Geriatric Psychiatry Fellowship Programs Comparison of 2001 and 2007

1. Geriatric Psychiatry Fellowship ProgramsComparison of 2001 and 2007 Elizabeth “Libbie” Bragg, PhD, RN College of Nursing September 2012

2. Methods • Cross sectional surveys of GP fellowship program directors 2001 76% response rate (N=47/62) 2007 66% response rate (N=37/56) • Longitudinal data from multiple sources National GME Census

3. Main Points • GP Fellowship Slots are not filling • USMDs not choosing GP • Few GP fellows train beyond year one • Many GP do not recertify

4. Geriatric Psychiatry: Number of Programs, First Year Positions Available and Filled Source: AMA and AAMC data from the National survey of GME programs, JAMA 1995-2011.

5. Geriatric Psychiatry: Total Number of Fellows, IMGs and USMDs Source: AMA and AAMC data from the National survey of GME programs, JAMA 1995-2011.

6. Distribution of First Year Geriatric Psychiatry Fellows for Academic Years 2001-2002 and 2006-2007 Source: Geriatrics Workforce Policy Studies Center. Surveys of Directors of Geriatric Psychiatry Fellowship Programs. (Fall 2001, N=47/62, 76% response rate.) (Winter 2007, N=37/58, 66% response rate.)

7. Conclusions so far • GP Fellowship Slots are not filling • Less than half of the slots have been filled in past 4 years • From 2001/02 to 2006/07 a 23% ↓ fellows • From 2001/02 to 2010/11 a 56% ↓ fellows • USMDs not choosing GP • Since 1996/97 majority of fellows are IMGs

8. Fellowship Training Beyond Year 1 Advanced Fellows are prepared to: • Conduct basic, clinical, or health services research • Educate others • Be leaders in the field

9. Geriatric Psychiatry: Total Number of Fellows, First Year & Advanced Fellows Source: AMA and AAMC data from the National survey of GME programs, JAMA 1995-2010.

10. Faculty at 37 GP ProgramsAcademic Rank (2007) Data presented as number of faculty. Median total faculty 7. IQR 5 – 10.5 228 are certified in GP: 126 by fellowship training

11. 2007 GP Program Directors *Data presented as number and %. All other data median and ranges

12. Source: AMA and AAMC data from the National Survey of GME Programs compiled by Geriatrics Workforce Policy Studies Center. Does not include osteopathic programs.

13. Comparison of Percent of Filled First Year Positions, Percent of USMDs, and Private Practice Salaries for Selected Specialties 2011 Sources: 1AMA and AAMC data from the National Survey of GME programs, JAMA, September 2011. 2Medical Group Management Association. Physician Compensation and Production Survey 2011 report based on 2010 data. Data compiled by Geriatrics Workforce Policy Studies Center. *Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiology, or surgery. USMD = Graduates of US medical schools

14. Comparison of Number of Certificates Awarded to Number of Active Certificates in Geriatric Psychiatry As of December 31, 2011 Source: Jenny Vollmer, ABPN & ABPN 2011 Annual Report . Compiled by AGS/ADGAP Geriatrics Workforce Policy Studies Center September 2012

15. Certification and Recertification *Second recertification

16. More Conclusions • Few GP fellows train beyond year one • 13 advanced fellows in 2001/02 • 4 advanced fellows in 2006/07 • 2 advanced fellows in 2010/11 • Many GP do not recertify • Only 47% have recertified 1187/2508

17. Contact Information http://www.americangeriatrics.org/advocacy_public_policy/gwps Libbie Bragg, PhD, RN The University of Cincinnati Elizabeth.Bragg@uc.edu 513-558-5241