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Geriatric Medicine

Laurence Z. Rubenstein, MD, MPH
JAMA. 1990;263(19):2644-2646. doi:10.1001/jama.1990.03440190100052.
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The dramatic growth in geriatric medicine over the past decade stems from a convergence of several forces, the most prominent of which is the rapid expansion in numbers and political clout of the elderly population, together with their rising expectations and their impatience with the current health care system. The medical profession, along with other health professionals, has responded with a surge of interest, research, creative publishing, and training programs in the gerontologic fields. The recent establishment of a certifying examination in geriatrics (Certificate of Added Qualifications in Geriatric Medicine), jointly sponsored by the American boards of both internal medicine and family practice (and passed by over 2400 physicians in the first round), and the recent decision by the Accreditation Council of Graduate Medical Education to accredit the growing number of fellowship programs in geriatrics have solidified this professional expansion. Physician interest in geriatrics will probably expand further with the


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