{"id":7322,"date":"2016-07-03T21:02:07","date_gmt":"2016-07-03T21:02:07","guid":{"rendered":"http:\/\/associatednews.us\/content\/2016\/07\/03\/few-young-doctors-are-training-to-care-for-u-s-elderly\/"},"modified":"2016-07-03T21:02:07","modified_gmt":"2016-07-03T21:02:07","slug":"few-young-doctors-are-training-to-care-for-u-s-elderly","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/few-young-doctors-are-training-to-care-for-u-s-elderly\/","title":{"rendered":"Few Young Doctors Are Training To Care For U.S. Elderly"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/07\/03\/481767273\/few-young-doctors-are-training-to-care-for-u-s-elderly?utm_medium=RSS&amp;utm_campaign=healthcare\">Kara Lofton<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/07\/03\/481767273\/few-young-doctors-are-training-to-care-for-u-s-elderly?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2016\/06\/22\/lofton_mary_mullins_edited_custom-955e89dad9e1ecf386c9ba9724f2b8ba1c19894f-s1100-c15.jpg\" title=\"Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state.\" alt=\"Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state. <strong>Kara Lofton\/West Virginia Public Broadcasting<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong> <span>Kara Lofton\/West Virginia Public Broadcasting<\/span><\/div>\n<\/div>\n<p>At Edgewood Summit retirement community in Charleston, W.Va., 93-year-old Mary Mullens is waxing eloquent about her geriatrician, <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/directory.hsc.wvu.edu\/Individual\/Index\/29573\">Dr. Todd Goldberg<\/a>.<\/p>\n<p>&#8220;He&#8217;s sure got a lot to do,&#8221; she says, &#8220;and does it so well.&#8221;<\/p>\n<p>West Virginia has the third oldest population in the nation, right behind Maine and Florida. But Goldberg is one of only <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.abms.org\/media\/84770\/2013_2014_abmscertreport.pdf\">36 geriatricians<\/a> in the state.<\/p>\n<p>&#8220;With the growing elderly population across America and West Virginia, obviously we need healthcare providers,&#8221; says Goldberg.<\/p>\n<p>That includes geriatricians \u2014 physicians who specialize in the treatment of adults age 65 and older \u2014 as well as nurses, physical therapists, and psychologists who <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/12\/31\/460818923\/the-joys-of-geriatrics-90-year-olds-sell-medical-students-on-the-specialty\">know how to care<\/a> for this population.<\/p>\n<p>&#8220;The current workforce is inadequately trained and inadequately prepared to deal with what&#8217;s been called the silver tsunami \u2014 a tidal wave of elderly people \u2014 increasing in the population in West Virginia, across America, and across the world really,&#8221; Goldberg says.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.americangeriatrics.org\/files\/documents\/pdfs\/Current_Geriatrician_Shortfall_May_2016.pdf\">deficit<\/a> of properly trained physicians is expected to get worse. <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.census.gov\/prod\/2014pubs\/p25-1140.pdf\">By 2030<\/a>, one in five Americans will be eligible for Medicare, the government health insurance for those 65 and older.<\/p>\n<p>Goldberg also teaches at the Charleston division of West Virginia University, and runs one of the state&#8217;s four geriatric fellowship programs for medical residents. Geriatric fellowships are required for any physician wanting to enter the field.<\/p>\n<p>For the past three years, no physicians have entered the fellowship program at WVU-Charleston. In fact, no students have enrolled in any of the four geriatric fellowship programs in West Virginia in the past three years.<\/p>\n<p>&#8220;This is not just our local program, or in West Virginia,&#8221; says Goldberg. &#8220;This is a national problem.&#8221;<\/p>\n<p>The United States has 130 geriatric fellowship programs, with 383 positions. In 2016, only 192 of them were filled. With that kind of competition, Goldberg laments, why would a resident apply to a West Virginia School, when they could get into a program like Yale or Harvard?<\/p>\n<p>Adding to the problem, the average medical student graduates with $183,000 in debt, and every year of added education pushes that debt higher.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.marshall.edu\/murc\/researcher-spotlight\/researcher-spotlight-shirley-m-neitch-m-d\/\">Dr. Shirley Neitch<\/a>, head of the geriatrics department at <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/jcesom.marshall.edu\/\">Marshall University Medical School<\/a> in Huntington, W.Va., says students express interest in geriatrics almost every year. But, &#8220;they fear their debt,&#8221; she says, &#8220;and they think that they need to get into something without the fellowship year where they can start getting paid for their work.&#8221;<\/p>\n<p>This trend troubles many people, including Todd Plumley, whose mother Gladys has dementia, and lives in West Virginia.<\/p>\n<p>&#8220;It&#8217;s kind of scary that [older patients] don&#8217;t have the care that they really need to help them through these times, and help them prolong their life and give them a better life,&#8221; Plumley says.<\/p>\n<p>There are no geriatricians in the family&#8217;s hometown of <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.local.wv.gov\/Hamlin\/Pages\/about.aspx\">Hamlin<\/a>, so Plumley drives his mother almost 45 minutes to another town, Huntington, to see one. He says seeing this specialist has helped stabilize his mother&#8217;s symptoms.<\/p>\n<p>&#8220;Right now, if we didn&#8217;t have the knowledge and resource,&#8221; he says, &#8220;I believe my mother would have progressed a lot further along, quicker.&#8221;<\/p>\n<p>Plumley is in his 50s. He worries that if he needs the care of a geriatrician as he gets older, driving even 45 minutes may not be an option.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with West Virginia Public Broadcasting and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a><em>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/github.com\/fivefilters\/block-ads\/wiki\/There-are-no-acceptable-ads\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/07\/03\/481767273\/few-young-doctors-are-training-to-care-for-u-s-elderly?