GERIATRICS FOR SPECIALTY RESIDENTS
(Formerly known as Geriatrics Education for Specialty Residents)

July 1, 2007-June 30, 2009

TARGET SPECIALTIES:

Anesthesiology	Orthopaedic Surgery
Emergency Medicine	Otolaryngology
General Surgery	Physical Medicine and Rehabilitation
Gynecology	Thoracic Surgery
Ophthalmology	Urology

PURPOSE
The American Geriatrics Society (AGS), through a program funded by The John A. Hartford Foundation entitled Geriatrics-for-Specialists Initiative (GSI), seeks proposals for specialty-specific initiatives from academic training centers to develop, initiate and evaluate programs designed to increase education for residents in the geriatrics aspect of their disciplines. Dr. John R. Burton directs this program for the AGS.

BACKGROUND
The overall project addresses the urgent need to create a structure for developing leaders in geriatrics in academic surgery and related medical specialties. The Geriatrics for Specialty Residents (GSR) program allows interested specialists to work in collaboration with the geriatrics program in their institution, thereby enhancing their knowledge and skills in teaching geriatrics principles to specialist residents.

In June 2000, the Journal of the American Geriatrics Society published a special article entitled, "A Statement of Principles: Toward Improved Care of Older Patients in Surgical and Medical Specialties." The statement, developed by leaders from each of the ten specialties targeted under this initiative, has appeared in a number of participating specialty publications, sets forth the demographic and workforce issues that will impact on the provision of health care to older adults in the coming decades.

To meet this demand the "Statement" presented a set of objectives and recommendations for achieving them. (The complete "Statement of Principles" may be found online at http://www.americangeriatrics.org/education/statement.pdf.) The Geriatrics for Specialty Residents Program has been created as a response to the recommendation that we must "take steps to assure that specialty residency programs adopt specific learning objectives and curricula in geriatric care as part of a targeted effort to enhance residents' knowledge, skills and attitudes relevant to care of the older patient." in order to "Improve dissemination of new clinical research findings in geriatrics into the surgical and medical specialties."

PARTICIPATION
Proposals must be from institutions that have well developed academic programs in the applicant disciplines and in geriatrics. The proposal should be submitted by a member of the specialty department or division. Departments or divisions may submit only one application. Institutions may submit up to ten applications (one in each specialty). However, a maximum of two proposals from an institution will be funded.

FINANCIAL SUPPORT
Up to 15 two-year grants of $16,000 per year will be awarded to institutions that demonstrate in their proposals the most promise for success. No funds will be provided in support of indirect costs.

PREVIOUS AWARDEES
2001-2003 Geriatrics for Specialty Residents (GSR) Program Awardees

Anesthesiology
Program: Johns Hopkins University School of Medicine
Program Director: Fredrick E. Sieber, MD
Geriatrician: Colleen Christmas, MD

Program: University of California- San Francisco
Program Director: Jeanine Wiener-Kronish, MD
Geriatrician: William Lyons, MD

Emergency Medicine
Program: Emory University School of Medicine
Program Director: Lisa Mack, MD
Geriatrician: Joseph Ouslander, MD

Program: Mount Sinai School of Medicine
Program Director: Darrell Sandel, MD
Geriatricians: Rosanne Liepzig, MD, Barbara Paris, MD

General Surgery
Program: East Carolina University
Program Director: Sherralyn S. Cox, PhD
Geriatrician: Kenneth Steinweg, MD

Program: UCLA
Program Director: Clifford Y. Ko, MD
Geriatricians: Joshua Chodosh, MD, MSHS, Allison Moore, MD, MPH

Program: University of Rochester School of Medicine & Dentistry
Program Director: James V. Sitzmann, MD
Geriatrician: Paul Katz, MD

Program: Yale University School of Medicine
Program Director: Ronnie Rosenthal, MD
Geriatrician: Margaret Drickamer, MD

Gynecology
Program: Hackensack University Medical Center/UMDNJ
Program Director: Michael Petriella, MD
Geriatrician: Knight Steel, MD

Program: University of Alabama at Birmingham
Program Director: Holly E. Richter
Geriatrician: Andrew Duxbury, MD

