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ADGAP National Survey of Geriatric Medicine Fellowship

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ADGAP National Survey of Geriatric Medicine Fellowship ADGAP National Survey of Geriatric Medicine Fellowship Presentation Transcript

  • ADGAP National Survey of Geriatric Medicine Fellowship Program Directors April 30, 2008 Updated 9/23/09
        • Gregg A. Warshaw, MD
        • Elizabeth “Libbie” Bragg, PhD, RN
  • 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
  • Program Directors *Means 2007 2001 P value Years director* 6.6 5.6 P=0.02 Years since formal training* 17.3 15.6 NS Hours/week administration* 12.1 9.6 P=0.004
  • Program Directors Certification 2007 2001 Without fellowship training 29% 37% With fellowship training 68% 59% Not certified 3% 4%
  • Faculty Academic Rank (2007) Data presented as number of faculty Rank Men Women Total Assistant Professor 200 276 476 Associate Professor 119 81 200 Professor 105 36 141 Other 28 50 78 Total 452 443 895
  • Fellowship Program Faculty Certified in Geriatrics (2007) Number Mean ± sd Median (range) Certified without fellowship training 245 2.5 ± 3.0 2.0 (0-19) Certified with fellowship training 727 7.1 ± 5.9 6.0 (0-34)
  • Application Trends* *Means over three years 2004-07 1999-02 P value Applications 60 138 P=<0.0001 Interviews 23 19 P=0.0556
  • Geriatric Medicine Fellowships: 1 st year Positions, 1 st year Fellows, and Programs Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics Workforce Policy Studies Center. Updated 10/10
  • 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 10/10 .
  • Distribution of First Year Geriatric Medicine Fellows
  • Funding Sources: First Year Fellows (Percent of Programs Utilizing Source) *Includes clinical revenue Sources 2007 2001 Medicare GME 86% 79% VA 41% 48% Institutional support* 41% 46% Foundations/gifts 23% 27% BHPr 12% 10% Other 8% --
  • 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
  • Number of Advanced Fellows 2007 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 Data Source 2006-07 2005-06 2004-05 GME Census 34 55 36 ADGAP Survey 65 73 72
  • Distribution of Second Year Geriatric Medicine Fellows
  • Funding Sources: Advanced Fellows (Percent of Programs Utilizing Source) *Includes clinical revenue Sources 2007 2001 Institutional support* 56% 56% Foundations 46% 58% Medicare GME 46% 46% NIA Grants 35% 16% VA SFPAG 28% -- VA Other 23% 43% BHPr 21% 16%
  • Selected Specialties Percent USMDs Percent Filled 1 st Year Positions Median Private Practice Salaries
  • Sources *JAMA Education Issue, September 2010 † Medical Group Management Association. Physician Compensation and Production Survey 2010 report based on 2009 data Updated 10/10 Data compiled by Geriatrics Workforce Policy Studies Center. Specialty % USMDs* % Filled First Year Positions* Salary † (median) Urology 95% 88% 390,678 Dermatology 95% 93% 385,088 Emergency Medicine 82% 102% 262,475 Pediatrics 67% 98% 192,000 Gastroenterology 64% 95% 465,509 Psychiatry 58% 98% 191,267 Neurology 57% 98% 237,918 General Internal Medicine 49% 99% 197,080 Family Medicine 44% 96% 183,999 Geriatric Psychiatry 31% 45% 223,456 Geriatric Medicine 29% 56% 179,950
  • Graduates of Geriatric Medicine and Geriatric Psychiatry Fellowship Programs Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics workforce Policy Studies Center. Updated 10/10 .
  • Certification and Recertification in Geriatric Medicine ( Initial Certification 1988-2000) (as of 3/10) Data updated 10/10. Data compiled by Geriatrics Workforce Policy Studies Center Family Medicine Internal Medicine Certified Re-certified Certified Re-certified 3,005 1,547 (51%) 6,696 2,756 (41%) Family Medicine and Internal Medicine Certified Re-certified 9,701 4,303 (44%)
  • 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.
  • Summary (I)
    • Program directors – now 2/3 with fellowship training
    • Number of applications per program declining
    • Number of available 1 st year positions more than doubled over last decade
  • Summary (II)
    • USMDs filling 1 st year positions peaked at 167 in 2002-2003 and declined to 86 in 2009-2010
    • 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.
  • Project Staff
    • Dave Brewer
    • Danielle Cornwall
    • Tony Leonard
    • Karthikeyan Meganathan
    • Rob Witzke
  • Contact Information
    • Gregg Warshaw, MD
    • Email: [email_address]
    • Elizabeth Bragg, PhD, RN
    • Email: [email_address]