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Geriatic Emergency Medicine Training Valued as More Seniors Visit the ED

By Christina L. Shenvi, MD, PhD, Debra Bynum, MD, and Kevin Biese MD, MAT | on July 23, 2014 | 0 Comment
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As the number of ED visits by older adults continues to grow, all emergency physicians will need to become more aware of the challenges involved in their care, from diagnosis, disease management, and recognition of geriatric syndromes to safe discharge and the development of systems of care. Because GEM is a young and rapidly growing discipline, there is great potential for physicians who become involved in GEM or pursue GEM fellowships to have a significant impact on the field and on the future ED care of older adults.

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References

1. U.S. Census Bureau statistical abstract of the United States: 2012. Resident population by sex and age: 1980 to 2010. U.S. Census Bureau Web site. Available at: http://www.census.gov/compendia/statab/2012/tables/12s0007.pdf. Accessed July 31, 2013.
2. Committee on the Future Health Care Workforce for Older Americans, Institute of Medicine. Retooling for an aging America: building the health care workforce. 1st ed. Washington, DC: National Academic Press; 2008:316.
3. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008;51:769-774.
4. Leipzig RM, Granville L, Simpson D, et al. Keeping granny safe on July 1: A consensus on minimum geriatrics competencies for graduating medical students. Acad Med. 2009;84:604-610.
5. Hogan TM, Losman ED, Carpenter CR, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Acad Emerg Med. 2010;17:316-324.
6. Society for Academic Emergency Medicine (SAEM). Application for geriatric emergency medicine fellowship.
7. POGOe. The portal of geriatrics online education. Available at: http://www.pogoe.org. Accessed August 5, 2013.
8. American Association of Medical Colleges. MedEd portal. Available at: https://www.mededportal.org. Accessed August 5, 2013.
9. Biese KJ, Roberts E, LaMantia M, et al. Effect of a geriatric curriculum on emergency medicine resident attitudes, knowledge, and decision-making. Acad Emerg Med. 2011;18 Suppl 2:S92-6.
10. Society for Academic Emergency Medicine. Fellowship directory. Available at: http://www.saem.org/membership/services/fellowship-directory. Accessed July 20, 2013.


Dr. Shenvi is a geriatric emergency medicine fellow in the Department of Emergency Medicine at the University of North Carolina (UNC), Chapel Hill. Dr. Bynum is associate professor of internal medicine, in the Division of Geriatrics at UNC. Dr. Biese is associate professor of emergency medicine at USC.

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Topics: Education and TrainingEmergency MedicineEmergency PhysicianGeriatricPalliativePatient SafetyPractice Trends

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