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The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Subspecialty Training and Certification in Geriatric Psychiatry: A 25-Year Overview

Juul, Dorthea, Colenda, Christopher C., Lyness, Jeffrey M., Dunn, Laura B., Hargrave, Rita, Faulkner, Larry R.·2017·The American Journal of Geriatric Psychiatry
DOI 10.1016/j.jagp.2016.12.018
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Abstract

The Institute of Medicine estimated that by 2030, from 10.1 to 14.4 million Americans aged 65 years or older will have mental health or substance use disorders. This article reviews the history and current status of training, certification, and practice in geriatric psychiatry against the backdrop of this "silver tsunami." The American Board of Psychiatry and Neurology (ABPN) administered the first subspecialty examination in geriatric psychiatry in 1991, and through 2015 3,329 certificates were awarded. The Accreditation Council for Graduate Medical Education approved the training requirements in 1993. After a surge in programs and fellows, the numbers appear to have stabilized at about 57 programs and 60-65 trainees per year with fewer than half of the positions filled each year. The majority of graduates seeks and obtains ABPN certification, and the majority of those who were fellowship trained have maintained certification. Despite the unprecedented demand for mental health services for older adults, it must be acknowledged that not enough geriatric psychiatrists can be prepared to meet the needs of an aging U.S.Population Strategies for addressing the shortage are discussed, including undertaking subspecialty training in the fourth year of psychiatry training, increasing the time devoted to the care of older adults in undergraduate and graduate medical education, and developing alternative training pathways such as mini-fellowships. It is not clear whether more favorable Medicare reimbursement rates for those certified in geriatric psychiatry would increase the numbers seeking fellowship training.

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Crossref · 10.1016/j.jagp.2016.12.018

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  • Over half of geriatric psychiatrists certified by the ABPN are concentrated in just seven states (2015).

    “and over half of geriatric psychiatrists certified by the ABPN are concentrated in just seven states (2015).”

    From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [738]

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Metadata

Authors
Juul, D., Colenda, C. C., Lyness, J. M., Dunn, L. B., Hargrave, R., & Faulkner, L. R.
Affiliations
  • American Board of Psychiatry and Neurology (US)
  • West Virginia University (US)
  • University of Rochester Medicine (US)
  • Stanford University (US)
  • University of California, Davis (US)
Corresponding author
Juul, Dorthea
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2017-05
Volume
25
Issue
5
Pages
445-453
ISSN
1064-7481 (ISSN-L)
DOI
10.1016/j.jagp.2016.12.018
OpenAlex
W2568548276
Cited by
48
References
33
Citations by year
2026: 4 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 7 · 2021: 4 · 2020: 2 · 2019: 9 · 2018: 1 · 2017: 1
FWCI
0.58
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Education › Innovations in Medical Education
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
Keywords
geriatric psychiatry, subspecialty training, certification, American Board of Psychiatry and Neurology, Accreditation Council for Graduate Medical Education, older adults, geriatric mental health, Medicare reimbursement, history of geriatric psychiatry
MeSH terms
Workforce, Certification, Fellowships and Scholarships, Geriatric Psychiatry, Humans, Specialization

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