Reuben D B, Bradley T B, Zwanziger J, Vivell S, Fink A, Hirsch S H, Beck J C
Multicampus Division of Geriatric Medicine and Gerontology, UCLA Department of Medicine 90024-1687.
J Am Geriatr Soc. 1991 Aug;39(8):799-805. doi: 10.1111/j.1532-5415.1991.tb02703.x.
Despite increases in geriatrics training at all levels of medical education, there is a nationwide shortage of geriatrics faculty. This shortage may be due in part to demands for clinical responsibilities that preclude adequate time for teaching and research. To learn about the professional activities of geriatrics faculty, we conducted a national survey of a 50% sample of all medical schools and their affiliated residency programs that focused on physician and non-physician geriatrics faculty in internal medicine, family practice, psychiatry, neurology, and physical medicine and rehabilitation. Although we found minor differences across specialties, in general, approximately one-third of physician faculty time is spent in teaching, the majority of which is clinical teaching. Less than 15% of physician faculty time is spent in research, and fewer than 10% of physician geriatrics faculty devote over half of their time to research. The percentage of time that non-physician faculty (other than "Research Only" faculty) spend in research is only slightly higher. These findings suggest that efforts to increase geriatrics education at all levels and promote research advances will be limited unless geriatricians devote substantially more of their time to these responsibilities.
尽管各级医学教育中的老年医学培训有所增加，但全国范围内老年医学教员短缺。这种短缺可能部分归因于临床职责的要求，这使得没有足够的时间用于教学和研究。为了解老年医学教员的专业活动，我们对所有医学院及其附属住院医师培训项目的50%样本进行了一项全国性调查，重点关注内科、家庭医学、精神病学、神经病学以及物理医学与康复领域的医师和非医师老年医学教员。尽管我们发现各专业之间存在细微差异，但总体而言，医师教员大约三分之一的时间用于教学，其中大部分是临床教学。医师教员用于研究的时间不到15%，只有不到10%的老年医学医师教员将一半以上的时间用于研究。非医师教员（除“仅从事研究”的教员外）用于研究的时间百分比仅略高。这些发现表明，除非老年医学专家将大量更多时间投入到这些职责中，否则各级增加老年医学教育和促进研究进展的努力将受到限制。
