Who wants to work in geriatrics: Findings from a national survey of physicians and nurse practitioners |
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| Affiliation: | 1. Harvard Medical School, OpenNotes, Beth Israel Deaconess Medical Center, Boston, MA;2. Harvard Medical School, Massachusetts General Hospital, Boston, MA;3. Vanderbilt University School of Nursing Vanderbilt University, Nashville, TN;4. Dedicated Senior Medical Center, Philadelphia, PA;5. Vanderbilt University School of Nursing Vanderbilt University, Nashville, TN;6. MPH Vanderbilt University Medical Center, Nashville, TN;7. Health Policy Research Center, The Mongan Institute Massachusetts General Hospital, Boston, MA;1. Boise State University, Boise, ID;2. School of Nursing and Health Studies, University of Missouri, Kansas City, MO;3. Kansas City Kansas Community College, Kansas City, KS;1. School of Nursing, School of Public Health, University of Michigan, Ann Arbor, MI;2. College of Nursing, University of Rhode Island, Kingston, RI;3. Connell School of Nursing, Boston College, Boston, MA;4. College of Nursing, Montana State University, Bozeman, MT;1. University of Michigan School of Nursing, Ann Arbor, MI;2. Rutgers University School of Nursing, New Brunswick, NJ;3. Indiana University School of Nursing, Indianapolis, IN |
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| Abstract: | BackgroundAs the United States population is aging, there is a chronic shortage of geriatrics- and gerontology- trained clinicians despite a variety of incentives. With primary care clinicians also in short supply, health systems are trying to cope with the increasing demand for care for older adultsPurposeThe purpose of this study was to examine respondents' willingness to recommend their career to others and beliefs about changes necessary to enhance the supply of appropriately prepared cliniciansMethodsThis study used a national survey of a stratified sample of 276 physicians and 134 nurse practitioners working in primary care and geriatric practices.FindingsAmong nurse practitioner respondents, 29% would "definitely" recommend a career as a geriatrician vs. seventeen percent of physicians; thirteen percent of physicians would "definitely" recommend a career as a nurse practitioner specializing in adult/gerontology vs. 42% for nurse practitioners. Those trained in geriatrics were more likely to recommend a career in the field.DiscussionNurse practitioners and physicians differ in their willingness to recommend careers in in gerontology and geriatrics, but less than a majority would strongly recommend careers in either specialty. Based on clinical reports, substantial reforms in payment and reimbursement for services may be necessary to bolster the geriatric field's attractiveness, and better prepare the workforce to care for older adults. |
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