15-1
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