Reuben D B
Division of Geriatric Medicine, University of California, Los Angeles, School of Medicine 90024.
Am J Med. 1994 Oct 17;97(4A):18S-20S. doi: 10.1016/0002-9343(94)90201-1.
Geriatric medicine fellowships have begun to earn a berth in most department of medicine across the country. After 1994, initial certification of Added Qualification in Geriatric Medicine (AQGM) will require a period of geriatrics fellowship training. The requirements for accreditation of fellowship programs have been carefully developed and reflect emerging trends in graduate medical education. Nevertheless, recruitment into geriatrics fellowship programs has fallen far short of that in many other internal medicine fellowship programs. The lack of adequate reimbursement for the time and the evaluation and management skills needed to care for frail elderly patients prevents geriatrics from being an attractive career. On the other hand, several factors suggest a brighter future: the satisfaction of graduates of geriatrics fellowship programs, the increasing demand for clinical services for the elderly, and the wide open opportunities for research in this field.
老年医学 fellowship 项目已开始在全国大多数医学系中占有一席之地。1994 年之后，获得老年医学附加资格（AQGM）的初始认证将需要一段老年医学 fellowship 培训期。fellowship 项目的认证要求已得到精心制定，反映了毕业后医学教育的新趋势。然而，老年医学 fellowship 项目的招生人数远远低于许多其他内科 fellowship 项目。对照顾体弱老年患者所需的时间以及评估和管理技能缺乏足够的补偿，使得老年医学难以成为一个有吸引力的职业。另一方面，有几个因素预示着更光明的未来：老年医学 fellowship 项目毕业生的满意度、对老年人临床服务需求的增加以及该领域广泛的研究机会。
