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Community Psychiatrists Who See Geriatric Patients: What’s Training Got to Do With It?

Dr. Lieff is Director of the Teaching Scholars Program of the Faculty Development Centre in the Faculty of Medicine at the University of Toronto and the Postgraduate Education Coordinator for the Division of Geriatric Psychiatry in the Faculty of Medicine at the University of Toronto, Toronto, Ontario, Canada. Dr. Lieff is also Associate Professor of Psychiatry at the University of Toronto. Dr. Andrew is Assistant Professor and Director of Geriatric Psychiatry Unidergraduate Education at Queen's University, Kingston, Ontario, Canada. Dr. Tiberius is Director and Professor of Educational Development at the University of Miami School of Medicine, Miami, Florida. Address correspondence to Dr. Lieff, Department of Psychiatry, Baycrest Centre for Geriatric Care, 3560 Bathurst St., Toronto, Ontario, Canada M6A 2E1, s.lieff{at}utoronto.ca (E-mail).

Objective: This study examines the issues influencing psychiatrists’ decisions to provide care to the under-served geriatric population. Methods: Community-based psychiatrists who see geriatric patients participated in focus group discussions exploring factors that influence the characteristics of their current practices. Results: Personal themes, environmental issues and quality of residency training emerged as important factors interacting in eventual practice choice. Major influences within training programs included teachers, diverse patient exposure and high-quality essential skills teaching. Conclusion: Residency program curricula might capitalize on these to better prepare residents and enhance the likelihood of graduates eventually choosing to incorporate geriatric patients into their practices.

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