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Gregg A. Warshaw, MD Elizabeth “Libbie” Bragg, PhD, RN

ADGAP National Survey of Geriatric Medicine Fellowship Program Directors Comparing 2001 to 2007 Updated September 2012 with National GME Census Data. Gregg A. Warshaw, MD Elizabeth “Libbie” Bragg, PhD, RN. Methodology. 2007 Survey 102/143 = 71% response rate Survey available online only

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Gregg A. Warshaw, MD Elizabeth “Libbie” Bragg, PhD, RN

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  1. ADGAP National Survey of Geriatric Medicine FellowshipProgram DirectorsComparing 2001 to 2007 Updated September 2012 with National GME Census Data Gregg A. Warshaw, MD Elizabeth “Libbie” Bragg, PhD, RN

  2. Methodology • 2007 Survey 102/143 = 71% response rate • Survey available online only • 2001 Survey 96/126 = 76% response rate • Survey available both online and paper • Secondary data from AMA/AAMC GME Survey

  3. Program Directors *Means

  4. Program Directors

  5. Faculty Academic Rank (2007) Data presented as number of faculty

  6. Fellowship Program Faculty Certified in Geriatrics (2007)

  7. Application Trends* *Means over three years

  8. Geriatric Medicine Fellowships: 1st year Positions, 1st year Fellows, and Programs Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics Workforce Policy Studies Center. Updated 9/12

  9. Total GM Fellows, IMGs, and USMDs Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics Workforce Policy Studies Center. Data presented on fellows for all years of training. Osteopathic and Canadian medical school graduates are included in the total number of fellows but are not included in IMGs or USMDs. Updated 9/12.

  10. Distribution of First Year Geriatric Medicine Fellows

  11. Funding Sources: First Year Fellows(Percent of Programs Utilizing Source) *Includes clinical revenue

  12. ADGAP Survey Question Regarding Advanced Fellows(2007) Does your program offer additional training for any of your fellows beyond the ACGME accredited 12-month training program as advanced fellows or junior faculty? (In some programs advanced fellows beyond the 12 month clinical program are given junior faculty appointments. If these junior faculty are functioning in a role similar to advanced fellows, you would answer “yes” to this question.) 51% of program directors responded: Yes

  13. Number of Advanced Fellows2007 Survey Data Compared with GME Census Sources: GME Census: AMA and AAMC data from the National Survey of GME Programs compiled by ADGAP Status of Geriatrics Workforce Study; ADGAPstudy: 2007 Survey of Geriatric Medicine Fellowship Directors

  14. Distribution of Second Year Geriatric Medicine Fellows

  15. Funding Sources: Advanced Fellows (Percent of Programs Utilizing Source) *Includes clinical revenue

  16. Selected SpecialtiesPercent USMDsPercent Filled 1st Year Positions Median Private Practice Salaries

  17. Comparison of Percent of Filled First Year Positions, Percent of USMDs, and Private Practice Salaries for Selected Specialties 2011 Sources: 1AMA and AAMC data from the National Survey of GME programs, JAMA, September 2011. 2Medical Group Management Association. Physician Compensation and Production Survey 2011 report based on 2010 data. Data compiled by Geriatrics Workforce Policy Studies Center. *Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiology, or surgery. USMD = Graduates of US medical schools

  18. Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics Workforce Policy Studies Center. Does not include osteopathic programs.

  19. Certification and Re-certification in Geriatric Medicine by Year of Original Certification as of 4/12 Source: Lou Grosso, ABIM, 2012 and Gary Jackson, ABFM, 2012. Recertification examinations are given twice a year, in the spring and fall. Certificates are valid for 10 years. Compiled by GWPS Center. Notes: Starting in 1996, fellowship training was required for certification. Starting in 1998 only one year of training was required for certification.

  20. Actual and Projected Ratio of Geriatricians/10,000 Population Updated 9/09 Source: The Geriatrics Workforce Policy Studies Center staff projected the number of geriatricians/10,000 population using population data from the  Administration on Aging and data on geriatricians from the ABFM and ABIM and the GME National Census Note: The 2000 data is from the 2000 Census. The figures for 2010 to 2050 are from Census Bureau International Data Base.

  21. Summary (I) • Program directors – now 2/3 with fellowship training • Number of applications per program declining • Number of available 1st year positions more than doubled over last decade

  22. Summary (II) • USMDs filling 1st year positions peaked at 167 in 2002-2003 and declined to 75 in 2010-2011 • The majority of programs have 2-4 first-year fellows • AMA/AAMC GME data under-estimates the number of advanced fellows • In the coming decades, based on current trends, the rapidly growing older population will overwhelm the supply of geriatricians.

  23. Contact Information Elizabeth Bragg, PhD, RN Email: Elizabeth.Bragg@uc.edu

  24. Contact Information http://www.americangeriatrics.org/advocacy_public_policy/gwps Libbie Bragg, PhD, RN The University of Cincinnati Elizabeth.Bragg@uc.edu 513-558-5241 Gregg Warshaw, MD Email: Gregg.Warshaw@uc.edu

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