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Geriatric Medicine: An Overview

Geriatric Medicine: An Overview CHAPTER 6 Ricm W. BESDINE, M.D. HARVNLD MEDICAL SCHOOL BOSTON, MASSACW~S For a generation, medical education aud health care in many Western European countries have had a special focus on the elderly. In Britain, a specialty with free-standing academic and service departments bas been developed, though recently growing pains have been described (Royal College of Physicians of London, 1977). In the United States, little by way of speciaI attention has been given to old people, either in medical educa- tion or in health care system design (Akpom and Mayer, 1978; Somers, 1976 1 . Congressional hearings have identified gaps in physician education and expressed concern about the capability of American practitioners to successfully meet the medical care needs of an increasingly old population (Butler, 1976). In 1974, a solitaty U.S. program was ogering postgraduate training in geriatrics ( Libow, 1976). A 1976 Anglo-American conference on care of the elderly also expressed concern about the education of Amer- ican physicians regarding the elderly and recommended that aging content be introduced systematically into medical student and postgraduate physi- cian training (Exton-Smith and Evans, 1977; Institute of Medicine, 1977). Recently an extensive report by the Institute of Medicine ( 1978) recommended substantial http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Gerontology & Geriatrics Springer Publishing

Geriatric Medicine: An Overview

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Publisher
Springer Publishing
ISSN
0198-8794
eISSN
1944-4036
DOI
10.1891/0198-8794.1.1.135
Publisher site
See Article on Publisher Site

Abstract

CHAPTER 6 Ricm W. BESDINE, M.D. HARVNLD MEDICAL SCHOOL BOSTON, MASSACW~S For a generation, medical education aud health care in many Western European countries have had a special focus on the elderly. In Britain, a specialty with free-standing academic and service departments bas been developed, though recently growing pains have been described (Royal College of Physicians of London, 1977). In the United States, little by way of speciaI attention has been given to old people, either in medical educa- tion or in health care system design (Akpom and Mayer, 1978; Somers, 1976 1 . Congressional hearings have identified gaps in physician education and expressed concern about the capability of American practitioners to successfully meet the medical care needs of an increasingly old population (Butler, 1976). In 1974, a solitaty U.S. program was ogering postgraduate training in geriatrics ( Libow, 1976). A 1976 Anglo-American conference on care of the elderly also expressed concern about the education of Amer- ican physicians regarding the elderly and recommended that aging content be introduced systematically into medical student and postgraduate physi- cian training (Exton-Smith and Evans, 1977; Institute of Medicine, 1977). Recently an extensive report by the Institute of Medicine ( 1978) recommended substantial

Journal

Annual Review of Gerontology & GeriatricsSpringer Publishing

Published: Sep 1, 1980

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