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Evolution of the Geriatric Curriculum in General Residency Training

Recommendations for the Coming Decade

Dr. Kennedy is Professor and Director, Division of Geriatric Psychiatry, Department of Psychiatry and Behavioral Science, Albert Einstein College of Medicine, Montefiore Medical Center. Dr. Goldstein is Associate Professor, Department of Psychiatry, State University of New York Medical Center at Buffalo. Dr. Northcott is Assistant Professor, Department of Psychiatry, University of British Columbia. Dr. Husain is Associate Professor, Department of Psychiatry, University of Texas Southwestern Medical Center. Dr. Nora is Clinical Professor of Psychiatry University of Nevada School of Medicine, and Chief of Psychiatry, Las Vegas Medical Center. Dr. Sakauye is Professor of Clinical Psychiatry and Director of Geriatrics, Louisiana State Medical School at New Orleans. Dr. Baker is Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii at Manoa. Dr. Scalmati is Assistant Professor, Division of Geriatric Psychiatry, Department of Psychiatry and Behavioral Science, Albert Einstein College of Medicine, Montefiore Medical Center. Address correspondence and reprint requests to Dr. Kennedy, Director, Division of Geriatric Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467; e-mail: gkennedy{at}aecom.yu.edu

As the number of older Americans increased in the twentieth century, training programs added geriatrics to their teaching and clinical experiences. The advent of added qualifications in geriatrics through board examination and the accreditation of geriatric residency (fellowship) programs brought further recognition of the geriatric imperative. Yet curricular requirements for experience with old age mental illness remain minimal. Reduced support for graduate medical education dictates that general—rather than geriatric—psychiatrists will continue to provide the majority of specialty mental health services to older adults. The authors review the emergence of geriatrics in general residency training and present recommendations for further evolution.

Key Words: Geriatric Psychiatry • Residency Training • Curriculum

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