Program: University of Utah Health Sciences Center
Program Director: Karen L. Miller, MD
Geriatrician: Gerald Rothstein, MD

Ophthalmology
Program: University of Pittsburgh School of Medicine
Program Director: Gary N. Foulks, MD, FACS
Geriatrician: Hollis Day, MD

Orthopaedic Surgery
Program: University of Colorado Health Sciences Center
Program Director: Richard Fisher, MD
Geriatrician: Jeff Wallace, MD

Physical Medicine & Rehabilitation
Program: Spaulding Rehabilitation Hospital
Program Director: Jonathan Bean, MD
Geriatrician: Hilary Siebens, MD

Urology
Program: University of Pennsylvania Medical Center
Program Director: George W. Drach, MD
Geriatrician: Mary Ann Forciea, MD

2003-2005 Geriatrics Education for Specialty Residents (GSR) Program Awardees

Anesthesiology
Program: Beth Israel Deaconess Medical Center
Program Director: Sheila R. Barnett, MBBS, BSc
Geriatrician: Anne Fabiny, MD

Program: University of Miami School of Medicine
Program Director: Michael C. Lewis, MD
Geriatricians: Lisa Granville, MD and Miguel A. Paniagua, MD

Emergency Medicine
Program: University of Colorado Health Sciences Center
Program Director: Kennon Heard, MD
Geriatrician: Robert Schwartz, MD

Program: North Shore University Hospital
Program Directors: Joseph LaMantia, MD and Michael Cassara, DO
Geriatrician: Jesse Roth, MD, FACP

General Surgery
Program: MetroHealth Medical Center
Program Directors: William Fallon, MD and Joel Peerless, MD
Geriatrician: James W. Campbell, MD, MS

General Surgery
Program: University of South Carolina School of Medicine and Palmetto Health
Program Directors: Richard M. Bell, MD, FACS and Brent E. Krantz, MD, FACS
Geriatrician: G. Paul Eleazer, MD, FACP

Gynecology
Program: Yale University School of Medicine
Program Director: Susan Richman, MD
Geriatrician: Margaret Drickamer, MD

Orthopaedic Surgery
Program: NYU Hospital for Joint Diseases
Program Director: Keneth Koval , MD and Kenneth Egol, MD
Geriatrician: Adam Karp, MD

Otolaryngology
Program: University of Rochester School of Medicine & Dentistry
Program Directors: Arthur Hengerer, MD and Timothy Doerr, MD
Geriatricians: William Hall, MD and Paul Katz, MD

Physical Medicine & Rehabilitation
Program: University of Cincinnati
Program Director: Lois L. Deaton, MD
Geriatrician: Gregg Warshaw, MD

Program: University of Kentucky
Program Director: Melvin Mei Hu, MD and Sara Salles, DO
Geriatrician: Nancy Stiles, MD

Program: University of Alabama at Birmingham
Program Director: Victor Mark, MD
Geriatrician: Cynthia J. Brown, MD

Urology
Program: Boston Medical Center
Program Directors: Tracey Wilson, MD, Michael Zahalsky, MD and Michael Siroky, MD, MD
Geriatrician: Sharon A. Levine, MD

Program: University of Texas Southwestern Medical Center
Program Director: Philippe E. Zimmern, MD, FACS
Geriatrician: Vivyenne Roche, MD

2005-2007 Geriatrics Education for Specialty Residents (GSR) Program Awardees

Emergency Medicine
Program: Brown Medical School
Program Director: Deborah Gutman, MD
Geriatrician: Richard Besdine, MD

Program: University of Illinois Medical Center
Program Director: Heather Prendergast, MD
Geriatrician: Donald Jurivich, DO

Program: University of Nebraska Medical Center
Program Director: Michael Wadman, MD
Geriatrician: William Lyons, MD

Orthopaedic Surgery
Program: Beth Israel Deaconess Medical Center
Program Director: Douglas K. Ayres, MD
Geriatrician: Kathryn S. Agarwal, MD

Program: University of Missouri - Columbia
Program Director: Jason Calhoun, MD, FACS
Geriatrician: Steven C. Zweig, MD, MSPH

Otolaryngology
Program: Emory University School of Medicine
Program Director: Michael M. Johns, MD
Geriatrician: Joseph Ouslander, MD

