Research suggests geriatricians more effectively manage older patients’ care, but factors including ageist stereotypes, lack of school programs, and lower salaries are dampening interest in the field.
People over 65 need more health care services than other age groups and make up nearly half of people admitted to the hospital. However, there are only 7,300 board-certified geriatricians in the United States, which is fewer than 1 percent of all physicians, according to the American Geriatrics Society. By contrast, more than 60,000 pediatricians were practicing in 2021, according to the Association of American Medical Colleges (AAMC).
Geriatrics only became a board-certified specialty in 1988, and accredited medical schools aren’t required to teach geriatrics — so many don’t.
However, research suggests that geriatricians more effectively and efficiently manage older patients’ care than doctors without such specific training — leading to lower inpatient death rates, shorter hospital stays and reduced patient costs.
For instance, some doctors don’t understand that what may appear to be a new symptom or problem is actually an adverse effect of a drug, which in younger people wouldn’t cause that.
“Older Americans have unique health care needs and deserve specialists who know how to best treat them,” said Robert Roach, Jr., President of the Alliance. “We call on Congress to create incentives and encourage more physicians to become geriatricians and ensure all doctors receive at least some training in the care of older patients.”