Gerontology and Geriatrics in Medical Education

The elderly are receiving more attention because of their increasing numbers and because of the substantial public funding for their health and welfare. This article summarizes the findings of an Institute of Medicine committee, whose recently completed report concludes that gerontology (study of aging) and geriatrics (care of the aged) are not covered adequately in medical education. Suggested remedies include increased attention to these subjects in existing medical-school courses, establishment of a complementary required course integrating information from diverse disciplines and emphasis in house-staff training programs on continuous care of the aged in settings other than acute-care facilities. Although an academic discipline of geriatrics is necessary to enhance teaching, research, and specialized patient care, development of a practice specialty would be unwise. More funds for training and research in gerontology and geriatrics are essential to increase the science base and to encourage the development of knowledgeable faculty. (N Engl J Med 300:228–232, 1979) IMPROVEMENTS in sanitation, housing and nutrition, as well as the conquest of many infectious diseases, have resulted in striking demographic changes during this century. More than 50 per cent of those who have ever been over the age of 65 are alive today. The number of Americans 65 and over has risen from three million, or 4 per cent of the population, in 1900 to more than 23 million or 11 per cent of today's population. On the basis of present trends, this figure will increase to 55 million in 50 years.² Age 65, although not necessarily demarcating biologic old.