Physical Medicine and Rehabilitation
Program: University of Virginia
Program Director: Laura Lee, MD
Geriatrician: Johnathan Evans, MD

Program: University of Michigan School of Medicine
Program Director: Mark Ziadeh, MD
Geriatrician: Brent Williams, MD

Urology
Program: University of California at San Francisco
Program Director: Badrinath Konety, MD, MBA
Geriatrician: Bree Johnston, MD

Program: University of Connecticut
Program Director: John A. Taylor, III, MD
Geriatrician: George A. Kuchel, MD

Applicants may be interested to read an article that will appeared in the March 2005 issue of the Journal of the American Geriatrics Society (JAGS). The abstract of the article, "Geriatrics for Residents in the Surgical and Medical Specialties: Implementation of Curricula and Training Experiences," by Jane F. Potter, MD, John R. Burton, MD, George W. Drach, MD, Nancy E. Lundebjerg, MPA, Janis Eisner, and David H. Solomon, MD, is posted on the Geriatrics-for-Specialists website and provides an overview of the work accomplished by past recipients of Geriatrics for Specialty Residents grants: http://www.americangeriatrics.org/GESR_ITE.pdf

Abstract
In 1994 under the leadership of the late Dennis Jahnigen, the American Geriatrics Society, with support of The John A Hartford Foundation, began a project to improve the amount and quality of geriatric education that surgical and related medical specialty residents receive. The targeted disciplines initially were general surgery, emergency medicine, gynecology, orthopaedic surgery and urology and, later, anesthesiology, ophthalmology, otolaryngology, physical medicine and rehabilitation, and thoracic surgery. A key element of this project was to develop model programs within surgical and related specialty residency education. The Geriatrics Education for Specialty Residents (GSR) program has supported 29 residencies to pilot methods for integration of geriatrics within residency programs, has encouraged and inspired development of curricular content, and helped to develop faculty leaders to support these efforts long term and at a national level. This paper describes the GSR program, the status of curriculum development, steps for other programs to use in developing a geriatrics education program at their institution, and some of the common barriers likely to be encountered during implementation along with solutions to those barriers.

ABOUT THE AMERICAN GERIATRICS SOCIETY
Founded in 1942, the American Geriatrics Society (AGS) is the leading clinical society devoted to the care of older adults. The AGS promotes high quality, comprehensive and accessible care for America's older population, including those who are chronically ill and disabled. The organization provides leadership to health care professionals, policy makers and the public by developing, implementing and advocating programs in patient care, research, professional and public education and public policy.

The American Geriatrics Society, The Empire State Building, 350 Fifth Avenue, Suite 801, New York City, NY 10118 Telephone: (212) 308-1414, Fax: (212) 832-8646, Website: http://www.americangeriatrics.org

ABOUT THE JOHN A. HARTFORD FOUNDATION
Founded in 1929, The John A. Hartford Foundation is a committed champion of health care, training, research and service system innovations that will ensure the well-being and vitality of older adults. Its overall goal is to increase the nation's capacity to provide effective, affordable care to its rapidly increasing older population. Today, the Foundation is America's leading philanthropy with a sustained interest in aging and health. Through its grant making, the John A. Hartford Foundation seeks specifically to:

• Enhance and expand the training of doctors, nurses, social workers and other health professionals who care for older adults, and
• Promote innovations in the integration and delivery of services for all older Americans.

Recognizing that its commitment alone is not sufficient to ensure the improvements it seeks, the John A. Hartford Foundation invites and encourages innovative partnerships with other foundations and funders, as well as public, non-profit and private groups dedicated to improving the health of older adults.

The John A. Hartford Foundation, 55 East 59th Street, New York City, New York 10022 Telephone: (212) 832-7788, Fax: (212) 593-4913, Website: http://www.jhartfound.org

DIRECT INQUIRIES TO:
Rachael Edberg Silverman, MPH
Project Coordinator
Phone (212) 308-1414
Email address: redberg@americangeriatrics.org

Geriatrics for Specialty Residents (GSR)
The American Geriatrics Society
The Empire State Building
350 Fifth Avenue, Suite 801
New York, New York 10118
Fax: (212) 832-8646