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Few Young Doctors Are Training To Care For U.S. Elderly\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2016\/07\/03\/481767273\/few-young-doctors-are-training-to-care-for-u-s-elderly?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/07\/03\/481767273\/few-young-doctors-are-training-to-care-for-u-s-elderly?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2016\/06\/22\/lofton_mary_mullins_edited_custom-955e89dad9e1ecf386c9ba9724f2b8ba1c19894f-s1100-c15.jpg\" title=\"Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state.\" alt=\"Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state. <strong>Kara Lofton\/West Virginia Public Broadcasting<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong> <span>Kara Lofton\/West Virginia Public Broadcasting<\/span><\/div>\n<\/div>\n<p>At Edgewood Summit retirement community in Charleston, W.Va., 93-year-old Mary Mullens is waxing eloquent about her geriatrician, <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/directory.hsc.wvu.edu\/Individual\/Index\/29573\">Dr. Todd Goldberg<\/a>.<\/p>\n<p>&#8220;He&#8217;s sure got a lot to do,&#8221; she says, &#8220;and does it so well.&#8221;<\/p>\n<p>West Virginia has the third oldest population in the nation, right behind Maine and Florida. But Goldberg is one of only <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.abms.org\/media\/84770\/2013_2014_abmscertreport.pdf\">36 geriatricians<\/a> in the state.<\/p>\n<p>&#8220;With the growing elderly population across America and West Virginia, obviously we need healthcare providers,&#8221; says Goldberg.<\/p>\n<p>That includes geriatricians \u2014 physicians who specialize in the treatment of adults age 65 and older \u2014 as well as nurses, physical therapists, and psychologists who <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/12\/31\/460818923\/the-joys-of-geriatrics-90-year-olds-sell-medical-students-on-the-specialty\">know how to care<\/a> for this population.<\/p>\n<p>&#8220;The current workforce is inadequately trained and inadequately prepared to deal with what&#8217;s been called the silver tsunami \u2014 a tidal wave of elderly people \u2014 increasing in the population in West Virginia, across America, and across the world really,&#8221; Goldberg says.<\/p>\n<p>The <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.americangeriatrics.org\/files\/documents\/pdfs\/Current_Geriatrician_Shortfall_May_2016.pdf\">deficit<\/a> of properly trained physicians is expected to get worse. <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.census.gov\/prod\/2014pubs\/p25-1140.pdf\">By 2030<\/a>, one in five Americans will be eligible for Medicare, the government health insurance for those 65 and older.<\/p>\n<p>Goldberg also teaches at the Charleston division of West Virginia University, and runs one of the state&#8217;s four geriatric fellowship programs for medical residents. Geriatric fellowships are required for any physician wanting to enter the field.<\/p>\n<p>For the past three years, no physicians have entered the fellowship program at WVU-Charleston. In fact, no students have enrolled in any of the four geriatric fellowship programs in West Virginia in the past three years.<\/p>\n<p>&#8220;This is not just our local program, or in West Virginia,&#8221; says Goldberg. &#8220;This is a national problem.&#8221;<\/p>\n<p>The United States has 130 geriatric fellowship programs, with 383 positions. In 2016, only 192 of them were filled. With that kind of competition, Goldberg laments, why would a resident apply to a West Virginia School, when they could get into a program like Yale or Harvard?<\/p>\n<p>Adding to the problem, the average medical student graduates with $183,000 in debt, and every year of added education pushes that debt higher.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.marshall.edu\/murc\/researcher-spotlight\/researcher-spotlight-shirley-m-neitch-m-d\/\">Dr. Shirley Neitch<\/a>, head of the geriatrics department at <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/jcesom.marshall.edu\/\">Marshall University Medical School<\/a> in Huntington, W.Va., says students express interest in geriatrics almost every year. But, &#8220;they fear their debt,&#8221; she says, &#8220;and they think that they need to get into something without the fellowship year where they can start getting paid for their work.&#8221;<\/p>\n<p>This trend troubles many people, including Todd Plumley, whose mother Gladys has dementia, and lives in West Virginia.<\/p>\n<p>&#8220;It&#8217;s kind of scary that [older patients] don&#8217;t have the care that they really need to help them through these times, and help them prolong their life and give them a better life,&#8221; Plumley says.<\/p>\n<p>There are no geriatricians in the family&#8217;s hometown of <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.local.wv.gov\/Hamlin\/Pages\/about.aspx\">Hamlin<\/a>, so Plumley drives his mother almost 45 minutes to another town, Huntington, to see one. He says seeing this specialist has helped stabilize his mother&#8217;s symptoms.<\/p>\n<p>&#8220;Right now, if we didn&#8217;t have the knowledge and resource,&#8221; he says, &#8220;I believe my mother would have progressed a lot further along, quicker.&#8221;<\/p>\n<p>Plumley is in his 50s. He worries that if he needs the care of a geriatrician as he gets older, driving even 45 minutes may not be an option.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with West Virginia Public Broadcasting and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a><em>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/github.com\/fivefilters\/block-ads\/wiki\/There-are-no-acceptable-ads\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-7322","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/7322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=7322"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/7322\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=7322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=7322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=7322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}